Navigate Menopause with Confidence

Menopause Symptoms: What to Expect & TCM Support

Waking up drenched in sweat at 3am, forgetting simple words mid-sentence, feeling irritable for no clear reason. If you’re experiencing these changes and wondering whether it’s menopause, it just might be.

Menopause is a natural stage of life, not an illness. Your body is adjusting to a new hormonal rhythm, and there are ways to support this transition with care, awareness, and balance. Traditional Chinese Medicine (TCM) offers a gentle, holistic way to understand and manage menopause symptoms by supporting your body’s internal equilibrium.

WHAT

What Is Menopause and When Does It Happen?

Menopause is the natural end of menstruation and fertility, occurring when your ovaries gradually produce less oestrogen and progesterone. It’s officially diagnosed after 12 consecutive months without a period, marking the conclusion of your reproductive years.

The typical age range for menopause

Most women experience menopause between ages 45 and 55, with the average age being 51 years globally. However, timing varies considerably based on genetics, lifestyle, and health factors.

Types of irregular periods

These terms are often confused, but they describe different phases of the menopausal transition.

Perimenopause is the transition period leading up to menopause when your hormones begin fluctuating and symptoms typically emerge. This phase can last anywhere from 2 to 10 years, with an average of 4 years. During perimenopause, you’re still having periods, though they become increasingly irregular. You may skip months, experience shorter or longer cycles, or notice changes in flow.

Menopause itself is a single point in time: the moment when you’ve gone 12 full months without a menstrual period. Once you reach this milestone, you’re considered post-menopausal for the rest of your life.

Common Symptoms of Menopause

Menopause symptoms result from declining and fluctuating hormone levels affecting multiple body systems. These changes can influence many areas of your wellbeing.

Physical symptoms

The physical manifestations of hormonal changes are often the first and most obvious signs of the menopausal transition:

  • Hot flushes and night sweats
  • Changes in menstrual flow or cycle length
  • Vaginal dryness or discomfort
  • Reduced sexual desire
  • Changes in weight distribution, especially around the abdomen

Emotional and mental symptoms

Hormonal fluctuations profoundly affect mood regulation and emotional wellbeing, creating symptoms that can be just as challenging as physical changes:

  • Mood swings
  • Irritability or increased sensitivity
  • Feelings of anxiety or worry
  • Low mood or emotional fatigue

Cognitive and sleep-related symptoms

Changes in memory, concentration, and sleep patterns are among the most distressing symptoms many women experience:

  • Difficulty sleeping through the night
  • Waking feeling unrefreshed
  • Brain fog or trouble concentrating

 

These symptoms are a reflection of hormonal adjustment, not personal weakness or instability.

At Wo.men Matters, we believe in integrative wisdom.

We combine the insights of both Western medicine and Traditional Chinese Medicine to help you understand what’s happening in your body and how to restore balance naturally.

Western perspective

Why Do Menopause Symptoms Happen?

Menopause symptoms are closely linked to changes in hormone levels and how the body adapts to these shifts.

Changing oestrogen and progesterone levels

Oestrogen and progesterone are the primary female reproductive hormones produced by your ovaries. As you approach menopause, production of these hormones becomes erratic, eventually declining to very low levels.

The erratic fluctuations during perimenopause often cause more severe symptoms than the steadily low levels characteristic of post-menopause, explaining why late perimenopause is typically the most symptomatic phase.

Metabolism and weight changes

Many women notice weight gain during menopause, particularly around the abdomen, even without changes to diet or exercise.

Declining oestrogen reduces metabolic rate by approximately 200-300 calories daily. Without adjusting calorie intake or increasing activity, this easily leads to weight gain.

These metabolic shifts are biological, not simply a matter of willpower or discipline.

Nervous system sensitivity and stress responses

During menopause, your stress response system becomes more reactive, making previously manageable stressors feel overwhelming.

This can make emotional reactions feel stronger or more unpredictable.

TCM PERSPECTIVE

How TCM Understands Menopause

At Wo.men Matters, we view menopause as a natural cycle of life where the body’s internal energies shift.

Kidney System Decline

Natural life stage.

In TCM philosophy, the Kidney system governs reproduction, growth, development, and aging. It stores Jing (essence), the fundamental constitutional energy you’re born with. As you age, Kidney essence naturally declines. This isn’t pathological but represents the expected life cycle. In women, this decline manifests as the end of menstruation and fertility, as the Kidneys no longer have sufficient resources to support reproductive function.

Yin Deficiency

Heat, dryness, night sweats.

Yin represents the cooling, nourishing, moistening aspects of your physiology. Think of it as your internal reservoir of fluids and resources that ground, cool, and nourish all tissues and organs. When Yin becomes low, heat rises. This can feel like hot flushes, dryness, restlessness, or difficulty sleeping.

Liver Qi Stagnation

Mood swings, irritability.

In TCM theory, the Liver system governs the smooth flow of Qi (energy) and emotions throughout the body. When this flow becomes obstructed or stuck, numerous symptoms emerge. When Qi stagnates for extended periods, it generates heat. This pattern contributes to hot flushes, particularly those associated with stress, anger, or frustration. You might notice hot flushes worsening when you’re upset or anxious.

TCM Treatments for Menopause Symptoms

TCM aims to restore internal balance, so the body can move through menopause more comfortably.

TCM formulas to nourish Yin and calm internal heat

Our TCM pills and syrup are formulated to help reduce hot flushes, night sweats, dryness, and irritability by replenishing the body’s cooling and nourishing resources. These herbs contain phytoestrogens, compounds that gently influence oestrogen receptors without the risks associated with synthetic hormone replacement. They also support liver detoxification of hormones, reduce inflammation, and regulate stress responses.

anxiety

Acupuncture to stabilise mood and sleep

Our acupuncture sessions aim to help you with hormonal regulation, and manage symptoms such as hot flushes, sleep disturbances, and psychological symptoms.

Moxibustion and gentle heat therapy for circulation and grounding

Our moxibustion sessions involves burning dried mugwort herb near specific acupuncture points to warm the body and improve circulation. This technique is particularly valuable for women whose menopausal pattern includes cold signs alongside heat symptoms.

At Wo.men Matters, each treatment plan is individualised, combining TCM medication, acupuncture, and lifestyle guidance tailored to your cycle pattern.

When to Seek Help for Menopause Symptoms

Whilst menopause is a natural transition, certain symptoms require prompt medical assessment to rule out other conditions or complications.

Red flags requiring medical evaluation

Seek medical guidance if you notice:

Combining TCM with Western medical care

If you experience any of the above symptoms for a prolonged period, or if affects your daily life, consult a qualified practitioner. At Wo.men Matters, we believe that TCM works best as an integrated approach for many women. Modern medical evaluations could be done to rule out conditions like thyroid disorders, fibroids, polyps, or in rare cases, malignancy.

What to expect during a TCM consultation

Your first TCM consultation at Wo.men Matters typically lasts 30 to 45 minutes, allowing comprehensive assessment and discussion. This includes:

  • Detailed medical history: Current symptoms, menstrual history, medications, past treatments, lifestyle factors
  • Pattern differentiation: Questions about energy levels, digestion, sleep, temperature preferences, emotional state
  • Pulse diagnosis: Examining pulse qualities at multiple positions
  • Tongue examination: Assessing tongue colour, coating, shape, and moisture
  • Abdominal palpation (if necessary): Checking for tenderness, tension, or stagnation

What to expect during a TCM consultation with Wo.men Matters

Your first TCM consultation at Wo.men Matters typically lasts 30 to 45 minutes, allowing you to be fully heard.

This includes

Detailed Medical History

Current symptoms, menstrual history, medications, past treatments, lifestyle factors

Pattern Differentiation

Your energy levels, digestion, sleep, temperature preferences, emotional state

Physical Exam

Pulse diagnosis, tongue examination, and abdominal palpation if required

Frequently Asked Questions

Clear, compassionate answers to common questions about menopause symptoms and TCM treatment.
The earliest signs typically include changes to your menstrual cycle alongside physical symptoms. You may notice periods becoming irregular (shorter, longer, heavier, lighter, or skipped), hot flushes or night sweats beginning, sleep becoming more difficult, mood changes or increased irritability, and subtle cognitive changes such as mild forgetfulness. These signs usually appear in your 40s, though earlier or later onset is possible.
Late perimenopause, typically the 1-2 years before your final period, is usually the most challenging phase. During this time, hormone levels fluctuate dramatically and symptoms often reach peak intensity. Hot flushes, sleep disturbances, mood changes, and cognitive symptoms typically worsen during this phase before gradually improving in the years following menopause.
Yes, symptom intensity often fluctuates, particularly during perimenopause when hormone levels vary considerably month to month. You might have several weeks of severe hot flushes followed by a relatively calm period. Symptoms can also vary with stress levels, sleep quality, diet, and other lifestyle factors. This unpredictability is one of the most frustrating aspects of the transition.

Once you’ve reached true menopause (12 consecutive months without a period), menstruation does not restart naturally. Any vaginal bleeding after this point requires immediate medical evaluation as it may indicate polyps, fibroids, hormone imbalances, or in rare cases, malignancy. Do not dismiss post-menopausal bleeding as “just your period returning.”

Menopause is diagnosed retrospectively after 12 consecutive months without a menstrual period. During perimenopause, lab tests can be done to measure FSH (follicle-stimulating hormone) levels, which rise as ovarian function declines. However, hormone testing during perimenopause can be misleading because levels fluctuate dramatically. Diagnosis is typically made based on age, symptom pattern, and menstrual history rather than blood tests alone.
During perimenopause, pregnancy remains possible even with irregular periods because you may still ovulate unpredictably. Contraception should be continued until you’ve been period-free for 12 months (24 months if under 50). Once true menopause is reached, natural pregnancy is no longer possible.

Real Stories and Holistic Healing

Carli Mawer
Really calming and professional experience. The sessions have helped me feel more balanced and less stressed! I always leave feeling lighter and relaxed — highly recommend
Begin Your Journey Towards Balance

Menopause represents a life transition, bringing physical, emotional, and psychological changes that can feel overwhelming.

These symptoms reflect genuine physiological changes, not personal weakness or inadequacy. You deserve support, compassion, and effective treatment to navigate this transition comfortably.

At Wo.men Matters, we specialise in supporting women through all phases of menopause with personalised TCM care that addresses your unique symptom pattern, constitution, and health goals.