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Menstruation Through Postmenopause: Women’s Life Stages Defined

Evidence Based

iHerb has strict sourcing guidelines and draws from peer-reviewed studies, academic research institutions, medical journals, and reputable media sites. This badge indicates that a list of studies, resources, and statistics can be found in the references section at the bottom of the page.

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Key Takeaways

Every woman deserves to understand her hormonal journey. These transitions aren’t just biological; they’re deeply personal, and they shape how we feel, think, and live.

  • Menstruation: Involves hormonal phases that affect mood, energy, and physical comfort
  • Perimenopause: Hormone levels begin to decline, causing sleep issues, hot flashes, and emotional changes
  • Menopause: 12 months without a period
  • Postmenopause: Follows menopause and lasts for life
  • Libido: Can be affected at any stage due to hormonal shifts, stress, and energy changes

Understanding Your Hormonal Journey

Let’s have an honest conversation about the hormonal transitions every woman experiences, menstruation, perimenopause, menopause, postmenopause, and yes, even changes in libido. These stages aren’t something to fear or hide from. They’re a natural part of life, and I’m here to help you navigate them with confidence, clarity, and compassion.

Let’s walk through each stage together.

PMS + Menstruation

Most women begin menstruating around age 12 and continue through their late 30s or early 40s. During this time, your body cycles through three key phases: follicular, ovulation, and luteal. 

During the follicular phase, which starts on the first day of menstruation and continues for 12-14 days, your ovaries prepare to release an egg while your uterine lining begins to thicken. Then, you ovulate: An ovary releases said egg, which travels down the fallopian tube to your uterus. This takes place around the middle of your cycle, about 13-15 days before menstruation.

Finally, there’s the luteal stage, when your uterine lining is further thickened in preparation for the implantation of a fertilized egg (pregnancy). If pregnancy doesn’t occur, the uterine lining is shed, and the cycle begins again.

Each phase brings its own hormonal shifts, which can lead to symptoms like breast tenderness, mood changes, and energy dips. It’s a roller coaster ride, but understanding it helps you take control.

Perimenopause

The word perimenopause itself is relatively new and refers to the transitional time period, usually between the ages of 40 and 52, when your body prepares for the end of your menstrual cycle (menopause).

During this time, your body gradually reduces the production of sex hormones that regulate your menstrual cycle and reproductive health. This shift can affect nearly every tissue in your body, leading to sleep issues, mood swings, and hot flashes even while you’re still menstruating. It’s a time of adjustment, and your healthcare provider can help you identify where you are in this journey.

Menopause

Commonly called “The Change,” menopause occurs when you’ve gone 12 consecutive months without a menstrual cycle. In the United States, the average age of menopause is 52, but as with the timing of all stages, it differs from woman to woman.

Each day in the United States, 6,000 women enter menopause, which is 1.3 million annually. You’re never alone. 

Common menopausal symptoms can persist up to five years or longer and include hot flashes and night sweats, trouble sleeping, mood shifts, fluctuations in energy levels, and weight gain.

You may experience shape-shifting, in which your body fat redistributes with increases around the abdominal area. One moment you see yourself as an hourglass figure, and the next you look more like a shot glass. It’s all part of your body adapting to new hormonal rhythms.

Postmenopause

As its name suggests, postmenopause is the time after menopause has occurred. Once you reach this stage for most women, in their mid-50s, you remain in it for the rest of your life.

Eventually, your menopause symptoms, such as hot flashes and night sweats, cease as your body adapts to a new normal for hormone and energy levels. While many symptoms begin to ease, new priorities emerge. You may focus more on maintaining a healthy weight, supporting cognitive function, and preserving bone health. This is a time to embrace your new normal and continue nurturing your well-being.

Libido

Let’s talk about libido because it matters. Impaired libido can happen across all life stages in parallel with hormonal fluctuations and transitions.

Loss of libido can mean difficulty becoming aroused and experiencing changes in lubrication as well as mental energy levels. And, of course, circumstantial stress can negatively affect sexual health. I encourage women to be open to discussing this and to seeking support for it. You deserve to feel vibrant and connected to your body.

Key Vitamins And Supplements

I’ve spent decades helping women navigate hormonal transitions, and here are some ingredients I rely on:

Saffron Extract

Saffron has substantial clinical data supporting sleep, mood, and, for women, we see improvements for both menstrual and menopausal symptoms. With sleep, Saffron can support sleep quality and total duration, without creating a sedative effect, and is hormone-free, commonly compared to melatonin. Saffron can support mood and overall well-being by regulating neurotransmitters like serotonin. Clinical data suggest about 30 mg per day, especially in the week leading up to menstruation and throughout each phase of menopause.1

Iodine

Iodine helps regulate thyroid function and hormone balance, both of which can affect women in each stage of their lives. Adequate iodine allows the thyroid to produce hormones that influence energy, mood, metabolism, and temperature regulation. Sufficient and balanced levels are critical to support fatigue, brain fog, and low mood. Because too much iodine can disrupt the thyroid, it should be used cautiously and only when intake is low.2

Maca root extract

Helps relieve perimenopause and menopausal symptoms by supporting hormonal balance rather than acting like a hormone itself. It works as an adaptogen, which can reduce symptoms like mood swings, fatigue, and irritability often influenced by hot flashes or even night sweats. Maca has also been associated with improvements in energy, stress resilience, and emotional well-being, which can ease many of the common menopausal symptoms.3

Vitex (also called chasteberry)

Both menstruating and peri-menopausal women (who also menstruate) deal with the flux between progesterone, estrogen, and prolactin. Vitex can help balance these hormones by working through the brain’s signaling system to help keep hormones like estrogen and progesterone in better balance. This helps make breast tenderness, mood swings, and irregular cycles feel more manageable.4

Ashwagandha

I recommend Ashwagandha to support more stable moods, better energy, and a stronger libido. Overall, it helps create a more balanced hormonal environment by helping the body cope with stress more effectively. It helps reduce stress and cortisol, which often interfere with arousal and interest in sex. Therefore, ashwagandha supports female libido, enhanced arousal, natural lubrication, and sexual satisfaction. Clinical studies related to libido health are shown at a 600mg dose of Ashwagandha.5

Conclusion

Your hormonal journey is dynamic, but you don’t have to face it alone. Always consult your healthcare provider before starting any supplement routine.

Every woman’s journey is unique. You may not experience all of these changes, or they may occur at different times. What’s universal is the importance of self-care. A healthy lifestyle, regular movement, balanced nutrition, restorative sleep, and stress management are the foundation for thriving through every stage.

References:

  1. Saffron Source: Moshiri, M., M. Vahabzadeh, and H. Hosseinzadeh. “Clinical applications of saffron (Crocus sativus) and its constituents: a review.” Drug research 65.06 (2015): 287-295.
  2. Iodine Source: Gunnarsdottir, Ingibjörg, and Lisbeth Dahl. “Iodine intake in human nutrition: a systematic literature review.” Food & nutrition research 56.1 (2012): 19731.
  3. Ulloa del Carpio, Norka, et al. “Exploring the chemical and pharmacological variability of Lepidium meyenii: a comprehensive review of the effects of maca.” Frontiers in Pharmacology 15 (2024): 1360422.
  4. Niroumand, Mina Cheraghi, Fatemeh Heydarpour, and Mohammad Hosein Farzaei. “Pharmacological and therapeutic effects of Vitex agnus-castus L.: A review.” Pharmacognosy Reviews 12.23 (2018).
  5. Gómez Afonso, Adrián et al. “Effects of Withania somnifera (Ashwagandha) on Hematological and Biochemical Markers, Hormonal Behavior, and Oxidant Response in Healthy Adults: A Systematic Review.” Current nutrition reports vol. 12,3 (2023): 465-477. doi:10.1007/s13668-023-00481-0

DISCLAIMER:This Wellness Hub does not intend to provide diagnosis... Read More

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