Menopause and perimenopause

Menopause is not a disease and not simply the end of fertility — it is a major hormonal transition with wide-ranging physical effects that Western medicine is only now learning to manage well, and that traditional healing systems approached with varying degrees of wisdom. Perimenopause, which can begin a decade before menstrual periods stop, is often longer and more varied than most people are prepared for. The symptoms are real, the range is enormous, and effective support — which may include lifestyle changes, hormone therapy, botanical medicines, or some combination — is becoming more individualized and evidence-based.