During menopause, the ovaries produce fewer hormones, which can heighten the risk of depression and fractures from osteoporosis. Dr. Ekaterina Orekhova, an obstetrician-gynecologist who heads the obstetrics and gynecology department at the EMS clinic and is affiliated with SOLGAR, discussed the vitamins women should consider during menopause with socialbites.ca.
Experts note that menopause commonly brings hot flashes, disrupted sleep, mood changes, tighter skin, dry mucous membranes, discomfort during intimacy, and brittle bones due to lower estrogen levels.
To address these changes, both hormonal therapies and herbal options are available, including Siberian rhubarb extract, which mimics estrogen. These substances can help ease mild to moderate menopausal symptoms and may be chosen when hormone therapy is not suitable for a patient. An additional option highlighted by the clinician is saffron extract, which has shown benefits for mood and anxiety, improves sleep quality and duration, and may reduce sexual dysfunction in postmenopausal individuals.
Low estrogen also weakens bone strength and increases fracture risk. For this reason, a daily calcium intake of about 1200 mg is recommended for menopausal women. If dietary calcium is insufficient, calcium supplements should be considered. It is important to include vitamin D to support calcium absorption in the gut, and vitamin K2 to help direct calcium into bone tissue, as explained by the doctor.
Estrogen decline also affects vascular protection against cholesterol plaque formation. Managing lipid and carbohydrate metabolism becomes a key goal in this context to support overall cardiovascular health.
Cell energy and antioxidant defense can be supported by nutrients involved in energy production from glucose and fats, along with minerals such as magnesium and iron, B vitamins, and compounds like lipoic acid. Antioxidant support with vitamins C and E and certain plant substances can also be beneficial in addressing fatigue and oxidative stress that accompany menopause.
Historically, researchers have explored strategies to help women at risk of reduced sexual activity during menopause, emphasizing the importance of comprehensive health measures that consider mood, bone health, cardiovascular risk, and overall well‑being. Ongoing guidance from healthcare professionals remains essential for selecting safe and effective options tailored to each individual’s needs and circumstances.
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