Yoga Therapy for the Management of Hot Flushes, Depression and Anxiety During the Perimenopause

Book excerpt: This project defines the intervention of yoga therapy for perimenopausal symptoms of hot flushes, anxiety, and depression according to the principles of Ayurveda. This is important in light of research showing the costs versus the benefits of hormone replacement therapy (HRT), and the growing population of hormone users as the lifespan increases. The research shows that there is a basis for effective alternatives to HRT for women who cannot or choose not to supplement estrogen levels using pharmaceutical hormones. Ayurveda offers a diagnostic approach that includes consideration of a woman's individual constitution as a predisposing cause of menopausal symptoms. Through questionnaire and pulse diagnosis, a woman may determine her body type and be provided guidelines unique for her constitution. The intervention consists of an educational workshop and follows up with a yoga practice. The practice facilitates the perception of control, while encouraging surrender to the transition of perimenopause.