Perimenopause vs Menopause: How to Age Gracefully

Perimenopause vs Menopause: How to Age Gracefully

Aging can feel like an overwhelming journey, bringing natural changes that can often feel isolating or even overwhelming, particularly because they're so misunderstood or stigmatised. You may have felt uncertain or worried about how your body changes or wondered if what you're experiencing is "normal." Yet, understanding these transitions can reduce fear and stigma, allowing you to embrace aging with confidence.

Before diving into how to embrace the blessing of aging, I want to thank you and all the incredible women who have bravely shared their experiences. By opening up, you are starting powerful conversations that help break the silence and empower the next generation of women.

The tide is shifting and we can learn and grow together as our bodies change and transition through various stages, including one that is often misunderstood: menopause.

Much like puberty, menopause is a natural transition that all women experience, typically between the ages of 45 and 55, though it can occur earlier or later. Hormonal changes are seen 8 to 10 years ahead of menopause so it's safe to say that menopause doesn't happen overnight-it's part of a longer process.

What is Perimenopause?

The period leading up to menopause is called perimenopause, or the menopausal transition. During this stage, levels of key hormones like estrogen begin to fluctuate and steadily decline. These hormonal changes signal the approaching end of your reproductive years.

Estrogen, in particular, plays a significant role in regulating a woman's reproductive system, as well as maintaining bone density, skin elasticity, mood and mental health. As estrogen levels decline, some women may notice a range of physical and emotional shifts - some of which include irregular menstrual cycles, hot flashes, sleep problems, night sweats, weight gain, thinning hair, dry skin and mood swings. These symptoms signal perimenopause, and ultimately, menopause.

When does Menopause Start?

Menopause is defined as having occurred after 12 months without menstruation, but a doctor's confirmation is not typically required unless there are unusual symptoms or complications. At this point, estrogen and progesterone levels remain consistently low. Many of the symptoms that began during perimenopause can persist or even intensify during menopause, but symptoms vary from woman to woman. For some women, symptoms tend to gradually subside after the initial post-menopause years as hormone levels stabilise at lower levels. However, the lower hormone levels can continue to cause long-term effects on skin, bones, and mood. Remember every woman is different, so how she experiences menopause, perimenopause and post-menopause is unique to her.

The hormonal fluctuations experienced during menopause and perimenopause can continue to affect the body in many ways. For instance, estrogen helps maintain collagen and elastin, so declining levels can lead to drier, thinner skin and increased wrinkles. Hair thinning and changes in texture are also common. Mentally, the drop in estrogen can affect mood regulation, contributing to irritability, anxiety, or depression. These transitions impact our overall health and well-being, making it essential to be informed and prepared for these changes.

How to Navigate Hormonal Fluctuations

We all remember learning about puberty-how it marks the start of adolescence, bringing all kinds of changes to our bodies and minds. I first heard about it in Biology class, but it became real when I went through it myself. Thankfully, I was prepared. My mom sat down with me to explain things, and I saw my older cousins go through it. It was something we talked about openly.

But menopause, another big life transition, is a lot like puberty in that it's driven by hormones, yet many of us weren't taught what to expect. It's a second major hormonal shift, but for some reason, it isn't discussed nearly as openly. Even though I'm "too young" to be thinking about menopause just yet, I believe it's time we start having conversations about it with everyone-our daughters and sons, our partners, our friends.

The earlier we understand it, the more we can reduce the stigma around aging, celebrate the changes, and stay confident. Aging is a natural part of life-something to embrace, not fear. We feel empowered to navigate these changes confidently when we're well-informed through different resources. Our co-founder has shared her personal journey here, offering insight into this process. One key area to explore is how nature can support our bodies through hormonal transitions, from puberty to menopause and beyond.

Here's a look at how some of these natural remedies can support hormonal balance and overall well-being:

Dong Quai Root (Angelica sinensis), Red Clover (Trifolium pratense), and Black Cohosh (Cimicifuga racemosa) are some amazing herbs with the potential to support women's health. They may provide relief for some women and help promote overall well-being during perimenopause and menopause. You can use them in a herbal drink or click here to make glycerites, a water-based botanical extract or oil maceration to incorporate into your skincare formulations and routine.

Today, we are going to look specifically at Comfrey's applications.

What Comfrey is Used For

Comfrey is a plant traditionally used to heal wounds and support skin health due to its high content of allantoin, a compound known to stimulate cell regeneration. During menopause, skin can become drier and more fragile due to hormonal changes, and Comfrey's ability to promote skin repair makes it a valuable natural remedy.

How Comfrey Supports Skin, Hair and Scalp Health

The allantoin in Comfrey helps soothe the skin, reduce inflammation, and promote the regeneration of skin cells. Menopausal skin often becomes thinner and loses elasticity, making it more prone to dryness, wrinkles and minor injuries. Comfrey's natural healing properties can help alleviate these issues, making it an excellent addition to skincare and scalp-care routines.

How to Use Comfrey

Comfrey Hair Oil

If you suffer from dandruff or an itchy scalp, the allantoin, mucilage, and rosmarinic acid found in Comfrey can be used to hydrate and rejuvenate the scalp. 

Ingredients

1 T Comfrey Leaf Infused Oil

2 T Argan Oil

1 T Black Jamaican Castor Oil

5 drops Spearmint Essential Oil

Combine all the ingredients above and use your fingertips to massage it on your scalp and hair. Leave it on for a minimum of 30 minutes before washing your hair and scalp with a clarifying shampoo.

Comfrey Healing Ointment

If you find that your skin bruises easily or if you have sensitive or irritated areas you can use our Comfrey Healing Ointment sparingly to soothe, protect and heal your skin.

Before making this fantastic recipe read here if you’re new to working with percentages.

Ingredients

Phase A

55.30% Capric Caprylic Triglycerides (MCT Oil) (emollient, fast-absorbing, and hydrating)

2.00% Comfrey Infused Oil (anti-inflammatory, healing, and regenerative)

8.00% Rosehip Oil (promotes skin repair and regeneration)

15.00% Zinc oxide (skin protectant, soothing, anti-inflammatory)

5.00% Liquid Soy Lecithin (emollient, emulsifier, moisturising, and skin-conditioning)

4.00% Emulsifier HP 30 (stabilising, texture-improving.)

2.00% Ozokerite Wax (skin protectant, structuring, and moisturising)

2.00% Ceto Stearyl / Cetearyl Alcohol Flakes (emollient, thickener, and moisturising)

Phase B

4.50% Aloe Vera Liquid-Gel (soothing, hydrating, anti-inflammatory, and wound-healing)

Phase C

0.50% Comfrey Water-Based Extract (learn how to make it here)

0.30% Frankincense Essential Oil (anti-inflammatory, antimicrobial, healing, and calming)

1.40% Vitamin E Oil (antioxidant, skin-protecting, moisturising, and anti-inflammatory)

Method

1. Combine phase A and heat to 75⁰C. Stir under medium shear until the mixture is smooth and uniform.

2. Add phase B to phase A and stir under high shear until smooth and uniform.

3. Allow to cool slightly (approximately 60-65⁰C) and add phase C. 

4. Stir gently until the mixture is smooth and uniform. While it is still warm and liquid, pour it into containers.

5. Let the product cool completely, then leave it to set overnight before use/evaluation.

Suggested Stirring Tools:

Medium Shear (Phase A): Whisk, spatula, or stick blender.

High Shear (Phase B): Stick blender or electric mixer.

Gentle Stirring (Phase C): Whisk or spatula.

Additional Safety Tips:

  1. Patch Testing: Before using the ointment widely on your skin, always perform a patch test. Apply a small amount to a discreet area (like the inner forearm) and wait 24–48 hours to check for any allergic reactions or irritation.
  2. Do not apply on Open Wounds: Although some ingredients, like comfrey and zinc oxide, promote healing, it’s generally advised not to apply products containing essential oils or comfrey to open wounds without professional guidance, especially since comfrey can be absorbed through damaged skin.
  3. Prolonged Use of Comfrey: While comfrey is effective for healing, avoid using products containing comfrey continuously over long periods or on large areas of the body. While comfrey is beneficial for topical use, it contains pyrrolizidine alkaloids (PAs) which can be toxic to the liver if absorbed in large amounts or used over long periods.

Disclaimer: The information provided in this article is for educational purposes only and is not intended as medical advice. It is important to consult with a healthcare professional or a licensed medical practitioner before using any herbal remedies, supplements, or skincare products, particularly if you are pregnant, nursing, have underlying health conditions, or are taking medications. While traditional and natural remedies like Dong Quai, Comfrey, Red Clover, and Black Cohosh have been studied for their potential benefits, individual responses may vary. Always ensure the safe and appropriate use of any herbal treatments. 

References: 

Comfrey: A Clinical Overview - PMC

Perimenopause: Symptoms, Treatments, Weight Gain, and More 

Estrogen: What Does It Do for the Body?

Herbal Products Used in Menopause and for Gynecological Disorders - PMC

What Is Menopause? | National Institute on Aging

Cayla Mandean

With a passion for skincare, wellness, and storytelling, Cayla is here to cut through the clutter and empower you with clear, research-backed, actionable knowledge to elevate your beauty routine and well-being. If she’s not outside in nature, at the gym, reading or spending time with her loved ones, you will find her creating clear, impactful content that inspires and informs. Her goal? To make sure you feel confident in your choices and enjoy the journey to an empowered, happier you!