Probiotics and Menopause: Balancing Your Microbiome for Better Health

Last Updated 13 October 2024

As women approach menopause, they often experience a range of symptoms that can significantly impact their quality of life. From hot flushes to mood swings, these changes can be challenging to navigate. However, emerging research suggests that probiotics may offer a natural way to alleviate some of these symptoms and promote overall health during this transitional period. 

This article explores the relationship between probiotics and menopause, examining how these beneficial microorganisms can help balance the microbiome and potentially improve menopausal health.

a woman feeling healthy and enjoying outside

Microbiome-Menopause Connection

The human microbiome, particularly the gut microbiome, plays a crucial role in overall health and well-being. During menopause, hormonal changes can significantly alter the composition of the microbiome, potentially leading to various health issues. Oestrogen, which declines during menopause, has been shown to influence the diversity and abundance of gut bacteria. This hormonal shift can result in a less diverse microbiome, which may contribute to some of the symptoms associated with menopause.

Research has shown that postmenopausal women tend to have lower levels of beneficial bacteria, such as Lactobacillus species, compared to premenopausal women. This reduction in beneficial bacteria may contribute to various menopausal symptoms and increase the risk of certain health conditions, including:

  • Urinary tract infections

  • Vaginal dryness and infections

  • Bone loss and osteoporosis

  • Weight gain and metabolic changes

  • Mood disorders and cognitive decline

Understanding this connection between the microbiome and menopause opens up new possibilities for managing menopausal symptoms through probiotic interventions.

Probiotics and Menopausal Symptom Management

Probiotics, defined as live microorganisms that confer health benefits when consumed in adequate amounts, have shown promise in alleviating various menopausal symptoms. By introducing beneficial bacteria to the gut, probiotics can help restore balance to the microbiome and potentially mitigate some of the negative effects of hormonal changes.

Several studies have investigated the effects of probiotics on specific menopausal symptoms:

  • Hot Flushes: Some research suggests that certain probiotic strains may help reduce the frequency and severity of hot flushes, possibly by modulating the production of neurotransmitters involved in temperature regulation.

  • Bone Health: Probiotics may enhance calcium absorption and reduce inflammation, potentially slowing bone loss and reducing the risk of osteoporosis in postmenopausal women.

  • Vaginal Health: Lactobacillus-based probiotics have been shown to improve vaginal health by maintaining a healthy pH balance and preventing the overgrowth of harmful bacteria.

  • Mood and Cognitive Function: Emerging evidence suggests that probiotics may help alleviate symptoms of depression and anxiety, which are common during menopause, by influencing the gut-brain axis.

While more research is needed to fully understand the effects of probiotics on menopausal symptoms, these initial findings are promising and warrant further investigation.

closeup women abdominal area

Choosing the Right Probiotics for Menopause

Not all probiotics are created equal, and selecting the right strains is crucial for maximising potential benefits during menopause. When choosing a probiotic supplement or incorporating probiotic-rich foods into your diet, consider the following factors:

  • Strain Specificity: Look for probiotic strains that have been specifically studied for menopausal symptoms, such as Lactobacillus rhamnosus GR-1 and Lactobacillus reuteri RC-14 for vaginal health.

  • CFU Count: Choose products with an adequate colony-forming unit (CFU) count, typically ranging from 1 billion to 100 billion CFUs per serving.

  • Diversity: Opt for multi-strain probiotics, as different strains may offer complementary benefits.

  • Shelf Stability: Ensure the product remains viable until the expiration date and doesn't require refrigeration unless specified.

  • Quality and Purity: Select probiotics from reputable manufacturers that undergo third-party testing for quality and purity.

Consult with a healthcare professional to determine the most appropriate probiotic regimen for your individual needs and health goals.

Incorporating Probiotics into a Menopausal Diet

While probiotic supplements can be beneficial, incorporating probiotic-rich foods into your diet is an excellent way to support your microbiome naturally. Many traditional fermented foods are excellent sources of probiotics and can be easily integrated into a balanced menopausal diet.

Some probiotic-rich foods to consider include:

  • Yoghurt and kefir

  • Sauerkraut and kimchi

  • Kombucha

  • Miso and tempeh

  • Pickles (naturally fermented)

  • Sourdough bread

In addition to incorporating probiotic foods, it's essential to support the growth of beneficial bacteria by consuming prebiotic foods. Prebiotics are non-digestible fibres that serve as food for probiotics. Good sources of prebiotics include:

  • Garlic and onions

  • Leeks and asparagus

  • Bananas

  • Oats

  • Jerusalem artichokes

  • Chicory root

By combining probiotic and prebiotic foods in your diet, you can create a synbiotic effect that enhances the overall health of your microbiome.

senior woman taking care of her health

Conclusion

As our understanding of the microbiome continues to evolve, the potential role of probiotics in managing menopausal symptoms and promoting overall health becomes increasingly apparent. While probiotics are not a panacea for all menopausal concerns, they offer a promising, natural approach to supporting women's health during this transitional period.

Sources

The role of probiotics in women's health: An update narrative review

How good gut health can improve menopause symptoms

Connecting microbiome and menopause for healthy ageing.

CHRISTINA STORIE-PUGH

One of the three co-founders of Embrace, Christina is an experienced content strategist and passionate about health and wellness. She is mother to Margaux, the life and soul of the party.

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The Link Between Gut Health and Mood Swings in Perimenopause

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Estrogen and Bone Density: Understanding Bone Loss in Menopause