04/19/2026
What if I told you a few simple things can be helpful to your body during the menopause transition.
A majority of treatment options I discuss are nonhormonal treatment options, because I’m a physical therapist. What I specifically bring to the menopause party is education, exercise, habits, routines and some nutrition.
Usually when discussing treatment of menopause symptoms it’s only vasomotor that is discussed.
The gold standard of treatment for vasomotor symptoms is HRT, now known as MHT (menopause hormone therapy). However, resistance training can reduce the severity of hot flashes. Hot flashes are thought to come from a dysregulated hypothalamus, which is your brain’s temperature control center. This deregulated hypothalamus becomes hypersensitive when estrogen declines, so tiny changes in body temperature trigger a hot flash. The idea behind why resistance training helps is that it increases β-endorphins, it stabilizes hypothalamic signaling and most importantly widens the “thermoneutral zone.”
You won’t see me asking if yoga improves hot flashes. I can’t in my brain believe it will help significantly. However, I believe yoga helps with joint mobility, range of motion, body awareness, breath work and regulating the nervous system. I believe the breath work related to yoga is crucial for regulating the nervous system during this time. As a physical therapist, this consistent practice helps joints move through the entire range and helps maintain their health. We know that as estrogen declines, the musculoskeletal syndrome of menopause creeps up. This means more joint pain, more tendon issues, more orthopedic issues. This is why I believe yoga is a valid nonhormonal treatment of menopause. It’s addressing the orthopedic side and the mental health portion.
As estrogen further declines, bone health also will decline. This is why maintaining healthy vitamin D levels is critical for managing the symptoms of menopause, the silent bone loss. However, did you also know that vitamin D is important for breast health and pelvic floor health? Vitamin D3 is amazing, it’s actually a hormone if we were to be technical. 😘