Can Diet Really Help with Menopause Symptoms?

For many women, perimenopause and menopause brings a mix of hideous symptoms, physical changes, and a feeling that your body is out of control. Hot flushes, night sweats, disrupted sleep, low energy, and mood changes are common, but many women feel dismissed when they try to chat to their GP about it. It can be hard to know what’s “normal” and which changes might genuinely help.

Coupled with the fact that you can’t look at any social media, TV programme, or read a magazine without being bombarded with menopause advice. How can you know what really works – and what’s expensive rubbish?

While hormone replacement therapy (HRT) is a safe and effective option for many, diet and lifestyle play an important supporting role. And research shows that certain foods and nutrients can actually help ease symptoms and protect long-term health. Here’s how evidence-based nutrition can support you during this stage of life.

Large observational studies show that women who eat a Mediterranean-style diet – that’s a diet rich in vegetables, fruit, legumes, nuts, seeds, and olive oil - tend to report fewer vasomotor symptoms, such as hot flushes and night sweats. Diets high in fibre and plant foods are also linked to better cardiovascular health and weight management after menopause, both of which can affect how well you feel day to day.

There have also been clinical trials which suggest that some specific nutrients, particularly phytoestrogens, may reduce hot flush frequency, and that maintaining good levels of B vitamins and magnesium can support mood and sleep. Not every woman responds in the same way, but nutrition is a safe and accessible tool to try alongside other support.

Key Nutrients for Hormone Balance

Hormonal shifts are the root cause of most menopause symptoms. While food absolutely can’t replace falling oestrogen, it can support your body and ease the impact on energy, mood, and sleep.

Phytoestrogens

Phytoestrogens are naturally occurring plant compounds found in foods like soy, flaxseed, sesame seeds, chickpeas, and lentils. They have a weak oestrogen-like effect in the body, which is why they’ve been studied for their potential to reduce hot flushes.

Systematic reviews and meta-analyses show that isoflavones (the main phytoestrogens in soy and red clover) can modestly reduce the frequency and intensity of hot flushes in some women. They may also have beneficial effects on cholesterol and blood vessel health after menopause.

They are generally considered safe from food sources, though quality and safety of supplements can vary, and some women with a history of hormone-sensitive cancers are advised to avoid concentrated phytoestrogen supplements. Always speak to your GP if you are unsure.

Adding a daily portion or two of phytoestrogen-rich foods is a simple place to start: try soy milk or yoghurt, edamame beans, tofu, a tablespoon of ground flaxseed, or a sprinkle of sesame seeds on salads or stir fries.

Magnesium, B Vitamins and Sleep

Sleep disruption is one of the most common - and exhausting! - menopause symptoms. Night sweats, early waking and poor-quality sleep all contribute to daytime fatigue and low mood. Supporting your nervous system through nutrition can help.

Magnesium plays a key role in calming the nervous system and regulating the body’s stress response. Some studies suggest that magnesium supplementation can improve sleep quality, especially when combined with B vitamins, though results are mixed. Aiming for food sources is a great first step: leafy greens, nuts, seeds, legumes and whole grains are all rich in magnesium.

B vitamins, particularly B6, B12 and folate, support energy production and neurotransmitter function, so low levels can add to fatigue and low mood. These nutrients are widely available in a balanced diet through foods like poultry, fish, eggs, dairy, leafy greens, beans and whole grains. If you follow a plant-based diet, you may need to monitor B12 intake more closely and discuss supplementation with your GP or nutritional therapist. Often women I work with are low in these nutrients, so do get in touch if you’re interested in testing to find out your levels.

Vitamin D and calcium are also important for bone health during and after menopause, and low vitamin D has been linked to low mood. UK guidance recommends a daily 10 microgram vitamin D supplement in autumn and winter, or year-round if you have little sun exposure. Again, it’s important to get your vitamin D levels tested to see if and how much you should be supplementing.

Foods to Add – and Foods to Reduce

Rather than cutting out lots of foods, focusing on what you can add in often works best. A varied, colourful diet helps balance blood sugar, supports gut health and provides the fibre, antioxidants and healthy fats needed for hormone balance and long-term wellbeing.

Aim to include plenty of vegetables, fruits, legumes, whole grains, nuts, seeds, and lean protein such as fish, poultry or tofu. Oily fish, like salmon, sardines and mackerel, provide omega-3 fats which support heart, brain health and can help reduce inflammation, while plant foods bring the fibre that supports digestion and hormone metabolism.

It can also help to gently reduce foods and drinks that may trigger or worsen symptoms. Excess caffeine or alcohol can disrupt sleep and may trigger hot flushes in some women. Highly processed foods, especially those high in sugar or refined carbohydrates, can lead to energy crashes and blood sugar fluctuations which can make fatigue and irritability worse. Definitely not what we need! You don’t need to be perfect - small, sustainable changes often bring the most benefit.

What next?

Going through menopause can feel like navigating uncharted territory, that’s full of sharks and pirates, and it’s understandable to feel frustrated if your symptoms are dismissed or not fully explained. Nutrition is not a quick fix, but it can be a powerful tool to help you feel more in control and support your long-term health.

Track how your symptoms change as you make adjustments to your diet and be patient with yourself as you experiment. If you’re unsure where to start, or want more tailored support, why not get in touch? I can help guide you through evidence-based strategies and work alongside your GP, if needed.

With the right support, it is possible to feel well and energised through menopause - and beyond.