The role of Agni in menopausal transition: an Ayurvedic perspective

Abstract

The menopause transition, marking the end of a woman's reproductive phase, is accompanied by a wide range of physiological and psychological changes. From an Ayurvedic perspective, these changes are significantly influenced by Agni, the biological fire responsible for digestion, metabolism, and transformation. Menopause often coincides with a decline or imbalance in Agni, leading to symptoms such as hot flashes, mood swings, insomnia, and digestive disturbances. This paper explores the dynamic interplay between Agni and the dosh shifts, particularly the aggravation of Vata and decline of Pitta, that characterised the menopausal period.Pitta is closely linked to the endocrine system. The fluctuations in estrogen and progesterone levels during perimenopause are governed by Pitta, contributing to symptoms like irritability, mood swings, and hot flashes.The onset of menopause brings Vata qualities like dryness (vaginal dryness, dry skin), irregularity (irregular menstrual cycles), and instability (mood swings, anxiety). These symptoms reflect the increasing influence of Vata Dosha. It also examines how regulating Agni through diet, lifestyle, and herbal interventions can help mitigate menopausal symptoms and support a smoother transition. Understanding this relationship opens pathways for integrative management strategies. Agni (digestive fire) regulates the body's metabolic activities, which are often imbalanced during perimenopause. Strengthening Agni helps manage fluctuations in metabolism that can lead to weight changes and other symptoms.