Article Details

Abstract

Menopause is a normal life transition defined by the permanent cessation of menstruation after loss of ovarian follicular activity. The transition may be accompanied by hot flushes, night sweats, disturbed sleep, mood symptoms, cognitive complaints, genitourinary discomfort, sexual concerns, and changes in bone and cardiometabolic health. Menopausal hormone therapy is the most effective treatment for vasomotor symptoms in appropriately selected women, but contraindications, personal preference, and concerns about treatment lead some women to seek complementary care, including homeopathy. This narrative review critically evaluates homeopathy for menopausal symptoms. Classical homeopathic principles, commonly discussed remedies, trials, observational studies, systematic reviews, and clinical guidance were considered. Small studies and uncontrolled cohorts have reported subjective improvement, particularly in vasomotor symptoms and quality of life. The overall evidence remains low certainty because of limited sample sizes, heterogeneous individualized prescriptions, inadequate controls, short follow-up, and the natural fluctuation and substantial contextual response of menopausal symptoms. No remedy-specific mechanism for highly diluted products has been established. An extended consultation may provide supportive and relational benefits, but those benefits should not be attributed automatically to the remedy. Homeopathy cannot be recommended as a replacement for hormone therapy, non-hormonal treatment, genitourinary care, osteoporosis prevention, or assessment of postmenopausal bleeding. If chosen, it should be integrated transparently as an adjunct. Better trials must match consultation exposure, use validated symptom measures, and report long-term benefit and safety