Article Insights & Reflections
Synopsis: This overview brings clarity to a key menopause topic and translates research into practical next steps. It equips readers with options to discuss with a qualified clinician and tools to start improving today.
Top 5 Questions Answered:
- Which symptoms are truly driven by menopause?
- What options exist beyond over-the-counter fixes?
- When should I consider medical therapy?
- Which daily habits make the biggest difference?
- How do I personalize a plan that lasts?
Women enter menopause ready for wisdom. Their bodies shift. Their needs evolve. Yet conventional medicine often reduces this profound transition to a collection of symptoms requiring standardized treatments. This approach misses the deeper opportunity menopause presents: a chance to address root causes and cultivate lasting vitality.
When addressing menopausal symptoms, my approach centers on treating the whole person by identifying root causes and customizing solutions. The body speaks through symptoms, telling us where imbalances exist. Hot flashes, brain fog, and digestive issues aren’t isolated problems but interconnected signals from a body seeking equilibrium. Having personally navigated menopause and experienced the challenges of hormonal imbalances firsthand, I’ve witnessed how conventional approaches often fall short. These experiences inspired me to focus on providing natural, effective solutions to empower women to reclaim their health and thrive during menopause and beyond.Hormonal Harmony Beyond Replacement
Hormone imbalances form the cornerstone of menopausal symptoms, but addressing them effectively requires looking beyond simple replacement strategies. The declining estrogen and progesterone levels affect virtually every system in the body, from brain function to bone density. When appropriate, Bioidentical Hormone Replacement Therapy (BHRT) can address significant hormonal imbalances safely and effectively. However, this represents just one tool in a comprehensive approach. Many women find substantial relief through targeted nutrition, specific herbs, and lifestyle modifications that naturally support hormonal balance. Adaptogens like ashwagandha and rhodiola help regulate the hypothalamic-pituitary-adrenal (HPA) axis, which becomes increasingly important as ovarian hormone production declines. These natural compounds help the body adapt to stress and maintain hormonal equilibrium without side effects. Cruciferous vegetables support healthy estrogen metabolism, while omega-3 fatty acids reduce inflammation that can exacerbate hormonal symptoms. These nutritional approaches work at the cellular level to restore balance rather than simply masking symptoms.Preserving Cognitive Clarity
Brain fog, memory lapses, and mood changes represent some of the most distressing aspects of menopause. These cognitive symptoms stem from the profound relationship between hormones and brain function. Estrogen affects neurotransmitter activity, blood flow to the brain, and even the structure of neural connections. Functional medicine approaches cognitive health by addressing multiple contributing factors. Inflammation, blood sugar imbalances, nutrient deficiencies, and sleep disruptions all impact brain function during menopause. Targeted nutritional support becomes crucial during this transition. Phosphatidylserine supports memory and cognitive function. B vitamins, particularly B12 and folate, support neurotransmitter production and energy metabolism in the brain. Omega-3 fatty acids reduce neuroinflammation and support cell membrane integrity in neurons. Beyond supplements, cognitive health requires lifestyle approaches. Regular physical activity increases brain-derived neurotrophic factor (BDNF), which supports neural health and function. Mind-body practices like meditation reduce stress hormones that can damage brain cells and impair memory. Quality sleep gives the brain essential time for repair and consolidation of memories.Digestive Wellness as Foundation
Digestive changes during menopause often receive less attention than hot flashes or mood swings, yet they significantly impact overall wellbeing. Hormonal shifts affect gut motility, enzyme production, and the microbiome composition. Many women experience new food sensitivities, bloating, constipation, or reflux during this transition. The gut-hormone connection works bidirectionally. Gut health affects hormone metabolism, while hormonal changes impact digestive function. This creates opportunities for intervention at multiple levels. Restoring digestive wellness begins with identifying and removing inflammatory triggers, which might include certain foods, environmental toxins, or chronic infections. The elimination of common inflammatory foods like gluten, dairy, or processed foods often yields remarkable improvements in both digestive and hormonal symptoms. Supporting the microbiome through probiotic-rich foods and prebiotic fibers helps restore bacterial balance disrupted by hormonal changes. Digestive enzymes can compensate for reduced enzyme production, while targeted herbs like ginger and peppermint soothe irritated digestive tissues. Stress management becomes particularly important for digestive health during menopause, as the gut-brain connection intensifies during times of hormonal flux. Practices that activate the parasympathetic nervous system, like deep breathing and mindful eating, directly improve digestive function.Integration: The Key to Lasting Vitality
The true power of functional medicine for menopausal women lies in integration. When we address hormonal balance, cognitive function, and digestive wellness simultaneously, we create synergistic effects that far exceed isolated interventions. A comprehensive approach includes: 1. Thorough assessment of current symptoms, health history, and contributing factors 2. Targeted testing to identify specific imbalances in hormones, nutrients, inflammatory markers, and gut function 3. Personalized protocols that address root causes rather than just symptoms 4. Ongoing support and adjustments as the body responds and needs evolve This integrated strategy recognizes that each woman’s menopausal journey is unique. Some may need more support for cognitive function, while others might benefit from focusing on gut repair or hormonal balance. The key lies in customization based on individual needs rather than standardized protocols. Menopause represents not just a challenge but an opportunity to address underlying health patterns that may have been building for decades. When approached with wisdom and comprehensive care, this transition can initiate a new level of vitality and wellbeing that continues long after the hot flashes subside. The body possesses remarkable capacity for healing when given proper support. By addressing root causes and supporting natural healing mechanisms, women can experience menopause not as a time of decline but as a gateway to a new phase of health, wisdom, and empowerment.Dr. Sonza Curtis, Ph.D., IFMC, PA-C
Dr. Sonza Curtis’s journey as a Functional Medicine practitioner and black holistic doctor started early. She was influenced by the natural home remedies of her great-grandmother, a herbalist and midwife. During her childhood summers, Dr. Sonza would learn all about plants and herbs from her grandmother and see their healing properties firsthand.
Dr. Sonza grew up in Germany, and her passion for blending natural medicine with western medicine grew as she saw this country use plant-based nutraceuticals to help heal patients. With an open-minded perspective and back in the United States, Dr. Sonza pursued her master’s as a Physician Assistant degree, especially after she noticed health challenges in her own family.
After a decade of practicing, Dr. Sonza knew that she was only managing her patient’s chronic issues. She was dealing with a long history of high blood pressure herself and decided it was time to get back to her grandmother’s roots.
During this same time as a Physician Assistant, she discovered Functional Medicine. She permanently switched paths to focus on more natural therapies when her daughter was diagnosed with Autoimmune Thyroiditis. By applying Functional Medicine principles, they were able to get to the root causes, and now her daughter… Read more



