Perimenopause and Nausea

Updated on October 15, 2017

Nausea and Perimenopause

Are you experiencing nausea in your middle age? Are you certain that you are not pregnant? Perimenopause may be the reason for those unsettled feelings in your stomach.

Perimenopause is the period of time prior to menopause or permanent infertility. It is sometimes called the menopausal transition.

Very few doctors acknowledge a link between nausea and perimenopause. However, this symptom may affect women in their 40s as they transition towards menopause.

Older women experience nausea like young, pregnant women experience morning sickness. Headaches and fatigue often accompany an upset stomach.

Many perimenopause symptoms are well-documented: irregular menstrual periods, hot flashes and night sweats, insomnia, mood swings, brain fog, lactose intolerance, low sexual desire, and much more.

While there is little scientific evidence to link perimenopause and nausea, there is a wealth of anecdotal evidence: observations and reports from perimenopausal women themselves. Many of these women wonder what they are experiencing and how to alleviate the discomfort. Maybe you are one of them.

What Causes Nausea?

Since there is very little research to document the relationship between nausea and perimenopause, the cause is left to speculation.

According to one theory, the nausea results from hormone imbalances. Estrogen and progesterone, the chief female sex hormones, fluctuate during the menopausal transition. This can lead to nausea, upset stomach, diarrhea, constipation, and other digestive problems.

Another theory suggests that stress and fatigue cause perimenopausal nausea. Stressful situations at home or work contribute to fatigue. They can also cause a type of motion sickness that leads to nausea.

Some studies link fatigue to mixed brain signals that over-stimulate the eyes and ears. This, too, can cause feelings of nausea.

Nutritionists and holistic practitioners think diet is the culprit. They say that the wrong foods can cause shifting hormones that contribute to feelings of nausea. Whether the cause is food, hormones, or both, healthy eating can eliminate or reduce many perimenopause symptoms.

The Best Foods for Nausea

Healthy eating and regular exercise are good ways to manage nausea and other perimenopause symptoms.

Tell Me What to Eat as I Approach Menopause, a book by Elaine Magee, discusses the best foods and drinks for a perimenopause diet.

Not only do they relieve the symptoms of perimenopause, but they also promote weight management and heart health. To manage nausea, Magee offers the following tips:

  • Eat more soy-based products. Soy and soy isoflavones support a broad range of perimenopause symptoms, including nausea.
  • Eat more fruits and vegetables. Plant-based foods contain plant estrogens called phytoestrogens that may alleviate nausea.
  • Replace bad fats with good fats. Omega-3 fatty acids, which are found in fish and nuts, may ease perimenopause symptoms.
  • Eliminate caffeinated drinks. Replace coffee and soft drinks with water and unsweetened fruit and vegetable juices.
  • Avoid greasy, fatty, and sugary foods. They can wreak havoc on your hormones, leading to nausea and other perimenopause symptoms.
  • Eliminate the large meals. Instead of eating three large meals, eat several smaller meals throughout the day.
  • Exercise on a regular basis. Physical activity combats stress and fatigue, which may contribute to nausea.

Other Ways to Treat Nausea

To prevent morning nausea, lactose intolerance, and other perimenopause symptoms, some women avoid milk and dairy products. Others limit foods and drinks that contain caffeine, iron, and zinc.

Crackers and dry toast can help women manage their morning nausea. Herbal teas can also help. Dandelion, ginger, licorice, and peppermint teas are four teas to try.

Some women benefit from vitamin B6, vitamin E, and mineral supplements like Amberen. For others, herbal supplements like evening primrose and soy isoflavones are helpful. Since supplements can interact with medications, women should check with their doctors before taking vitamins and herbs for perimenopause symptoms.

Some women need prescription or over-the-counter medications to treat their nausea. Others may benefit from hormone replacement therapy (HRT). Chronic nausea and vomiting requires medical attention to rule out other, potentially serious conditions.

Medical Disclaimer

The information presented in this article is not intended as health or medical advice, nor is it a substitute for professional diagnosis or treatment by a qualified medical professional.

Your Turn

How do you cope with nausea and related symptoms? Leave a comment below and join the conversation. If you enjoyed this article, please share it with your social networks.


© 2013 Annette R. Smith


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    • Annette R. Smith profile image

      Annette R. Smith 8 months ago from Grand Island, Florida

      Hi, Vanessa! I've had to cut way back on consuming milk, cheese, pudding ... almost anything with milk in it. I've found that nuts really bother me now, too. If you find a good remedy for perimenopause nausea, please come back and share it here!

    • profile image

      Vanessa 8 months ago


      I have had so much nausea recently and nothing really works!

      What can I try next?

    • Annette R. Smith profile image

      Annette R. Smith 4 years ago from Grand Island, Florida

      You're welcome, Michelle. I'm so glad you stopped by!

    • midget38 profile image

      Michelle Liew 4 years ago from Singapore

      Thanks for this, Annette. The most important thing would be to keep ourselves healthy.

    • Annette R. Smith profile image

      Annette R. Smith 4 years ago from Grand Island, Florida

      Hello, MsDora. Thank you for reading. I was not aware of a connection either, until I started experiencing nausea and other perimenopause symptoms. I learned a lot through my research, too, and I'm happy to share.

    • MsDora profile image

      Dora Weithers 4 years ago from The Caribbean

      Thanks for addressing this issue. Didn't realize that there was a link between perimenopause and nausea. You gave very good and helpful information.

    • Annette R. Smith profile image

      Annette R. Smith 4 years ago from Grand Island, Florida

      I am glad you found my article, Abby. Your comment is such an encouragement! I started experiencing nausea a few months ago, after I turned 47. It prompted my research into nausea and other perimenopause symptoms. I am happy to share what I learned, and I hope the information proves helpful to you.

    • Abby Campbell profile image

      Abby Campbell 4 years ago from Charlotte, North Carolina

      Great hub, Annette. Thank you so much for this. I accidentally found it through Randi, but I'm so glad I did. I have been going through some nausea these last few months, and I have sworn I was pregnant (at 46) many times because of it. LOL. I'm going to use some of your advice for sure and check out the book you mentioned. I appreciate you! :-)

    • Annette R. Smith profile image

      Annette R. Smith 4 years ago from Grand Island, Florida

      Hi, Randi. I am dealing with the nausea, headaches, and lactose intolerance associated with perimenopause. Some of the natural remedies seem to help -- along with healthier eating and daily exercise. I appreciate your thoughtful comment and the votes, shares, and pin.

    • btrbell profile image

      Randi Benlulu 4 years ago from Mesa, AZ

      Great article about an important topic. You have treated this with the reapect it deserves. I suffered from migraine headaches, which in turn caused unbelievable nausea. No one connected the migraines with menopause until they stopped suddenly. Guess when? Thak you for this article. Voted up, useful and interesting! Will share and pin!