This was one of the most requested topics I’ve received through The Buffalo Herbalist: how the thyroid shifts during perimenopause, and how herbs can help support the body through it.
The climacteric phase, which includes the five years before and after menopause, marks one of the most intense transitions in a woman’s life. It isn’t just a hormonal shift. It’s a full-body recalibration. As estrogen begins to decline, we often see changes in the cardiovascular, skeletal, nervous, and endocrine systems. These shifts can feel disorienting, especially when they show up before we expect them to.
At the same time, the thyroid is adjusting too. This small, sensitive gland responds to stress, nutrient stores, and hormonal fluctuations. For many women in their 40s and early 50s, thyroid function becomes more sluggish or erratic during this time. And the symptoms are often brushed aside.
The overlap between perimenopause and thyroid dysfunction makes it hard to know what’s actually going on. Fatig…



