What are the treatments for menopausal edema?

Methods for treating menopausal edema include lifestyle adjustments, dietary modifications, moderate exercise, medication, and traditional Chinese medicine (TCM) regulation. The appropriate approach should be selected based on the severity of edema and individual health status, with a focus on improving water-sodium metabolism and hormonal balance. If edema progressively worsens or is accompanied by chest tightness, shortness of breath, or abnormal blood pressure, prompt medical attention is recommended.

1. Lifestyle Adjustments: Avoid prolonged sitting or standing. Limit fluid intake one hour before bedtime, elevate the lower limbs to promote venous return, reduce salt consumption, and avoid wearing tight clothing that may compress blood vessels, thereby alleviating limb edema.

2. Dietary Modifications: Increase intake of diuretic foods such as winter melon and coix seed, consume potassium-rich fruits and vegetables, and limit high-salt and high-sugar foods to promote excretion of water and sodium, reduce fluid retention, and help relieve edema.

3. Moderate Exercise: Engage in gentle activities such as brisk walking or yoga, 3–5 times per week, to improve blood circulation and metabolism, enhance cardiopulmonary function, reduce accumulation of interstitial fluid, and alleviate symptoms of edema and fatigue.

4. Medication: For severe edema or cases accompanied by hypertension or osteoporosis, diuretics or hormone-regulating medications may be prescribed under medical supervision. Dosages must be strictly followed; self-medication should be avoided.

5. TCM Regulation: Using oral herbal remedies or acupoint massage to regulate spleen and kidney functions can promote the metabolism of dampness and fluids. Massaging acupoints such as Sanyinjiao (SP6) and Zusanli (ST36) is suitable for individuals with mild edema or sensitive constitutions.

Daily habits should include maintaining a regular sleep schedule and avoiding late nights, managing emotional stability to reduce anxiety, wearing loose and comfortable footwear, avoiding excessive fatigue, and regularly monitoring body weight and changes in edema to support the body’s restoration of balance.