This Daily Pill May Relieve Your Perimenopausal Hot Flashes and Mood Swings—Hormone-Free

Ask any woman over 40 and she’ll tell you that life definitely gets better with age.

You know more, which leads to more confidence. You have a lot more money…hopefully, and all the people you wanted to impress no longer take up any real estate in your mind.

The only thing that might not be so great is what your body does. Estrogen that was plentiful and constant in our 20s began to wane and rise, creating a storm of unpleasant physical symptoms.

The simplest term for this is perimenopause – the period when the hormones that give you your period start to take an attitude. In addition to irregular periods (often the first telltale sign that something is going on), symptoms can include hot flashes and night sweats, mood swings, and a host of other things that, if I listed them all, would probably make you depressed.

With more Gen But, as you may have already heard, there is currently a shortage of estrogen patches and not everyone wants or is a good candidate for HRT.

This may be one of the reasons why more than 50% of women, according to a 2023 cross-sectional study, are looking for natural alternatives to combat peri-symptoms, but unfortunately, dietary supplements are not approved for safety and effectiveness by the FDA. Rather than sweating it out (and according to reports, perimenopause can start in your 30s and last up to 10 years or more), the best option is to seek out supplements from brands with a proven track record of using traceable, clinically studied ingredients and third-party testing. For many women, that brand is Ritual and its Perimenopause Health.

A clear glass bottle of Ritual Perimenopause Health dietary supplement with 30 vegan capsules on a yellow to blue gradient background.

Founded in 2016, Ritual remains one of the best supplements on the market and for good reason. One of the few brands to obtain B Corporation certification, women (and men) love it for its transparency and commitment to creating science-backed formulas. Its new dietary supplement Perimenopause Health was developed in partnership with obstetricians/gynecologists on Ritual’s Scientific Advisory Board to support hormonal balance, one daily pill at a time.

The supplement contains diindolylmethane (DIM), a natural compound that helps break down estrogen into a smaller metabolite. If you’re unfamiliar with how estrogen works, this may seem counterintuitive, but many factors, such as higher body fat and stress, can cause estrogen to increase, even during perimenopause. Too much of anything can trigger fatigue, lower libido, lead to weight gain, and much more.

Perimenopause Health also contains SheVari4, a derivative of shatavari extract, which has been clinically shown to improve mood, sleep and relieve hot flashes and night sweats. Evening primrose promotes the absorption of DIM and has been studied to relieve night sweats, while vitamin B supports hormonal activity.


Like all Ritual supplements, Perimenopause Health is traceable, vegan, sugar-free, gluten-free and non-GMO. It contains no hormones and is third-party tested.

Even if you’re not showing any signs of perimenopause, the supplement may be worth adding to your routine, especially if you’re in the age range (remember, 30s and up) and want something to support hormones and healthy cortisol levels. Editor’s Note: It’s always important to consult a doctor before trying a new supplement.

Similar to puberty (or aging), perimenopause is a natural part of life. The trick is to find the things that support you along the way. Don’t be surprised if this new supplement ends up being one of them.

*Editor’s Note: It’s important to always consult your doctor before adding a new supplement to your routine.


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