Perimenopause Vertigo Treatment

Navigating the journey of perimenopause can feel like a roller coaster ride, full of ups and downs that impact your daily life. One symptom that might catch you off guard is vertigo, the sensation of dizziness or spinning. That’s why discussing perimenopause vertigo treatment is essential. 

Feeling dizzy or off-balance isn’t just inconvenient; it can significantly affect your quality of life and even pose risks like falls or accidents. 

By understanding the treatment options available, you can tackle this head-spinning issue more effectively and find relief. This article aims to guide you through the whats, whys, and how-tos of managing vertigo during perimenopause.

What is Vertigo?

Vertigo isn’t just regular dizziness; it’s the false sensation that you or the room around you is spinning. If you’ve ever spun around in circles and then suddenly stopped, you’ve experienced a mild form of vertigo.

Causes Specific to Perimenopause

During perimenopause, hormone levels like estrogen fluctuate. This can have a surprising impact on your inner ear, which plays a key role in balance. 

As estrogen levels shift, it may cause an imbalance in your ear fluids, leading to episodes of vertigo.

Read Also: How Long Does Menopause Last After Total Hysterectomy?

perimenopause vertigo treatment

Symptoms That Accompany Vertigo

When you experience vertigo, you might also feel nauseous or find it hard to focus visually. Some people even break into a sweat or experience a rapid heartbeat. 

Understanding these accompanying symptoms can help you identify vertigo quickly, allowing you to seek effective treatment sooner.

Differentiating from Similar Conditions

People often confuse vertigo with general dizziness or imbalance. However, vertigo has a spinning component that distinguishes it from just feeling light-headed. 

It’s essential to pinpoint whether you’re experiencing vertigo or another form of imbalance, as treatments may differ.

Duration of Episodes

An episode of vertigo doesn’t have a set length; it can last seconds, minutes, or even longer. 

During perimenopause, you might notice these episodes become more frequent or last longer, making it all the more critical to find an effective treatment.

Perimenopause Vertigo Treatment

Conventional Treatments


Over-the-counter medications like meclizine can offer quick relief from vertigo symptoms. These drugs work by suppressing your nervous system, essentially calming the signals that lead to dizziness.

Physical Therapy

Vestibular rehabilitation is a specialized form of physical therapy aimed at improving your balance. 

Through a series of tailored exercises, this therapy helps your body adapt to the troublesome signals causing vertigo.

perimenopause vertigo treatment

Lifestyle Modifications

Diet Changes

Reducing your intake of salt can lower fluid retention in your body, including the inner ear. Less fluid means fewer episodes of vertigo.

Staying Hydrated

Believe it or not, dehydration can trigger vertigo. Make it a habit to drink plenty of water throughout the day, aiming for at least eight 8-ounce glasses.

Alternative Therapies


Some find relief from vertigo through acupressure, a technique involving the application of pressure to specific points on the body.

Herbal Remedies

Ginger and ginkgo biloba are herbal options that some claim to be effective for vertigo, although scientific evidence is limited. Always consult a healthcare provider before starting any herbal treatments.

Read Also: How to Boost Immune System during Menopause?

When to See a Specialist

If your vertigo symptoms persist or worsen, it’s time to consult a specialist. An ear, nose, and throat (ENT) doctor can conduct further tests, like hearing exams and balance tests, to pinpoint the cause and offer specialized treatment options.

Perimenopause Vertigo Treatment

Medical Interventions

Prescription Drugs

Your doctor may suggest specific medications such as antihistamines or anti-nausea drugs to alleviate vertigo symptoms. 

These medicines target your central nervous system to reduce dizziness and help you feel more stable.

Balance-Focused Exercises

Special exercises, often referred to as vestibular rehabilitation, aim to retrain your body’s balance and coordination. 

A trained physiotherapist will guide you through a series of routines tailored to your specific needs.

Daily Habit Adjustments

Salt Intake Reduction

Cutting back on salty foods can help decrease inner ear fluid levels. Lower fluid levels often lead to a decrease in vertigo episodes.

Sip More Water

Lack of proper hydration can be a culprit in causing vertigo. Aim to consume a sufficient amount of water daily, which generally amounts to eight glasses or more depending on your activity level.

Unconventional Therapies

Pressure Point Techniques

Applying pressure to designated points on your body, often through a method like acupressure, has been found to provide some relief from dizziness.

Plant-Based Options

While not universally backed by science, herbs like ginger and ginkgo biloba are sometimes used to manage vertigo symptoms. 

Always consult with your healthcare provider before incorporating any new supplements into your routine.

Specialist Consultation

If routine treatments don’t help or symptoms escalate, a specialist such as an ear, nose, and throat (ENT) doctor can provide more targeted diagnostic tests and treatments. 

They can carry out tests like audiograms or posturography to get to the root of the problem.

Preventive Measures

Dietary Adjustments

Limit Caffeine and Alcohol

Both caffeine and alcohol can mess with your inner ear fluid balance. Try reducing your intake of coffee, tea, and alcoholic beverages to see if it helps manage your vertigo symptoms.

More Vitamin D

Some studies suggest a link between low vitamin D levels and increased episodes of vertigo. Consider adding vitamin D-rich foods like salmon or fortified cereals to your diet, or discuss supplementation with your healthcare provider.

Physical Activity

Regular Exercise

Consistent, moderate exercise can improve overall blood flow and help maintain a healthy balance system. Activities like walking, cycling, or swimming are excellent options.

Yoga and Balance Drills

Specific yoga poses and balance drills can enhance your body’s stability. Techniques like standing on one leg or walking heel-to-toe can train your body to cope better with balance issues.

Read Also: Menopause and Anger Toward Husbands: All You Need to Know

Stress Management

Breathing Exercises

Deep, controlled breathing can sometimes help halt a vertigo episode. Techniques like the 4-7-8 breath can be effective.

Mindfulness and Meditation

Though not a direct cure for vertigo, practices like mindfulness and meditation can help manage the stress that often accompanies chronic symptoms. 

Lower stress levels can, in turn, reduce the frequency of vertigo episodes.

Environment and Safety

Remove Trip Hazards

Clear your living space of potential trip hazards like loose rugs or clutter. Safer surroundings can help prevent accidents during a vertigo episode.

Adequate Lighting

Make sure your home is well-lit, especially during the night. Proper lighting can assist in reducing the risk of falls if a vertigo episode should occur.


Perimenopause is a natural, albeit sometimes challenging, phase of a woman’s life. Among the myriad of symptoms, vertigo can emerge as an unexpected and often distressing issue. 

However, by proactively seeking effective treatments, making thoughtful lifestyle adjustments, and implementing preventive measures, you can significantly mitigate its impact. 

Remember, while self-help strategies are beneficial, collaboration with healthcare professionals ensures a comprehensive approach tailored to your unique needs. 

Through informed decisions and timely interventions, navigating the waves of perimenopause, and managing vertigo becomes an achievable feat.


Q1: What causes vertigo during perimenopause?

A1: During perimenopause, fluctuating estrogen levels can impact the inner ear’s fluid balance, which plays a vital role in maintaining equilibrium. This can lead to episodes of vertigo.

Q2: How long can vertigo episodes last?

A2: Episodes of vertigo can vary from seconds to minutes, and in some cases, even longer. Their frequency and duration can differ from person to person.

Q3: Is vertigo a common symptom of perimenopause?

A3: While not as commonly discussed as hot flashes or mood swings, many women do experience vertigo during perimenopause.

Q4: Can dietary changes reduce vertigo episodes?

A4: Yes. Reducing salt intake and ensuring adequate hydration can positively impact inner ear fluid balance, potentially decreasing vertigo episodes.

Q5: Are there specific exercises to manage vertigo?

A5: Yes, vestibular rehabilitation is a series of exercises aimed at improving balance and reducing dizziness.

Q6: Can stress trigger vertigo?

A6: Stress doesn’t directly cause vertigo, but it can exacerbate symptoms or increase the frequency of episodes.

Q7: Should I avoid caffeine and alcohol during perimenopause?

A7: Both can influence inner ear fluid balance, so limiting intake may help in managing vertigo symptoms.

Q8: Is there a connection between vitamin D and vertigo?

A8: Some studies suggest a link between low vitamin D levels and recurrent vertigo episodes. Consider checking your vitamin D levels and discussing supplementation with your healthcare provider.

Q9: When should I see a specialist for my vertigo?

A9: If vertigo symptoms persist, worsen, or impact your daily life significantly, it’s crucial to consult an ENT specialist or another appropriate medical professional.


  • Muncie, H. L., Sirmans, S. M., & James, E. (2017). Dizziness: Approach to Evaluation and Management. American Family Physician, 95(3), 154-162.
  • Timmermans, E. J., van der Pas, S., & Schaap, L. A. (2014). Medication, health, and blood pressure control in older people: What is the role of physical activity? Journal of Hypertension, 32(3), 706-711.
  • Kim, S. K., & Kim, Y. I. (2018). Serum Vitamin D Status and Its Correlation to Age in Women with Benign Paroxysmal Positional Vertigo. Audiology & Neuro-Otology, 23(5), 277-282.

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