Why do we see a bloated stomach during the menopause?
- Hormonal decline: A lack of oestrogen reduces the muscles’ ability to burn fat.
- The role of smoking: Smoking brings forward the age of menopause by 1 to 2 years, thereby accelerating these issues.
- Pre-existing obesity: This exacerbates insulin resistance, creating a vicious cycle of abdominal fat storage.
A bloated stomach and the menopause: what role does insulin resistance play?
Insulin resistance occurs when cells no longer respond effectively to insulin. The body then stores circulating sugar directly as visceral fat.
Furthermore, the consumption of sugary drinks exacerbates this process. A study by Longgang Zhao’s team (2022) involving 90,504 women shows that one daily serving of fizzy drink increases the risk of inflammation-related liver disease by 78%. In our practice, we also find that managing blood sugar levels is the number one factor in stabilising waist circumference after the age of 50 and alleviating the symptoms of the menopause.
How can you naturally reduce a bloated stomach during the menopause?
To combat abdominal fat, we therefore recommend a three-point strategy:
- Avoid “0%” products: Sweeteners disrupt the insulin response. Indeed, studies show that consumers of low-calorie products eat 30 to 50% more calories as a result of the brain’s compensatory response.
- Spread out protein intake: Snacks rich in fibre and protein prevent blood sugar spikes and thus compulsive snacking.
- Use targeted plant extracts: Ginseng regulates sugar metabolism, whilst Orthosiphon drains congested tissues.
Which plants should be prioritised for a bloated stomach during the menopause?
To support metabolic changes and optimise insulin management, herbal medicine offers targeted solutions. In our pharmacy, we favour Standardised Plant Extracts (SPE) for their high concentration of active ingredients.
Here is a comparison table of the natural solutions we recommend to regulate blood sugar levels, drain tissues and slim the figure:
| Active ingredient (Plant) | Main action | Arnaud’s Advice (Pharmacy) |
|---|---|---|
| Ginseng (EPS) | Blood sugar regulator | Ideal for curbing sugar cravings at 4 pm. |
| Orthosiphon (EPS) | Drainage and water retention | Best taken if you have a bloated stomach in the evening. |
| Lemon verbena | Lipid-lowering | Aids the digestion of complex fats. |
FAQ: Bloated stomach and the menopause
Why does the tummy swell during the menopause?
What is insulin resistance?
It is the ‘driving force’ behind abdominal fat storage: the body no longer manages sugar effectively and converts it directly into fat around the waist.
Should you eat “0%” or low-fat products?
No. Sweeteners disrupt insulin function and cause the brain to demand 30 to 50% more calories as compensation.
Which herbs should you choose to reduce bloating?
- Ginseng: To curb sugar cravings at 4 pm.
- Orthosiphon: To help with fluid retention if your stomach swells in the evening.
- Lemon verbena: To help digest fats more effectively.
How can you naturally boost your metabolism?
Opt for a low glycaemic index (GI) diet, spread your protein intake throughout the day and avoid sugary drinks, which increase inflammation by 78%.
Does smoking have an impact?
Yes. It brings forward the onset of the menopause by 1 to 2 years and accelerates the accumulation of abdominal fat.



