Revista Fisio&terapia · Oct 31, 2026
The role of nursing and integrative practices in the management of climacteric and menopausal symptoms: a literature review
By Guimarães LM, Molin RSD, Mânica-Cattani MF
Climacteric and menopause mark a natural transition from the reproductive to the non-reproductive phase in a woman's life, driven by the gradual decline of essential hormones such as estrogen and progesterone. This biological change is usually accompanied by frequent symptoms, such as hot flashes, changes in sleep and mood, decreased libido, skin aging, and vulvovaginal atrophy. Beyond physical impacts, this period often brings the fear of losing youthfulness and productive capacity. In this scenario, Primary Health Care (PHC) plays an indispensable role, highlighting the performance of nurses in welcoming care, active case-finding, and health education for truly comprehensive care.Within therapeutic management, systemic hormone therapy (HT) remains the first line for managing moderate to severe vasomotor symptoms. However, in the face of contraindications or fears regarding side effects, there is a growing demand for conservative and non-pharmacological strategies. The starting point for these approaches focuses on lifestyle modifications, including regular physical activity, a balanced diet, smoking cessation, and sleep hygiene. Concurrently, the scientific literature highlights the potential of nutritional and physical therapy interventions. Soy isoflavones and phytoestrogens act as hormonal modulators with a low incidence of adverse reactions, assisting in the relief of hot flashes and supporting bone and cardiovascular health with continuous use. Curcumin (Curcuma longa), thanks to its antioxidant and anti-inflammatory properties, contributes to glycemic control, lipid profile management, and the reduction of anxiety and depression. Meanwhile, dates (Phoenix dactylifera L.) emerge as an accessible nutritional alternative rich in minerals and phytoestrogens, helping to combat vaginal atrophy and dryness. Similarly, stimulating endogenous melatonin production favors sleep regulation and the recovery of vitality. Methodologically, this is an integrative literature review conducted in the LILACS, BDENF, and MEDLINE databases, using the descriptors “Women’s Health”, “Quality of Life”, “Menopause”, and “Climacteric” to map original articles published between 2021 and 2026. It is concluded that phytotherapy, nutritional education, and Integrative and Complementary Health Practices (PICS) consolidate themselves as promising and viable alternatives to conventional hormone replacement. Nursing plays a central role by guiding informed choices and offering humanized care, reinforcing the importance of new clinical trials to consolidate scientific evidence and the long-term safety of these practices.