Menopause is the permanent cessation of menses secondary to the decreased ovarian performance, attributed by the fall in oestrogen and progesterone levels in the body. The perimenopausal symptoms include the somatic symptoms such as irregular menstrual cycle, hot flashes/ night sweats, vaginal dryness, urinary incontinence, breast tenderness etc. and the psychological symptoms like mood swings, sleep disorders, anxiety, irritability, memory loss etc. Depressed mood, loss of interest, anxiety, insomnia, suicidial ideations, guilt, somatic symptoms, psychomotor retardation, agitation, diurnal variation of the symptoms and the panic attacks are the major among the psychologic presentations. In ayurveda, we consider menopause as rajonivrtti and it is considered a physiological condition where the doshic balance between thridoshas are altered , specifically variations in vata and pitta dosha. The depression and other psychological symptoms are due to imbalance between manodoshas- rajas and tamas. - Treatments for Menopausal Depression in Ayurveda