How Women Are Turning To Medical Cannabis For Menopause in South Africa
For years, hormone replacement therapy (HRT) has been the go-to treatment for managing the symptoms of menopause. But for women seeking alternatives, medical cannabis for menopause is quietly emerging as a promising new ally in South Africa. This is echoed in the observations by AKOS BIO Pharmacy. When AKOS Bio launched their regulated medical cannabis pharmacy, they were initially surprised that the greatest interest in their products came from menopausal women.
A Natural Shift In Menopause Management
For many women entering their fifties, menopause is more than just the end of monthly periods. It’s the beginning of a complex new chapter in physical, emotional, and sexual health. Menopause is a natural biological process. But the symptoms that come with it – hot flushes, joint pain, insomnia, and vaginal dryness – can be relentless and deeply disruptive.
Sikhosande Kula, Responsible Pharmacist for AKOS Bio, notes that menopausal women are increasingly exploring prescription cannabis. “Unlike recreational cannabis, medical cannabis formulations are carefully dosed and regulated to target specific conditions. Products containing cannabidiol (CBD), tetrahydrocannabinol (THC), or a combination of both are now prescribed by medical professionals for a range of issues. These include those that disproportionately affect women in midlife,” says Kula.
In 2022, South Africa legalised access to medical cannabis through Section 21 authorisations. This allowed licensed pharmacies to dispense cannabis-based medicines to patients with a doctor’s approval. Today, this path is being taken by an increasing number of women experiencing menopause-related symptoms.
How Medical Cannabis Eases Menopause Symptoms
Hot Flushes and Thermoregulation
One of the most commonly reported and most distressing symptoms of menopause is the hot flush. Sudden surges of heat, often followed by sweating and chills, can happen at any time, day or night, and are thought to be caused by changes in the body’s internal thermostat due to declining oestrogen levels.
Emerging evidence suggests that cannabinoids may help regulate the body’s endocannabinoid system, which plays a role in temperature control. While research is ongoing, anecdotal reports and early studies indicate that carefully dosed cannabis-based medicines can reduce the frequency and severity of hot flushes, offering women a greater sense of control over their bodies.
Sleep
Menopausal insomnia is more than a minor inconvenience; it’s a health hazard. Sleep disruption can lead to daytime fatigue, mood swings, and even an increased risk of cardiovascular disease.
“THC, the psychoactive compound in cannabis, is known to induce drowsiness and support sleep onset. CBD has been linked to better sleep quality and reduced nighttime awakenings. Combined in the right ratios, these compounds can help women fall asleep faster and stay asleep longer, without the need for addictive sleep medications,” Kula adds.
Joint Pain
Another silent struggle for menopausal women is joint pain, often due to reduced estrogen levels that affect joint lubrication and inflammation. The anti-inflammatory properties of cannabinoids, especially CBD, are gaining attention as a natural remedy for chronic pain and stiffness.
Many patients report a noticeable decrease in pain and swelling when using cannabis-based oils or tinctures regularly. These benefits may also improve mobility and support more active lifestyles, which are crucial for long-term bone and cardiovascular health in postmenopausal years.
READ MORE: Why Am I Gaining Weight During Perimenopause?
Intimacy
Perhaps one of the least talked about and most emotionally distressing symptoms of menopause is vaginal dryness and a decrease in sexual pleasure. Oestrogen loss can thin the vaginal lining, decrease natural lubrication, and reduce blood flow, leading to painful intercourse and a drop in sexual desire.
Here, medical cannabis offers an unexpected benefit. THC increases blood flow and sensitivity in the pelvic region, which can enhance sexual arousal and pleasure. CBD, meanwhile, has been shown to reduce anxiety and muscle tension, allowing women to feel more relaxed and open to intimacy.
Research in this area is still evolving. But a growing number of women are turning to cannabis-based treatments not just for symptom relief, but to reconnect with their bodies and sexual confidence during this life stage.
Dr Robyn Milton, a South African general practitioner specialising in sexual, hormonal, and mental health, emphasises the importance of individualised care during menopause. She notes, “Supporting individuals through perimenopause requires a holistic approach that considers both physical and emotional well-being.”
READ MORE: 13 Subtle Signs Of Menopause Every Woman Should Know About
Accessing Medical Cannabis For Menopause in South Africa
Accessing medical cannabis in South Africa has become more streamlined, thanks to pioneering platforms like AKOS BIO. As a fully licensed online pharmacy dedicated to dispensing high-grade, compliant medical cannabis, AKOS BIO offers patients a seamless experience. They offer virtual consultations with cannabinoid-prescribing doctors and delivery. According to SAHPRA, over 100 such facilities exist in South Africa.
Medical cannabis is available in a variety of pharmaceutical-grade formats. Most common are oral solutions or oils that are taken sublingually (under the tongue) for faster absorption. You might find formulations such as oral drops, inhalation options or dry herb vaporising for a faster effect.
Is it possible to use cannabis while also using HRT?
Yes, it is possible to use medical cannabis alongside hormone replacement therapy (HRT). “There are currently no known direct interactions between cannabinoids (THC or CBD) and oestrogen or progesterone therapy,” says Dr Milton. “However, as with any combined treatment plan, it should be managed by a qualified medical professional.” Many patients have found that cannabis helps alleviate residual symptoms that HRT doesn’t fully address, particularly anxiety, sleep disturbances, and joint pain.
READ MORE: When Menopause Impacts Your Productivity
A Word of Caution – and Empowerment
Using medical cannabis for menopause is not a one-size-fits-all solution. The effects of THC and CBD can vary, depending on the dose, ratio, and method of administration. That’s why it’s essential to consult with a doctor who understands cannabis medicine and can guide a personalised treatment plan.
Doctors prescribing medical cannabis follow a Section 21 protocol approved by South Africa’s medicines regulator (SAHPRA). They consider several factors, including the patient’s menopausal symptoms (e.g., anxiety, insomnia, hot flashes, mood swings), existing medications, medical history, and prior experience with cannabinoids.
Women over 50 deserve options that align with their bodies, lifestyles, and values. Medical cannabis is not about “getting high”. It’s about restoring balance, easing discomfort, and opening the door to a more vibrant, connected experience of midlife.
The Path Forward
In a country where taboos around cannabis and menopause still linger, this growing interest in plant-based medicine signals a cultural shift. South African women are taking their health into their own hands, exploring natural alternatives, and demanding better care.
For those entering or already in menopause, medical cannabis may offer more than symptom management – it may offer relief, dignity, and a renewed sense of self. More