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Best Probiotic for Menopause in 2024: Review of 5 Top Brands

Menopause is a natural part of aging in women. During this period, hormonal changes in a woman’s body can affect many areas of health, including the gut.

Scientists report that specific probiotic strains show promise to ease menopausal symptoms along with providing support for related concerns such as bone health and glucose control.

Whether in the pre or postmenopausal phase, choosing a quality probiotics brand may be challenging. Hence, we reviewed the 5 best probiotics for menopause out of 100+ products available, offering you a helping hand in the selection process.

Best probiotics for menopause: a shortlist

  1. Unbloat — overall best all-in-one probiotics for menopause
  2. Ritual — best probiotics to aid weight loss during menopause
  3. Routine — best probiotic brand for menopause bloating
  4. Culturelle — best anti-inflammatory probiotics for menopause
  5. Ora — best probiotics for vaginal health during menopause

Selecting the best probiotics for menopause

When choosing the best probiotics for menopause, keep in mind the following criteria.

Strain specificitySpecific probiotics for menopause
IngredientsQuality ingredients
SafetyTesting and manufacturing
Price per serving$0.90–$1.90
  • Strain specificity. Lactobacillus, Bifidobacterium, Bacillus, Streptococcus, Akkermansia, and Roseburia strains have been studied for menopause. They have been shown to help manage some menopause symptoms and related concerns.
  • Ingredients. Besides checking the probiotic strains in the supplements, we paid attention to their sourcing. We also gave priority to probiotics containing additional ingredients for menopause.
  • Safety. For the safe consumption of probiotics, they should be third-party tested for purity and be free from toxins and allergens. Additionally, probiotics should be developed in cGMP-approved manufacturing sites.
  • Price per serving. The indicated price range per serving estimates how much you spend on your daily consumption of probiotics.

What are probiotics, and how can they help manage the symptoms of menopause?

It is becoming increasingly popular to include probiotic supplements in one’s routine. This is not without a reason — there might be a wide range of benefits associated with supplementation with probiotics. Some of these studies were conducted on individuals undergoing menopause to see if any of the symptoms associated with the end of menstrual cycles could be managed with probiotics.

For instance, a study with 20 postmenopausal women showed that L. halveticus administered in fermented milk may help increase blood calcium levels. Normal blood calcium levels might maintain bone health, potentially reducing the risk of osteoporosis.

Menopause and aging, in general, are characterized by bone and muscle loss. A study with 90 older women demonstrated that supplementation with L. reuteri may have a protective role against the loss of total body mass density.

During menopause, estrogen levels decrease. Although probiotics will not increase estrogen levels, they may increase the number and variety of beneficial bacteria in the gut playing a role in potentially decreasing the risk of obesity and T2D by improving insulin sensitivity, pro-inflammatory markers, and glycemic control in postmenopausal women.

How to choose the best probiotic for menopause?

There are certain factors worth considering when choosing the best probiotic for menopause:

  • Probiotics strains. Depending on the strains included in supplements, probiotics may provide different benefits for the host. Lactobacillus, specifically strains L. casei, L. helveticus, L. rhamnosus, and L. reuteri, may play a role in managing menopausal symptoms. Along with Bifidobacterium strains, it may support vaginal, skin, digestive, and immune health.
  • Additional ingredients. Consider symptoms or health concerns you would like to address while taking the supplement. Check the label carefully for anything that may not be suitable for your personal needs due to underlying conditions, medications, allergies, or increased sensitivities.
  • Shelf life. Most probiotics can lose their viability when exposed to heat or moisture. Thus, some companies advise storing them in a fridge, which may not always be convenient. When purchasing probiotics, make sure to know how to properly store the specific product you are considering.
  • Quality and reputation. Third-party testing, manufacturing facilities, and sourcing are essential aspects of displaying the quality of probiotic supplements. These factors may indicate the purity and safety of the product. As the brand’s reputation is also built by customers, we look for reviews regarding product effects and company trustworthiness.
  • Survivability. Probiotics have poor survivability (known as viability). Some of them are particularly sensitive to the stomach’s acidic environment. Delayed-release capsules may assist in delivering the promised amount of probiotics to the intestine. With ordinary capsules, a higher CFU count is important to ensure you get adequate levels of the probiotics.

Best probiotic supplements for menopause in 2024: overview

You may benefit from probiotics for menopause when aiming to balance the bacterial environment in the gut altered due to estrogen depletion. And for this reason, you should select the best probiotic formulations to address these common challenges.

Here, we delve deeper into 5 probiotic brands offering products with the potential to ease menopause symptoms. You can consider our unbiased overview of the best products and select the one to address specific complaints you may have.

1. Unbloat — overall best probiotics for menopause bloating

Amazon rating – 3.7 ⭐⭐⭐⭐

Trustpilot rating – No reviews

Unbloat Daily Capsules

Unbloat is a quality, all-in-one supplement combining probiotics with prebiotics, micronutrients, herbal formula, and digestive enzymes.

Unbloat probiotics contain 7 bacterial strains from Lactobacillus and Bifidobacterium genera for easing menopausal symptoms. With 2 daily capsules of Unbloat, you will receive 25 billion CFU of live bacteria to potentially help reduce bloating.

For instance, the herbal formula containing ginger and turmeric extracts, as well as peppermint leaf, may help reduce inflammation, and along with folate, it may reduce the severity of hot flashes.

Unbloat was developed for people looking for ways to decrease bloating caused by periods, irritable bowel syndrome (IBS), and menopause.

What users like about Unbloat

According to the Amazon and Unbloat reviews, this product helped to reduce bloating and abdominal discomfort. In addition to that, some individuals claimed that this product contributed to more regular bowel movements. Many reviews also highlight the product's superiority over other supplements they had tried.

What users don't like about Unbloat

Some of the reviews both on Amazon and the official website note seeing no difference while taking the supplement. Moreover, some reviewers also mention various side effects such as stomach cramps. On the official website, most of the negative reviews are related to undelivered orders.

Unbloat review

Designed by Shilpa Mehra, M.D., Unbloat is a company that offers only one product, this supplement complex. The company is based in the U.S. and manufactures Unbloat locally.

List of pros and cons about Unbloat

Brief summary verdict about Unbloat

Unbloat stands out as a comprehensive supplement specifically designed to tackle bloating. If you are looking for a high-quality supplement that may address multiple aspects of digestive health, Unbloat could be worth trying.

A one-time purchase of Unbloat costs $47.99 ($1.59 per serving).

2. Ritual — best probiotics for menopause weight loss

Amazon rating – 4.1 ⭐⭐⭐⭐

Trustpilot rating – 1.6 ⭐⭐


Sourcing its ingredients from reputable manufacturers, Ritual designed the Synbiotic+ formula with pre, pro, and postbiotics to support a balanced gut microbiome.

A colon model clinical trial with this probiotic brand has been reported to increase butyrate production, which may play a role in weight management. Synbiotic+ combines L. rhamnosus and B. animalis, providing 11 billion CFU with a single capsule daily. The combined administration of these two strains has been shown to potentially reduce inflammation in postmenopausal women with obesity.

What users like about Ritual

Ritual customers often mention the improvement in digestive health as their primary source of satisfaction. The reviewers also often mention the convenience of this supplement, especially since the recommended dose is only one capsule per day. In addition to this, several reviewers expressed the subtle minty flavor of Ritual’s pills to be pleasant.

What users don't like about Ritual

Several Amazon reviewers have mentioned that the delivery process is lengthy. On the official website, some customers said they would prefer to buy the supplement as a one-time purchase instead of relying on a subscription-based model. Lastly, a few users find the product too expensive when compared to other probiotics on the market.

Ritual review

Ritual is a wellness company founded by Katerina Schneider who was looking to craft a better prenatal vitamin complex during her own pregnancy. The company emphasizes transparency and traceability.

Ritual’s Synbiotic+ is non-GMO and is third-party tested for safety. The provider also conducted in vitro studies to evaluate whether the probiotics deliver what the company is promising.

List of pros and cons about Ritual

Brief summary verdict about Ritual

We have chosen Ritual as one of the best probiotics for individuals looking for ways to support their weight loss journey. Crafted by a brand that uses traceable ingredients and forwards their products for third-party testing, Ritual's Synbiotic+ stands out for its formulation of clinically tested ingredients.

One bottle of Synbiotic+ by Ritual costs $54.00 ($1.80 per serving).

3. Routine — best probiotics for menopause stress

Amazon rating – 4.2 ⭐⭐⭐⭐

Trustpilot rating – No reviews

Routine Probiotics for Her

Routine probiotics contain ashwagandha root extract along with Bifidobacterium and Lactobacillus strains. Ashwagandha has been shown in several studies to potentially reduce stress and improve sleep quality. As lower mood and sleep difficulties are common complaints in individuals with menopause, this supplement may address these issues.

Regarding caution, it’s important to know that chicory root extract in Routine may exhibit mild laxative properties, potentially reducing constipation, and people who have thyroid issues should consult their doctor before consuming supplements containing ashwagandha.

The probiotic blend in Routine supplements delivers 24 billion CFU microorganisms to help relieve menopause symptoms with 1 daily capsule. The probiotics are free from gluten, soy, and dairy and are made of non-GMO ingredients.

As per the brand’s site, this supplement has been designed to support women’s health.

What users like about Routine

Customers frequently highlight improvements in digestion and vaginal health. Moreover, some individuals appreciate the reusable Routine’s glass jar that comes with the first order. The pills are also easy to swallow, according to several reviewers.

What users don't like about Routine

Some Routine users mention logistic issues such as undelivered packages as the primary cause of dissatisfaction. Moreover, several individuals did not notice any improvements whilst taking this product. In several of the reviews, the price is also pointed out as a major drawback.

Routine review

Routine is a probiotic brand that is dedicated to women’s health. The company follows a science-first approach and uses only clinically evaluated strains for its products.

The company also considers sustainability and uses recycled materials for packaging.

List of pros and cons about Routine

Brief summary verdict about Routine

With a blend of clinically evaluated strains and additional ingredients like ashwagandha and chicory root extract, Routine aims to alleviate common menopause symptoms such as tension and low mood. Overall, Routine presents a valuable option for individuals seeking a probiotic supplement during menopause.

One-time purchase of Routine costs $39.95 ($1.33 per serving).

4. Culturelle — best pro and prebiotic blend for menopause

Amazon rating – 4.7 ⭐⭐⭐⭐⭐

Trustpilot rating – No reviews

Culturelle Women's Protection comm supp

Culturelle Women’s 4-in-1 Protection probiotics are designed with 4 Lactobacillus strains and a prebiotic blend, helping to balance the bacterial environment in the gut that may be closely linked to vaginal health. For instance, probiotics may support a harmonious balance of vaginal bacteria and reduce the risk of infections.

The seller states that these probiotics are formulated to balance the pH levels in the vagina, along with supporting immune health and digestion.

The recommended daily intake by the manufacturer is 1 capsule delivering 15 billion CFU of probiotic blend and 15 mg of prebiotics. The capsules are vegetarian, as well as free from gluten, dairy, and nuts.

What users like about Culturelle

According to the reviewers, this product helped them to reduce the occurrence of bacterial vaginosis. Moreover, several customers appreciate the ease of swallowing of this Culturelle product. Lastly, a few buyers mentioned that this product offers good value for its price.

What users don't like about Culturelle

Some of the users contribute yeast infections to this supplement. Other side effects noted by the users were increased bloating, gas, and stomach pain. Some buyers also experienced logistical issues such as long delivery times.

Culturelle review

Culturelle is a brand that offers a wide range of probiotic supplements tailored to different health goals such as weight loss. As per their site, Culturelle’s products use clinically tested probiotic strains only. As a safety measure, the provider manufactures the supplements in FDA-approved facilities.

List of pros and cons about Culturelle

Brief summary verdict about Culturelle

These Culturelle probiotics offer good value for the price and are convenient as they do not require refrigeration. As they are designed to support gut, vaginal, and immune health, they may be worth looking into if you are experiencing any issues in these areas. However, be aware of potential side effects and sensitivities to additives.

A one-month supply of Culturelle probiotics costs $27.49 ($0.91 per serving).

5. Ora — best probiotics for vaginal health during menopause

Amazon rating – 4.5 ⭐⭐⭐⭐⭐

Trustpilot rating – No reviews

Ora Lady bugs comm supp

The scientists behind Ora manufactured Lady Bugs specifically designed to help maintain women’s vaginal health. Vaginal infections are common during menopause, and Ora’s Lady Bugs are designed to potentially reduce their occurrence.

Lady Bugs contain 6 strains of Lactobacilli probiotics. These strains have been studied for their effects on women’s health from different angles — urinary, digestive, and reproductive health.

The manufacturer recommends taking 2 capsules offering 16 billion CFU to support vaginal health during menopause. To increase the effectiveness of its probiotic supplement, the manufacturer added Jerusalem artichoke inulin as a prebiotic replenishing Bifidobacterium.

What users like about Ora

Reviewers of Lady Bugs note that it helped them improve their gut health. In addition to this, several customers report Ora to be beneficial for their vaginal health as well. For instance, some buyers mentioned the reduction of yeast infection symptoms after taking this product.

What users don't like about Ora

Several Ora users note that the product had no noticeable effect on their health. Some customers received their Ora bottles smashed. Buyers on Amazon also note issues with receiving refunds from the company.

Ora review

Lady Bugs by Ora is third-party tested for purity and safety. Moreover, the company sources its vegan, non-GMO, whole-food ingredients from USDA organic-certified farms.

List of pros and cons about Ora

Brief summary verdict about Ora

Lady Bugs by Ora is a reputable probiotic supplement aimed at supporting women's health during menopause. While it has received praise for its effectiveness, potential buyers should be aware of some reported issues regarding packaging.

Ora Lady Bugs are sold at $37.99 ($1.26 per serving).

Comparison of the top probiotics for menopause

BrandServing sizeServings per bottleCost per servingCost per bottleDosage per serving (CFU count)FormIngredientsReview
Unbloat2 capsules30$1.59$47.9925 billion CFUVegetarian capsulesFolate, magnesium, prebiotics, probiotics, digestive enzymes, herbal formula, nutrients for bowel supportUnbloat review
Ritual1 capsule30$1.80$54.0011 billion CFUDelayed release vegan capsulesPrebiotic, probiotics, and postbiotic blendsRitual review
1 capsule30
$1.33$39.9524 billion CFUNon-vegan capsulesProbiotic blend, ashwagandha root extract, chicory root extractRoutine probiotics review
Culturelle1 capsule30$0.91$27.4915 billion CFUVegetarian capsulesPrebiotics and probiotics blendsCulturelle review
Ora2 capsules30$1.26$37.9916 billion CFUVegan capsulesOrganic Jerusalem artichoke inulin, probiotic blendOra review

Concluding the best probiotics for menopause: why is Unbloat the best?

While there are many probiotics providers on the market, we choose Unbloat as our favorite. Its all-in-one supplement formula combining probiotics with prebiotics, micronutrients, herbs, and digestive enzymes makes it one of the most comprehensible supplements for digestion on the market.

We appreciated various aspects of this product. For instance, this product is manufactured locally within the U.S. In addition to this, Unbloat does not require refrigeration, making it a more convenient option.

What is menopause?

In simple words, menopause is when you stop having your menstrual cycles. This is a natural process every woman experiences starting from the age of 45–55. Some other life events, such as uterus or ovaries removal, chemotherapy, or genetic factors, may also cause early menopause.

The 12-month period leading to menopause is when you are likely to feel the symptoms. During this period, also called perimenopause, the production of progesterone and estrogen decreases. As a result, the gut microbiota and metabolism change, increasing the risk of type 2 diabetes (T2D) or obesity.

12 months after your last period, the actual menopause starts. Women who reach menopause can no longer get pregnant and may face certain health difficulties due to hormonal changes and related bacterial imbalance in the gut.

Symptoms of menopause

While the symptoms of menopause can vary from woman to woman, the common ones are:

  • Hot flashes
  • Joint pain
  • Mood changes
  • Vaginal infections

These symptoms are due to declining estrogen and progesterone levels. Fortunately, they can be treated with medications.

Hot flashes

Due to the declined estrogen levels, most menopausal women may experience sudden feelings of heat in the upper part of their body. There may be several occurrences during the week, the day, and at night — the latter is called night sweats.

Hot flashes may last a few years after menopause, and the period differs for everyone.

Joint pain

Joint pain is another common symptom during perimenopause and menopause caused by low estrogen levels. This hormone is generated in different body parts and protects joints and reduces inflammation.

Increased inflammation may also play a role in osteoporosis development. Diets rich in vitamins C, D, zinc, calcium, and magnesium or their supplementation can help improve joint and muscle pain.

Mood changes

Although the exact reason behind mood changes during menopause is unknown, some doctors believe it might be related to hormonal disbalance. Apart from these, women may experience mood swings due to physiological changes.

This is not a widespread menopause symptom, yet, frequent mood swings should be discussed with a therapist.

Vaginal infections

Estrogen and healthy vaginal pH levels are interrelated. With decreased female hormone levels during menopause, good bacteria, such as Lactobacillus, decline in the vagina.

The insufficient acidic environment in the vagina during menopause may cause reoccurring yeast infections and bacterial vaginosis. Probiotics for menopause may help balance bacterial levels and reduce the recurrence of vaginal infections.

Menopause and weight gain

The susceptibility to weight gain increases during menopause and perimenopausal periods. Many women notice fat accumulation around the abdomen and waist. It is a common body alliteration among women and is related to hormonal imbalance, among other factors.

Genetic predisposition, aging, and lifestyle factors may greatly affect body weight during menopause. One reason for age-related weight gain is the slow metabolic rate due to the loss of muscle mass. Lower total body mass density leads to poor calorie utilization resulting in fat accumulation.

Can probiotics help with it?

Yes. There is an association between the loss of beneficial microorganisms and obesity among menopausal women. Probiotics can support weight loss journey by increasing the number of “friendly bacteria'' in the gut.

Evidence suggests that supplementation with probiotics for a 12-week period significantly decreases the body mass index and fat percentage.

Other ways to ease symptoms of menopause

One of the well-known approaches to ease symptoms is menopausal hormone therapy. However, it may not be suitable for all women due to the risk of side effects such as heart attack, blood clots, and gallbladder issues.

To reduce some menopausal symptoms, women may be recommended alternative non-hormonal options, such as:

  • Some botanicals
  • Vaginal creams
  • Dietary changes
  • Regular exercises

Ginseng, angelica, black cohosh, and evening primrose oil are some of the traditionally used herbal medicines to help ease menopausal symptoms. Note that a doctor’s consultation is essential before consuming any botanicals.

Women experiencing vaginal dryness or discomfort during sex may be prescribed vaginal rings, estrogen creams, or pessaries to make their daily physical activities more enjoyable.

Eating foods with phytoestrogens, such as soy and fermented soy products, and chickpea sprouts can help mitigate symptoms. Also, omitting caffeine, alcohol, and spicy food can offer some support in managing night sweats and hot flashes.

Practiced with regular exercise, these can help maintain healthy body weight and mood, as well as lower the risk of osteoporosis.

Best probiotic for menopause conclusion

To put the above discussed together, some probiotics for menopause show promising effects in reducing symptoms. The adequate amounts and regular administration of these beneficial microorganisms may aid in metabolism, prevent bone loss, and support weight loss.

The most beneficial probiotic strains for reducing physio-psychological discomfort caused by menopause are Lactobacillus, Bifidobacterium, Bacillus, Streptococcus, Akkermansia, and Roseburia.

Even though menopause is a natural stage in women’s aging process, it shouldn’t significantly affect the quality of life. Hence, to prevent the onset of related health concerns, women should follow a healthy lifestyle and check with their doctor regularly to avoid undesirable outcomes.

Other probiotics health benefits for women

Best probiotics for weight loss may help regulate metabolism and appetite.

Best probiotics for women may promote vaginal and digestive health.

Best probiotics for constipation can help with digestive issues and ease stools.

Best probiotics for women over 50 that can help to maintain optimal gut health.


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