<![CDATA[Early menopause and perimenopause are increasingly recognized as critical women’s health issues due to their substantial hormonal instability, heightened symptom burden, and negative impact on quality of life. Safe non-hormonal interventions remain limited, particularly in community settings, despite growing evidence supporting phytoestrogens and mind body therapies. This study aimed to evaluate the effectiveness of a 12-week holistic intervention integrating phytoestrogen nutrition, Damask rose aromatherapy, and guided relaxation on hormonal regulation, metabolic markers, menopausal symptoms, and quality of life among early menopausal and perimenopausal women. Using a quasi-experimental design, 44 participants received soy-based dietary supplementation, nightly aromatherapy, and structured relaxation practices, with pre-post assessments of estradiol, lipid profile, fasting glucose, Menopausal Rating Scale (MRS), and Menopause-Specific Quality of Life Questionnaire (MENQOL). The intervention produced significant improvements across all domains, including increased estradiol (p < 0.001), reduced low-density lipoprotein (LDL) and fasting glucose (p = 0.001-0.003), and substantial reductions in menopausal symptoms and psychological distress (p < 0.001). Early menopausal women exhibited greater improvements, reflecting their higher biological sensitivity to multimodal interventions. These findings demonstrate the potential of integrated, non-hormonal strategies to address complex menopausal changes, with practical implications for community-based women’s health programs. Study limitations include the modest sample size and quasi-experimental design, highlighting the need for larger controlled trials.]]>
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