Mood swing support
Black cohosh at 160 mg, one of the botanicals we chose for menopause mood swings and emotional well-being.
A menopause supplement for the life you want to keep.
Pausive brings botanical herbs for menopause into one daily formula for hot flashes, hormone balance, and sleep quality.
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4.8/5
from 1,200+ women
Feel great 
through every stage 
of menopause.
Perimenopause
Daily support for early hot flashes, lighter sleep and cycle shifts.
Read more about Perimenopause
Postmenopause
Daily support for warm nights, steadier sleep and everyday comfort.
Read more about Postmenopause
+ Five botanicals
for feeling more like you
What consistent use
feels like
of women report fewer hot flashes & night sweats
of women report deeper, uninterrupted sleep
of women report a calmer, steadier mood
of women report more daily energy
Game changer after 6 months!
“I’ve been taking this religiously every day for 6 months, and the difference is night and day. My night sweats are completely gone.”
Non-GMO. Caffeine-Free. Non-Hormonal. Plant-Based Actives. Quality Guaranteed
Pausive Menopause Supplement
A supplement for menopause made with botanical herbs for hot flashes, changing sleep, mood, and daily energy. We recommend 3 months of use for optimal results.
4.8/5 from 1,200+ women146+ purchased last month
- Hot Flash Relief
- Mood Support
- Sleep Quality
- Natural support
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Sarah M.
“I'm 51 and teach high school, so having sudden intense heat waves in the middle of lecturing was embarrassing. A colleague suggested trying capsules with chasteberry and black cohosh. I was skeptical, but Pausive really delivered. After almost a month of daily use, those sudden spikes are way down and I can actually get through a 40-minute period without turning beet red.”
Danielle
“Flashes at work were so annoying. After 3 weeks of daily use, my hot flashes went from 8 a day down to maybe 1.”
Carolyn B.
“Before Pausive, sleep was a battlefield. I'd fall asleep fine at 10 PM, then wake up at 2 AM sweating, toss around until 4 AM, and then my alarm would ring at 6 AM. It was brutal for my health. It took about two full weeks on these capsules, but now I stay asleep through the night. Waking up actually refreshed feels surreal.”
Tracy H.
“I brought the Pausive bottle to my annual gynecologist appointment because I wanted her input before starting anything new. She looked at the label and liked the combination of red clover, chasteberry, and sage leaf alongside black cohosh. Having her green light made me feel so much safer starting this routine.”
Stephanie C.
“I was snapping at my kids and my husband over the smallest things, which isn't who I am at all. Perimenopause mood swings were hitting me hard. After about 2.5 weeks on Pausive, I noticed I'm not on edge all day long. My family even commented that I seem much more patient again. It just feels like I got my emotional buffer back.”
Amy S.
“Hot flashes went from like 10 a day to maybe 2 very light ones. Super happy with these results!”
Debra T.
“I specifically searched for a supplement with sage leaf and red clover because my nutritionist mentioned them for night sweats. Pausive combined both along with black cohosh, which saved me from taking 3 different bottles. I used to wake up soaking wet at 3 AM. Now I actually stay dry all night long.”
Janet K.
“I was literally putting a towel over my sheets every night. About 2 weeks into taking Pausive supplement those awful night sweats chilled out. My bed sheets are dry every morning now!”
Christine W.
“The brain fog was honestly terrifying me: I'd walk into a room and completely forget why I was there, or struggle to find basic words at my desk job. Combining these capsules with my morning routine gave me back my focus. No jittery feeling like caffeine gives, just clear-headed energy.”
It's different for every woman. Many women in our reviews noticed a change within a few weeks, and the research looked at several months, which is why most start with 3 bottles.
The 3-bottle bundle gives you 90 days to stay with the routine. We recommend three months of daily use for optimal results, so support can stay close through the mornings, nights, and moments that matter. You’ll also get 25% off and free shipping.
Take two capsules daily, preferably with meals. Breakfast, lunch, or dinner all work. Choose the meal you already keep.
1,200+ women approve
What customers say: Women mention fewer, milder hot flashes, steadier moods, and finally sleeping through the night. Generated by AI from customer review text.
4.8/5
from 1,200+ women
Sarah M.
Saved my sanity at work!!
“I'm 51 and teach high school, so having sudden intense heat waves in the middle of lecturing was embarrassing. A colleague suggested trying capsules with chasteberry and black cohosh. I was skeptical, but Pausive really delivered. After almost a month of daily use, those sudden spikes are way down and I can actually get through a 40-minute period without turning beet red.”
Danielle
way less flashes
“Flashes at work were so annoying. After 3 weeks of daily use, my hot flashes went from 8 a day down to maybe 1.”
Carolyn B.
Sleeping 7 solid hours for the first time in years
“Before Pausive, sleep was a battlefield. I'd fall asleep fine at 10 PM, then wake up at 2 AM sweating, toss around until 4 AM, and then my alarm would ring at 6 AM. It was brutal for my health. It took about two full weeks on these capsules, but now I stay asleep through the night. Waking up actually refreshed feels surreal.”
Tracy H.
My OBGYN actually agreed with these ingredients!
“I brought the Pausive bottle to my annual gynecologist appointment because I wanted her input before starting anything new. She looked at the label and liked the combination of red clover, chasteberry, and sage leaf alongside black cohosh. Having her green light made me feel so much safer starting this routine.”
Stephanie C.
Feeling much more grounded and less irritable
“I was snapping at my kids and my husband over the smallest things, which isn't who I am at all. Perimenopause mood swings were hitting me hard. After about 2.5 weeks on Pausive, I noticed I'm not on edge all day long. My family even commented that I seem much more patient again. It just feels like I got my emotional buffer back.”
Amy S.
Brought the temperature down :)
“Hot flashes went from like 10 a day to maybe 2 very light ones. Super happy with these results!”
Debra T.
Sage leaf & red clover really make a difference
“I specifically searched for a supplement with sage leaf and red clover because my nutritionist mentioned them for night sweats. Pausive combined both along with black cohosh, which saved me from taking 3 different bottles. I used to wake up soaking wet at 3 AM. Now I actually stay dry all night long.”
Janet K.
no more sleeping on a towel
“I was literally putting a towel over my sheets every night. About 2 weeks into taking Pausive supplement those awful night sweats chilled out. My bed sheets are dry every morning now!”
Christine W.
Clearer head and steady energy all day
“The brain fog was honestly terrifying me: I'd walk into a room and completely forget why I was there, or struggle to find basic words at my desk job. Combining these capsules with my morning routine gave me back my focus. No jittery feeling like caffeine gives, just clear-headed energy.”
Vicki L.
Be patient, consistency pays off!
“Don't give up after week 1! It took about 18 days for me to really start feeling the steady benefits, but now I won't go a day without it.”
Donna V.
Easy to swallow and zero herbal aftertaste
“I hate taking giant horse pills that taste like dirt, which is what happened with a previous black cohosh brand I bought at the grocery store. Pausive capsules are a normal size, smooth to swallow, and don't give me reflux or a weird herbal burp afterward. Plus the bottle design looks very sleek on my nightstand.”
Karen B.
SO MUCH BETTER
“NO MORE BURNING FACE IN MEETINGS! These capsules are worth every single penny.”
Heather
more energy everyday
“No 2pm energy crash anymore! super happy”
Victoria
Good boost
“Gives a nice steady boost of energy without any jitters. I can survive my workday without feeling completely exhausted.”
Chloe
FEEL LIKE MYSELF AGAIN
“My brain fog is gone and some symptoms I didn't even realize I had just disappeared too”
Vanessa
really helps with fatigue
“I’m in my 40s and my energy was completely zero due to perimenopause. Started taking these daily and within two weeks I stopped needing afternoon naps.”
Kimberly
Hot flashes gone
“Black cohosh works wonders! Almost zero hot flashes now.”
Samantha
FINALLY RELIEF
“honestly didn't expect much, but my hot flashes aren't nearly as bad now.”
Christina
Cool and comfortable
“These actually brought down those horrible sudden heat waves. My skin doesn't feel like it's burning up every hour anymore.”
Jessica
finally sleeping
“Sleeping through the night again 10/10!”
Pamela R.
No more midnight sheet changes!
“Finally sleeping through without soaking my sheets. 10/10 recommend.”
Lauren
So much bettr sleep
“Took about 2 weeks of taking them, but I don't wake up every hour sweating anymore.”
Amanda
NO MORE INSOMNIA
“Slept like a rock!”
Melissa
Slept 8 hours!
“Woke up feeling actually rested for the first time in months, my husband said I didn't toss and turn at all :).”
Sarah L.
Finally sleeping dry
“I tried everything, but my night sweats kept waking me up. Pausive actually made them go away within days. Highly recommend!”
Michelle P.
Noticeable difference
“Woke up in a cool bed for the first time in forever, im truly grateful”
Donna F.
Game changer for night sweats
“OH MY GOD. If you’re constantly tossing and turning from soaking through your pajamas, you need this.”
Teresa H.
My husband noticed the difference first LOL
“He asked what I was taking because I hadn't lost my temper in two weeks. Chasteberry is magic for PMS & perimenopause irritability!”
Lisa P.
took a few weeks but working
“flashes are definitely milder now. didn't notice much the first 10 days but around week 3 things calmed down.”
Nancy G.
pajamas stay dry y'all
“im not changing my clothes twice a night anymore. absolute life saver for perimenopause.”
Rebecca M.
Good progress so far
“Night sweats aren't completely gone, but they are about 80% better. I'll definitely keep taking these daily.”
Kelly D.
less moody lately
“helped smooth out my daily mood swings. not a miracle worker overnight but definitely helps me feel more balanced.”
Brenda K.
way bettr calm vibe
“used to feel anxious and frustrated every afternoon for no reason. these capsules really helped even things out.”
Sandra F.
Better than afternoon coffee
“Helps me bypass that dreaded 3pm fatigue without giving me heart palpitations.”
Cynthia L.
BRAIN FOG IS GONE
“I can actually focus on my daily tasks again without feeling exhausted by noon. Highly recommend!”
Sharon K.
much bettr rest
“not waking up every 2 hours anymore. takes a bit of time to kick in though.”
Laura M.
Slept like a baby!
“I haven't slept this deeply since my late 30s. No grogginess the next morning either.”
Michelle E.
Normal size capsules thank goodness
“Super easy to take with breakfast every morning. No stomach upset at all.”
Lori S.
Nice clean product
“Arrived quickly in good condition. Capsules are clean and high quality. Been taking them for 2 weeks so far.”
Cindy W.
recommended by my sister
“my sister kept talking about these capsules so i had to try them myself. totally lived up to the hype!”
Beth A.
A slight improvement, we'll see how it goes from here
“I've tried so many supplements that did nothing that I almost didn't get this one, it works, but it's a small improvement for now, I will keep taking it and see how much better it gets..”
Tammy R.
Love the clean plant-based blend
“I'm very particular about what I put into my body, especially in my late 40s. I love that this formula relies on natural botanicals like sage leaf, chasteberry, red clover, and black cohosh without weird fillers or synthetic stuff. It feels gentle on my system while actually delivering noticeable relief.”
Angela M.
Great herbal combination!
“Hard to find all four key herbal ingredients in one single capsule formula. Very impressed.”
Julie P.
Natural alternative that actually works
“Wanted to avoid synthetic options as long as possible. This botanical mix has been a great fit for me.”
Diane S.
Essential part of my morning routine now
“I keep my bottle right next to my coffee maker so I never forget my daily dosage. Traveling with it last week was a breeze too, didn't break my momentum. Consistency is key with these capsules, but once you build the habit, the daily payoff in how you feel is 100% worth it.”
Paula F.
easy habit to stick to
“just two capsules every morning with water. simple and effective.”
Frequently asked questions
Menopause supplement FAQs
The questions women ask before they start. More questions? See our menopause FAQs.
A formula made for the changes you feel, with every ingredient and amount on the label, that you'll take every day. That's how we built Pausive.
A dietary supplement made for the changes of menopause, taken alongside your usual diet. Pausive is one: botanical herbs and plant compounds in two capsules a day.
Pausive includes soy isoflavones, black cohosh, dong quai, licorice root, red clover, sage leaf, chasteberry, blessed thistle, red raspberry, wild yam, and trans-resveratrol. Every active and dose is printed on the Supplement Facts label.
If you use HRT, take medication, or have a health condition, ask the clinician who knows your care before adding a supplement. They can help you decide what fits your routine.
During menopause, changing estrogen can affect the body's temperature regulation. That is why a small shift can bring on a sudden feeling of heat, often alongside sweating or a flushed face.
The botanicals in Pausive have been studied individually and have a long history of use in women's health. Pausive brings them into one daily formula, with every dose named on the label.
It's different for every woman. Many women in our reviews noticed a change within a few weeks, and the research looked at several months, which is why most start with 3 bottles.
Take Pausive only as directed: two capsules daily, preferably with meals. If you are pregnant, nursing, managing a health condition, or taking medication, speak with a clinician before use.
Pausive ships within the United States only. The 2 and 3 bottle packs ship free, and a single bottle ships at the rate shown at checkout.
Keep the plans that make your life feel like yours.
Cooler days, calmer nights, and more of the life you want to keep.
From the journal
Recommended reads
The questions we get asked most, answered at length.
Tips
8 Menopause diet foods to add to your plate
What to eat in menopause: the eight foods that matter most, what to cut back on, a simple one-day plan and where supplements fit.
Symptoms
8 Perimenopause rage tips to feel calmer
Why perimenopause rage happens, what it feels like and eight ways to feel calmer, from protecting your sleep to daily support.
Symptoms
Hot flashes after menopause and what helps
Why hot flashes can last years past your last period, how long they usually go on, and six ways to cool down fast.