Why does menopausal discomfort occur? Ayurveda cites three major reasons, explains Vd. Pooja Kiran (Ayurveda). Menopause is the transition from the Pitta period of life to the Vata stage. If a woman already has a significant Pitta or Vata imbalance in the years prior to menopause, things will likely get worse through menopause. This can be a period when hormonal and other organic changes take place within the body.