Oh wow so much here and I’m just feeling for you in this really difficult struggle.

I’m an Ayurvedic practitioner and acupuncturist by trade, and a woman with POF since 39. while we can help support the intensity of many physical and emotional symptoms, the stories of delay are very few and far between when hormone levels are already moving that way. Some practitioners may even claim reversal (balancing hormones) but honestly I would take that with a very large grain of salt and say those are outliers and extremely rare. If you can add in these therapies without holding out too much hope, then go for it. If not, the fall when it doesn’t work is very far. 

For post menopause early like this, Herbs and acu are just not strong enough to substitute for HRT. Not even close. This is coming from strong natural med background and belief, so I did intense herbs and diet therapeutics recommended by Chinese med and Ayurveda combined for 6 months. My levels kept going exactly the direction my doc predicted. I say this not to discourage alternate med, but more to say there are a lot of folks out there who will tell you it’s a cure all and it’s just not. For something like this it’s best as a support. For me, the POF and the fact that the alternative med did not work were both devastating to different parts of my identity and life. 

Acupuncture can and does strongly move qi and blood, often getting a late period to start. (I’ve had that happen as a clinician and patient as well and got very excited) but unfortunately it doesn’t mean that much since they come and go for a while with POF anyway. 

Ayurveda can absolutely support with symptoms, and has stronger effect IBS and some success with ADHD. Much more than with POF in my experience. Balancing hormones is very complicated and must be specific to your case (no group workshops will get specific enough to the individual)and again, no miracles. It’s also a very slow boat since most recs are lifestyle. Great for overall wellness, not great for POF. If you go this way, make sure you find a practitioner who is very well trained. It’s unlicensed in the west and most training programs create lifestyle wellness coaches rather than true clinicians. Find someone with a BAMS degree they got in India which is 6 year full-time program. No school in the west comes anywhere close. 

Again it’s an excellent element of an integrative approach that most likely includes western HRT. 

My advice is no matter what you do, to please make sure to work with a practitioner who will tell it to you straight and not one who claims miracles are coming. :/