Women are not a monolith, their experiences of menopause are not all negative, and this stage of life should not be medicalized, argue an international group of experts.
In an analysis piece published in the British Medical Journal on Wednesday, obstetrician Martha Hickey of the Royal Women's Hospital in Victoria, Australia and three women's health professors from the UK, US and Australia discuss the social and cultural attitudes to the life stage when most women's periods stop — typically between the ages of 45 and 55 — and argue the need to"normalize" menopause.
The four experts further argue that while"women with severe hot flushes and night sweats often benefit from menopausal hormone therapy, most women consider menopause a natural process and prefer not to take medication." According to Watkins, after half a century of research beginning in the 1890s, estrogen was introduced in the US as a short-term treatment for menopausal symptoms in the 1940s and 1950s. Between 1960 and 1975, hormone therapy saw a massive boom after some reproductive endocrinologists redefined menopause as an"estrogen-deficiency disease".
The authors of the BMJ analysis write:"The belief that ageing can be delayed or reversed by hormone replacement therapy persists and is reinforced by the media, medical literature, and information for women." Hickey and her co-authors advocate shifting the narrative by pushing forward positive aspects such as freedom from menstruation, pregnancy, and contraception as well as educating women on how to manage the troublesome symptoms. They believe advocating these"might empower women to manage menopause with greater confidence."
Singh says she benefitted from having her mother share her experience of menopause in her thirties and says this needs to happen more. She tells CNN:"There has been very little informational exchange around menopause. We need women from across races and regions to talk about menopause."
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