It's time we talk about perimenopause and menopause
Dec 1, 2024
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Dr. Judith Joseph, a psychiatrist and chair of The Women in Medicine Initiative at Columbia University, dives into the often-taboo subject of perimenopause and menopause. She discusses the hormonal changes women face and the vital need for open conversations around them. The impact on mental health, particularly sleep disturbances, is explored, alongside the importance of recognizing symptoms early. Dr. Joseph highlights how millennial women are reshaping attitudes about aging, emphasizing community support and empowerment.
Public discussions led by figures like Michelle Obama are transforming the perception of perimenopause and menopause, encouraging openness and awareness.
The importance of tailored healthcare, particularly for underrepresented groups, is essential as symptoms and risks vary significantly among women.
Deep dives
Understanding Perimenopause and Menopause
Perimenopause marks a transitional stage where women will experience hormonal fluctuations leading up to menopause, which can last between five to ten years. During this period, symptoms such as changes in menstruation, bodily changes, and psychological shifts can occur due to varying levels of progesterone and estrogen. Menopause is officially defined as having no menstrual periods for a full year, after which a woman is considered postmenopausal and may face risks such as osteoporosis and heart disease. Recognizing the unique experiences of different groups, particularly African-American women who may have more severe symptoms, is crucial for understanding how menopause impacts overall health.
Impact of Symptoms on Mental and Physical Health
Common symptoms during perimenopause include sleep disturbances, which affect about 50% of women and can exacerbate mental health issues. The acronym TIEs highlights important areas: thinking, identity, emotion, and sleep, showcasing how these symptoms interconnect and influence a woman's sense of self. Mood fluctuations might intensify during this period due to the hormonal rollercoaster, emphasizing the need for awareness around age-related changes that may occur in women in their late 30s and early 40s. Identifying hormonal changes as the root cause can prevent misdiagnoses and ensure proper support is received.
Navigating Treatment Options and Community Support
Hormone Replacement Therapy (HRT) remains underutilized despite its potential benefits, largely due to historical misinterpretation of research studies that perpetuated fear around its safety. Many women experiencing symptoms may benefit from HRT, but communication with healthcare providers is essential to address stigma and fear. Millennials are redefining conversations around menopause and aging, taking a more proactive approach to health through online resources and community support. Building a network for knowledge sharing and treatment preparation can significantly enhance how women manage their health throughout the aging process.
Can we talk about “the change”? Former First Lady Michelle Obama recently joined talk show host Gayle King and comedian Samantha Bee in speaking publicly about the hormonal and physical changes that come with perimenopause and menopause, a natural part of the aging process that up until now, has rarely been discussed openly. The question is, why not? As millennials age into perimenopause, how is their activism changing the conversation? Dr. Judith Joseph, a psychiatrist and chair of The Women in Medicine Initiative for Columbia University, joins The Excerpt to talk about "the pause."