Black and Menopausal: Intimate Stories of Navigating the Change

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selective serotonin reuptake inhibitors (SSRIs) for anxiety, depression, hot flashes, or mood changes SWAN participants with higher levels of C-reactive protein, a marker of inflammation that has been related to life stresses and adversity, had more fractures than women with lower levels of C-reactive protein. The menopause marks the end of a woman’s periods meaning she can no longer become pregnant naturally, usually occurring between the ages of 45 and 55 years old.

When we read about menopause, we think of white women’s menopause [experiences] because those are the stories that get told.

But above all, Karen feels we need to prepare people for menopause at a younger age, talking about the positives and negatives. “This would give us a chance to find the exercises and foods that work best for us,” she said. “There are plenty of sh*t things about menopause, but it has actually changed my life. Yes, growing older can be sh*t but there are so many of us thriving and just doing life - we just don’t hear about them.” Before menopause, estrogen binds to and inhibits activity in the kisspeptin, neurokinin B, and dynorphin (KNDy) neurons. With menopausal loss of estrogen, KNDy neurons can stimulate the hypothalamic thermoregulatory center inappropriately, causing vasomotor symptoms. A novel class of non-hormonal neuromodulators includes the recently approved fezolinetant, and several under investigation, such as elinzanetant and Q-122. Women who experience menopause at an earlier age are thought to have a shorter lifespan than women who go through the menopausal transition later in life. We would welcome dedicated investment across the health system in anti-racist and culturally safe education, training and practice.” As a double board-certified specialist in female pelvic medicine and reconstructive surgery, the work of Rolston and Christie was eye opening, fresh, and fervently relevant to the women I have cared for over the course of my career. This is a must read for any practitioner in the female intimate wellness space as well as the women of color who are so often disregarded and seen as both trivial and strong. This is the connection we have been waiting for to shed light on a buried subject matter!!

Talk with a GP about these medicines and their side effects, and if they might be suitable for you. Mood symptoms Irregular bleeding can be disruptive and lead to iron deficiency and anemia. Hormonal treatment for benign causes includes a progestogen course, CHC, progestin-only pills, and progestin intrauterine devices. Non-hormonal treatments include non-steroidal anti-inflammatories and tranexamic acid. For more definite bleeding control dilation and curettage, uterine artery embolization, endometrial ablation, and hysterectomy can be considered. 172 HRT is a safe and effective treatment for most going through menopause and perimenopause. Your GP will discuss any risks with you. We asked menopausal women from our clinical practices, some of whom are involved in large scale support groups, to review our proposed outline and provide input on important aspects of their experience that should be included. Input included:I didn’t realise I was going through menopause at all. I thought because I was in university, I was stressed, but I knew something wasn’t right with my body,” Adelay told The Voice.