It wasn’t too many nights ago that I told my husband I was going to bed. It was just after 9:00. His answer, “I understand.”
My thought was that he really doesn’t understand, but I wouldn’t say that to him, and I didn’t, because he does try to be understanding of these things, both old and new, that I experience as a female in her mid 40s.
It has come to my attention lately that not only does my husband not truly understand, but I didn’t really understand initially either. And now I know that many, many women actually don’t understand what lies ahead as it relates to the “change of life.”
Nearly all of have sat through a health class or have taken a basic biology class. We know about primary and secondary sex characteristics, puberty, and menstruation. And we’ve been told what will happen when we get older, basically, our period will stop, and we will no longer be able to have children. The common, and oversimplified, perception of menopause outside of biology classes is that women will have hot flashes and mood swings.
According to the Mayo Clinic, menopause is diagnosed after there have been no menstrual periods for 12 consecutive months with no other biological or physiological cause identified. Currently, the average age for menopause in the United States is 51.
While menopause is actually the conclusion, the process is termed perimenopause. The word literally means “around menopause,” and is defined by the Mayo Clinic as being “the time during which your body makes the natural transition to menopause marking the end of reproductive years.” The Mayo Clinic also refers to this process as the menopausal transition.
I try to find the most reliable and valid resources from which to learn about issues that are important to me, thus I generally find the content believable. And I had read and heard that many women are not aware of what is coming their way.
I am one of the fortunate ones who was aware of this little secret prior to my entering transition.
I have a friend a few years older than me who is not shy about sharing information and resources regarding women’s health issues. And, even though she didn’t name it at the time, my doctor also had told me even before I had turned 40 that my hormones had already started to change when I had asked her about some short lived but unusual spotting in my late 30s.
While at a dinner meeting on a recent Monday evening, we were discussing the editorial content for a healthcare publication that was in the works. As we pitched in with suggestions, women’s health issues arose as a topic. At almost the same time, my husband and I said “perimenopause.”
A young woman at the table, who had said during small talk over the meal, that she would celebrate her 30th birthday before year’s end, said, “What is perimenopause?”
I shared with her briefly what I have shared here, and that perimenopause can begin as early as one’s 30s, but generally begins in one’s 40s and can last anywhere between a few months to ten years. I also shared a little bit about both what I have read and what I have experienced. It’s a fascinating experience (sarcasm font) with a diverse list of symptoms that make PMS look like a beach day, and that one woman who wrote a blog post on the subject described as closely mimicking pregnancy.
This woman, whose blog post was published by Huffington Post, said that she had also never heard of perimenopause so when she began to experience insomnia, racing heart, anxiety, and growth in her breasts and mid-section in her 40s, she thought she might be pregnant. She took a pregnancy test that showed a negative result. She said that her doctor’s nurse stopped her mid question during a phone call and told her about perimenopause.
Having never been pregnant, I didn’t have that frame of reference. And having actually heard of perimenopause, when I began having periods off schedule (I had been quite normal for many years in adulthood), increases in anxiety – seemingly above and beyond what I’d struggled with in the past, an increase in breast size, excessive bloating and tummy “fat,” I thought maybe my transition was coming.
I actually missed a period in June. I remember the month because we had a wedding to attend out of town. And as nearly every woman has done, I had counted the days to see if this formal event might be negatively impacted by a period because planned to wear a dress with a good deal of white and lilac to the event. As I’ve mentioned, my cycle had changed some, from 28 days to about 23 to 25 days so I was hoping for earlier than later to avoid “issues” while dressed for the wedding and reception.
For the wedding, and in general, I was thrilled to skip a period, and I was naively saddened when I had an odd one, but definitely a period, the following month. My husband had asked me if I thought it would just turn off like a faucet.
I remember answering him honestly, “Well, no…I don’t know exactly what I thought.”
It was then that I realized what a time of flux this really is, and how challenging it has been and will likely continue to be.
I’ve read, and I know from personal connections, that this time of transition can be difficult for women who have had children, or who have wanted to, and realize that giving birth will no longer be possible in the future. For me that is not an issue. My sense of loss comes in the form of wanting my young body back.
Seriously, I’d even take my 40-year-old body back. It wasn’t until about 45 that I really started to think that I am aging. I wrote about some of those changes to my body and challenges to my life in last week’s blog post https://lorieabeardsley.wordpress.com/2019/08/23/embracing-lifes-autumn/
The point of this post is to say that, while I was at least familiar with the term perimenopause and what it meant to an extent, I still had a great deal to learn about what lies ahead.
To an extent, it will be different for each of us because we are each unique, but we as women need to be more willing to talk not only about perimenopause and menopause but about all of the subjects that are relevant to our health, all of those subjects about which we tend to be quite guarded at times. We certainly need to talk with our doctors. If you aren’t comfortable talking about concerns like this, find a different doctor.
In days gone by, women didn’t discuss these things openly, and I’m not advocating for having a conversation about antidepressants versus feminine herbs to relieve common symptoms at your next staff meeting at work, or vaginal dryness on your next trip to the theater. The topic came up in context at the meeting I mentioned, and the discussion was quite brief.
When we’re together with our friends, and hopefully we have intergenerational friendships, or our sisters, aunties, cousins, or whoever we feel confident sharing our intimate details with though, lets share. Let’s share what we have learned from reliable sources so that we can help each other be informed and prepared. And let’s share what we’re dealing with so other women don’t feel isolated on their journeys through the emotional, stressful, painful, and outright weird things that happen throughout the entire journey of womanhood.