8 Menopause Myths Debunked

Myth 1: Menopause Never Starts Before Age 50

While the average age for menopause is around 51, menopause can start earlier or later. Menopause can begin as early as a woman’s 40s, and in some cases, even earlier due to factors like genetics, medical treatments, or certain health conditions. This earlier onset is often referred to as premature menopause if it occurs before age 40, and early menopause if it happens between ages 40 and 45.

Perimenopause, the transition period leading up to menopause, can start several years before menopause itself. During perimenopause, women might experience irregular menstrual cycles, hot flashes, night sweats, and other symptoms as hormone levels fluctuate. Understanding menopause may occur before age 50 is crucial for early recognition and management of symptoms.

Myth 2: Your Sex Life is Over Once You Hit Menopause

Menopause does not mean the end of your sex life. While hormonal changes during menopause can lead to vaginal dryness and decreased libido, many women continue to have satisfying sexual relationships. Treatments such as lubricants and vaginal moisturisers can help alleviate discomfort, and hormone replacement therapy (HRT) may be beneficial for some women. Open communication with your partner about sexual needs and concerns, along with consulting a healthcare provider for personalised advice, can play a crucial role in maintaining a healthy sex life. Exploring new ways of intimacy and focusing on emotional connection can also enhance sexual satisfaction during this time.

Myth 3: There is No Way to Manage Menopause; You Just Have to Deal with It

Many strategies exist to manage menopause symptoms effectively. These include MHT, non-hormonal treatments, lifestyle changes, and alternative therapies. Support from healthcare providers, access to accurate information, and a proactive approach to health can significantly improve the quality of life during menopause.

Women should work with their healthcare providers to create an individualised plan that addresses their specific symptoms and health needs. By adopting a proactive and informed approach, women can navigate menopause and maintain a high quality of life.

Myth 4: Menopause Makes You Gain Weight

Weight gain is common during menopause, but it is not inevitable. Hormonal changes can affect metabolism and fat distribution, often leading to an increase in abdominal fat. However, lifestyle factors such as diet, exercise, and sleep play a significant role in weight management. By adopting healthy eating habits, staying physically active, and ensuring adequate sleep, many women can manage their weight effectively during and after menopause. Strength training can help maintain muscle mass and boost metabolism, while cardiovascular exercise aids in overall calorie burning. Mindful eating and stress reduction techniques can also contribute to maintaining a healthy weight during this transitional period.

Myth 5: MHT is the Only Way to Manage Menopause

Menopausal hormone therapy (MHT) is one option for managing menopause symptoms, but it’s not the only one.

• Lifestyle changes, such as maintaining a balanced diet, engaging in regular exercise, and managing stress, can significantly alleviate symptoms.
• Alternative treatments like acupuncture, herbal supplements, and mindfulness practices have also been reported to help some women.
• Non-hormonal medications are available for specific symptoms, such as hot flashes and bone density loss.
• Cognitive-behavioural therapy (CBT) and other forms of counselling can be effective for mood swings and other emotional symptoms.

By exploring a combination of these options, women can find a personalised approach to managing menopause.

Myth 6: Menopause is a Medical Condition or Illness

Menopause is a natural biological process, not a disease or medical condition. It marks the end of a woman’s menstrual cycle and fertility. While menopause can bring symptoms that need management, it is a normal part of ageing. Understanding that menopause is a transition rather than a condition requiring a “cure” can empower women to seek appropriate care and lifestyle adjustments to enhance their well-being during this period.

Women should be encouraged to celebrate their life experiences and the freedom that comes with no longer having menstrual cycles, rather than viewing menopause as a decline in their health and vitality.

Myth 7: Hot Flashes are the Only Symptom of Menopause

Hot flashes are a well-known symptom, but menopause can bring a variety of other symptoms, such as:

• Night sweats
• Sleep disturbances
• Mood swings
• Memory problems
• Vaginal dryness
• Decreased libido
• Skin and hair changes

Each woman’s experience with menopause is unique, and symptoms can vary widely. Some women may also experience joint pain, headaches, and changes in bladder control. Understanding the broad spectrum of menopausal symptoms can help women anticipate changes and seek timely support.

Myth 8: MHT is Dangerous

MHT can have risks, but it is not inherently dangerous for all women. The decision to use MHT should be based on a thorough evaluation of the risks and benefits. Factors such as age, health history, and the severity of symptoms all play a role in determining whether MHT is appropriate.

Research has shown that MHT can be safe and effective for many women, particularly those who start treatment close to the onset of menopause. The benefits often outweigh the risks for women with moderate to severe hot flashes or other menopausal symptoms impacting their quality of life. Regular follow-ups and personalised treatment plans ensure that the benefits of MHT are maximised while minimising potential risks.

Understanding the myths and facts about menopause is essential for navigating this natural life transition with confidence. Dr Kelly Hankins hopes that by debunking these common myths, women can approach menopause with a more informed and empowered perspective, and seek the right support and treatments to maintain their well-being. Menopause is a new chapter, and with the right knowledge and resources, it can be a healthy and fulfilling stage of life.

Dr Kelly Hankins prioritises patient education and empowers women to make informed decisions about their health.