Let's have an open dialogue about menopause with a balanced perspective.

Menopause, a natural phase in women's lives, is the focal point of a recent Lancet Series, revealing concerns about the over-medicalization of this transition due to commercial interests. The portrayal of menopause as a disease characterized by estrogen deficiency, treatable only with hormone replacement therapy (HRT), leads to negative perceptions and amplifies stigma. The Series underscores the diverse experiences women have during menopause, emphasizing the need for personalized approaches to its management. While some women navigate menopause smoothly, others grapple with severe symptoms like hot flashes, sleep disturbances, and vaginal dryness. Despite common beliefs linking menopause to mental health decline, evidence doesn't strongly support this claim, though recurrence risk may rise in those with a history of clinical depression.

Addressing menopausal symptoms, particularly vasomotor symptoms, Hormone Therapy (MHT) emerges as the most effective treatment; however, it carries risks such as an increased chance of breast cancer. The Lancet Series highlights the importance of informed decision-making when considering MHT, emphasizing the significance of unbiased information and the role of healthcare providers in facilitating shared decisions with patients. The scarcity of MHT in some regions can significantly impact women's quality of life, necessitating comprehensive information and alternative treatments like cognitive behavioral therapy.

The Lancet calls for a shift in the discourse surrounding menopause, advocating for a balanced and realistic narrative that doesn't view menopause as a period of decline but rather as a developmental phase. The Series also addresses the societal perception of menopausal women, rejecting ageism and encouraging a positive outlook on aging. The publication stresses the importance of empowering women with evidence-based information and comprehensive support to successfully navigate menopause.

Moreover, the Lancet emphasizes the need for increased research diversity to address women's health priorities adequately. Lack of awareness and education on menopause has led to symptoms being dismissed, highlighting a crucial gap in healthcare. Efforts to legally protect menopausal women's rights, like considering menopause symptoms as a potential disability, raise concerns about reinforcing ageism and stigma. The Lancet emphasizes the strength, health, and happiness of menopausal women, urging society to embrace this life stage positively and challenge negative stereotypes.

In conclusion, the Lancet Series on menopause advocates for a more nuanced and individualized approach to menopause management, highlighting the importance of informed decision-making, access to unbiased information, and supportive healthcare providers. It also calls for a shift in societal perceptions of menopausal women, promoting a positive outlook on aging and empowering women to navigate this life stage confidently. The Series underscores the need for increased research diversity and education to address women's health needs adequately, advocating for a more inclusive and informed approach to menopause.

Source: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)00462-8/fulltext

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