musings

Musings: Menopause ain’t nothing but a…

Posted by Liz on Dec 10, 2010 in menopause, musings | 2 comments

Number?

Sometimes it is just that. And sometimes it’s not.

I’m reposting this piece, which first ran in June 2009, because a reader recently challenged me on my consistent opinion that menopause is not a disease.

“Menopause is truly a disease. There are many so called true diseases that cause far less damage to a womens body.”

Actually, the conditions that wreak the most havoc on a woman’s body as she grows older appear to more closely associated with aging than with menopause. Theoretically, this would mean that our best strategy to address prevention or risk reduction, right?

Here are the facts:

Australian researchers suggest that many of the more common complaints of menopause may be possibly related to aging in general and not specifically the transition. In fact, in a study presented during last month’s 8th European Congress on Menopause, they reported that menopause is strongly associated with some but not other common complaints.

So what about the other symptoms? After reviewing data from 58,724 women (ages 45 to 50) participating in the Australian Longitudinal Study on Women’s Health, the strongest associations were seen between menopause and hot flashes/night sweats. These findings remained after adjusting for age during the study, age at menopause, smoking history, body mass index, sociodemographics (i.e. education, income, marital status and geographic location) and other factors that might influence outcomes. Other symptoms, including difficulty sleeping, stiff/painful joints and poor or fair self-reported health were also associated with menopause but to a much lesser extent. Headaches, migraines and incontinence appeared to be more strongly related to the aging process.

The researchers say that treatment (in this case, HRT) should be geared primarily towards alleviating vasomotor symptoms. Less clear, however, is how long therapy should be continued, since some symptoms can last for more than seven years. This study is scheduled to appear in Menopause.

Last September, I wrote a post about a survey being reported at the North American Menopause Society’s Annual meeting suggesting that women can actually discern the symptoms of menopause from those of aging.  Interestingly, many of the symptoms overlapped; in fact, 84%, 72%, and 77% of respondents associated vaginal dryness, urinary stress incontinence and weight gain, respectively, strictly with menopause, even though they can also be caused by aging as well.

So, what’s the primary point? It can be difficult to tease apart the effects of aging and the effects of menopause. Clearly, these new Australian data add a bit more to the confusion, and reinforce the point that more research and funding is needed in this particular area.

When I write that “menopause is not a disease and should not be treated like one,” what I am really saying is that disease, especially when it’s chronic can stigmatize, frighten and even create self-loathing. By offering up hormone replacement therapy as the only viable “solution” to preventing and ameliorating the symptoms of menopause and outrightly dismissing gentler alternative strategies, the medical community takes on the stance that Author Louise Foxcroft has written about:  “fear of the menopause is something we have learned, and it has grown out of a general, male and medical distaste for the idea of the menopause perceived as an end to viability, fertility, beauty, desirability and worth. Since the French physician de Gardanne coined the new term ‘ménépausie’ in the early nineteenth century, an onslaught of opinion, etiology, treatments, and not least and lest we forget, profit has followed. Women need to unlearn their dread and recognize that menopause is not, of itself, dread-full; that we are merely the victims of our biological process.”

So which comes first? Menopause and disease or aging and disease? Regardless, we can go out fighting or we can give in.

in all, a good thing, right?

Wednesday Bubble: Don’t Pause!

Posted by Liz on Dec 8, 2010 in menopause, musings, new approaches | 0 comments

Hey, stop the presses! There’s a brand new, one-size-fits-all solution to menopause – Don’t – as in,  Don’t Pause. Billed as a breakthrough advancement in treating early menopause symptoms (according to the press release), Don’t Pause contains a proprietary mixture of pomegranate extract, green tea, chromium and selenium especially geared towards helping you ‘grow young responsibly.’

Um, okay. So what does that mean? It appears to mean that this wonder formulation will not only halt symptoms of menopause but also improve youthfulness and sexuality, reduce the risk of cancer, osteoarthritis, heart disease and epilepsy and enhance the effects of exercise on weight distribution. Wow! All that in a single pill. Have I mentioned that it’s also Hallal and Kosher?

There is one bit of messaging surrounding this wonder product that I believe is responsible and right on: the time to start addressing menopausal symptoms is before they start. That means you – 30 some year-olds and 40 some year-olds – there is no time like the present to build bone and preserve bone health, get into shape and start managing your weight, eat healthy, address stress and build those support networks. These are the type of steps that can go a long way to addressing menopause symptoms and also to take poetic license, truly help you grow older responsibly.

Don’t pause? What do you think?

Futuristic Monday: hot AND cold creature comforts

Posted by Liz on Oct 11, 2010 in hot flash, menopause, musings | 1 comment

True confession: I love heated car seats. My last boyfriend won my heart with his heated car seats (okay, not really, but it helped!). For me, heated car seats represent the gold ring of driving comfort, especially when the weather is cold or damp and nasty. Consequently, I was intrigued by a call I received last week from a friend of mine who, like me, is contending with a few menopausal symptoms. The call was car seats for the menopausal set.

“Got a sec?” she asked. “I was just driving down to the road and started thinking about heated car seats. The biggest problem,” she explained,” is that they are only designed with one thing in mind: heat.” (Hence their name, but that’s besides the point.) “Why don’t they make car seats that can heat or cool, depending on the temperature (or temprament) of the passenger? ”

Hmmm, sort of like cleavage coolers but for your derriere. Got me thinking and looking around the interwebz. And what I discovered is that the future is now.  In fact, cooled seats are often part of optional packages in a variety of premium and luxury cars with leather upholstery. Experts recommend that you test drive them yourself, since some come with a ventilation system while others actually have separate cooling elements.

If all else fails, there’s always the ‘Amazing SummerSeat Self-Cooling Car Seat Cushion’ (can’t make this stuff up)!

Ladies, when those internal fires get burning, it’s okay to start your engines in comfort.

Be still my heart. I think I’ve just fallen in love again.

Monday Musings: Just don’t call me Ma’am…

Posted by Liz on Aug 30, 2010 in musings | 8 comments

I ran across an interesting piece in yesterday’s New York Times discussing what I call the ‘ma’am factor.’ If  you read it, you may agree with Author Natalie Angiers that for many of us of ‘a certain age, being referred to as ma’am makes us cringe.

M’aam refers to ‘madam’ or during days of yore, was a respectful term for royalty. Today, ma’am is largely used by folks residing in the deep South or the Midwest and remains a word of respect. In the past couple of years, I’ve been called ma’am at grocery stores, liquor store, the movies and department stores. And yet, so far as I am concerned, m’aam is my maiden aunt, my mother, anyone but me.

I am a tailgater,  a woman who was born in the early 1960, in between the Boomers or Gen X’ers. I am part of a generation of women who were at the precipice of post-feminism changes, the now generation, taught at an early age that we could enter the workforce and have a family and have it all and be everything we aspired to be. And the one thing we didn’t aspire to be was to be a ma’am.

Angier aptly expresses what I have felt time and again:

“Behind the link between “ma’am” and “old” is the familiar feminist observation that, whereas a man remains “mister” and “sir” from nursery to nursing home, a woman’s honorifics change depending on her marital status and, barring that, her age. A young miss walks a few miles, and, wedding ring or no, wham, she’s a ma’am. For many women, then, the insertion of the word “ma’am” into an otherwise pleasant social exchange can feel like a tiny jab, an unnecessary station-break to comment on one’s appearance: Hello, middle-aged- to elderly-looking woman, how may I help you this evening? Thanks, prematurely balding man with the weak chin, I’ll take that table over there, in the corner.”

Like Angier, like Mrs. Aragon, I’d rather be called nothing than be called ma’am.

What about you?

Solitude

Posted by Liz on Aug 2, 2009 in musings | 2 comments

The French novelist Colette once wrote:

“There are days when solitude is a heady wine that intoxicates you with freedom, others when it is a bitter tonic, and still others when it is a poison that makes you beat your head against the wall.”

I have always been a person who needs and cherishes my alone time. In fact, being alone is often a deliberate choice rather than something that is forced upon me. As we get older, solitude allows a break from the busy-ness of life, from the noise, from the distractions. It rejuvenates the soul and provides an opportunity to look closely within, to take stock, to gain clarity and balance.

However, as Colette so aptly says, it can also be detrimental to our health when our needs or when fears, allow solitude to become all-consuming.

At times, immersing oneself in solitude may be the correct path. Other times, solitude may lead to a burrowing that is so deep, that in the end, not only do you lose those who care for you, but your soul as well.

Poetic license with Lao-Tsu: It takes strength to love someone deeply. It takes courage to allow yourself to be deeply loved.

Just a thought for a Sunday afternoon.