Search results for medicalization

Got ‘tude?

Posted by on Jan 8, 2010 in emotions | 0 comments

[Used with permission. Thanks to egopicks.com and their seriously fine guitar picks! Rock n Roll!]

Your ‘tude may be affecting how you experience menopause as well as how frequently those flashes occur. What’s more, your environment may also play a role.

In a detailed review of 13 studies examining women’s attitudes before and during menopause, researchers discovered a few choice tidbits:

  • Ya gotta live it to understand it. Apparently, younger women who are premenopausal have more negative attitudes towards menopause than women who are menopausal. In fact, data show that one’s mood state prior to starting menopause may actually affect one’s menopausal atttitudes and experiences.
  • I’ve got all my sisters (and teachers) with me. Research shows that education and social support contribute greatly to having positive attitudes and experiences during the transition.
  • Which came first? The chicken or the egg? Depression  is apparently associated with having more negative attitudes about menopause although researchers haven’t quite figured out the causality, i.e. depression before symptoms or symptoms before depression. Regardless, it might bet helpful to tackle those blues and try to chase them away.
  • It takes a village. The reviewed studies included women from North America, Europe, Asia and the middle east. They showed that cultural attitudes can significantly impact attitudes towards menopause. One of the most discouraging (and telling) findings was that the medicalization of menopause affected Caucasian women in particular, leading to a tendency towards negative attitudes. Say no more!

Overall, the key take-away point is that negative social attitudes + individual negative attitudes = worsening symptoms and poorer experiences.  I believe that we can change this equation for the positive by supporting one another, working on changing our beliefs about menopause and what it is (and isn’t), taking steps to boost mood, whether they be exercise, herbs, antidepressants, or mind-body practices, and by unifying to stop the medicalization of menopause.

What do you say? You in? Got ‘tude?

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Ladies of the world, flashers, sweat-ers, mood swingers…it’s World Menopause Day!

Posted by on Oct 18, 2009 in menopause | 4 comments

Lend me your ears….you have your own DAY! In the U.S. we give you a month. But the world gives you a day!  And it’s TODAY!  I wrote this rant last  year and it’s still so appropriate that I thought I’d repost it.

I wish I could laugh about it. Because as my Twitter friend @lilpecan wrote me yesterday:

“Who doesn’t enjoy a little menopause humour? (No, really? Who doesn’t? Because I’ll kill them.)” (Gotta love that, right?!)

In any case, my thoughts about World Menopause Day. Kill it!

Last month was National Menopause Month in the U.S. Now, the ‘world of women in menopause’ actually has a day. I swear if it weren’t abundantly clear that the initiative was likely being driven by national medicine societies and pharmaceutical companies, I’d suspect that Hallmark and PaperHouse had conspired to sell more cards.

Here’s the challenge issued by the International Menopause Society (IMS):

“The World Menopause Day challenge therefore calls on every woman age 45 and older to return to her physician and speak about her individual health history, her risks for diseases, the benefits and risks of available treatments for disease prevention, and steps she can take now to take charge of her health.”

President Hermann Schneider of the IMS also says:

“Due to the recent publications on the risks of long-term use of hormone therapy, many women suffering from menopausal complaints have either dropped out of therapy or haven’t started therapy at all.”

Okay. I truly believe that it’s a great idea to take charge of one’s health and examine some of the natural changes that occur, not only with menopause, but also with aging. But by lumping them all together in a single pot, well, I cry “foul.”

Did you know that many diseases that the medical community has long associated with menopause are, in fact, due to the aging process? You may recall that I recently wrote about a new study published in the Journal of Hypertension clearly demonstrates that differences in heart disease risk between pre- and post-menopausal women with similar risk profiles existed only when age, NOT ESTROGEN LEVELS, were accounted for. This may be why hormone replacement therapy (HRT) has not been proven to prevent heart disease.

So, until they sort some of these bits out, do we really want to fault women for refusing hormone replacement? Moreover, how many women wish to make a pact with the devil to further the medicalization of menopause? Not I!

Here’s what I propose:

  • To the IMS and other medical societies – stop medicalizing what is a natural transition in our mid-lives. Hey, here’s a nifty idea: why not review your data, read alternative medicine peer-reviewed journals and educate yourselves about effective alternative therapies for your patients who have been scared off by the negative findings surrounding HRT and antidepressants and other pharmaceuticals? What’s more, what if you made a greater effort to embrace multidisciplinary collaboration and invite educated and credentialed alternative practitioners into your fold, practitioners who might be able to offer you and your patients important solutions when Western ways fail or are simply, impractical?
  • To the World Health Organization – please stop telling us to celebrate the menopause. Trust me – when women are flashing in the middle of a meeting, sweat pouring down their faces as their colleagues look on, or are sleeping on soaking wet sheets because of night sweats, well, they don’t really feel like having a cocktail and a “WOOT,” ain’t life grand”-sort of celebration. Maybe, instead, think about devoting some of that hard research cash toward studies that focus first on women and last on profit.
  • To leading women’s health expert and Council Member of the British Menopause Society, Mr. Nick Panay, a Hot Flush Diary is the last thing I want to keep on my nightstand. In fact, the idea of taking notes on all of my hot flashes and night sweats and when/why/how they occur and how they make feel gets me pretty hot under the collar. Tell you what: the next time you have to pee for the zillionth time in the middle of the night, turn on the light and write in your BPH journal how you feel. I would guess that that’s not going to happen, right?

Want to “make this hot woman cool?” Stop making me feel as though menopause is a disease and not a natural transition that all women go through. Stop telling me that I should embrace this part of my life without fighting it every step of the way. And please, stop treating my body as if it’s disconnected from my mind.

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Ladies of the world, flashers, sweat-ers, mood swingers…

Posted by on Oct 19, 2008 in Uncategorized | 0 comments

Lend me your ears….you have your own DAY! In the U.S. we give you a month. But the world gives you a day!

If you don’t know what I’m yammering on about, yesterday was World Menopause Day. I posted this rant over at BitchBuzz after Editor Cate Sevilla sent me a link to a press release announcing that Waterstone Books was carrying the Hot Flush Diary.

Last month was National Menopause Month in the U.S. Now, the ‘world of women in menopause’ actually has a day. I swear if it weren’t abundantly clear that the initiative was likely being driven by national medicine societies and pharmaceutical companies, I’d suspect that Hallmark and PaperHouse had conspired to sell more cards.

Here’s the challenge issued by the International Menopause Society (IMS):

“The World Menopause Day challenge therefore calls on every woman age 45 and older to return to her physician and speak about her individual health history, her risks for diseases, the benefits and risks of available treatments for disease prevention, and steps she can take now to take charge of her health.”

President Hermann Schneider of the IMS also says:

“Due to the recent publications on the risks of long-term use of hormone therapy, many women suffering from menopausal complaints have either dropped out of therapy or haven’t started therapy at all.”

Okay. I truly believe that it’s a great idea to take charge of one’s health and examine some of the natural changes that occur, not only with menopause, but also with aging. But by lumping them all together in a single pot, well, I cry “foul.”

Did you know that many diseases that the medical community has long associated with menopause are, in fact, due to the aging process? You may recall that I recently wrote about a new study published in the Journal of Hypertension clearly demonstrates that differences in heart disease risk between pre- and post-menopausal women with similar risk profiles existed only when age, NOT ESTROGEN LEVELS, were accounted for. This may be why hormone replacement therapy (HRT) has not been proven to prevent heart disease.

So, until they sort some of these bits out, do we really want to fault women for refusing hormone replacement? Moreover, how many women wish to make a pact with the devil to further the medicalization of menopause? Not I!

Here’s what I propose:

  • To the IMS and other medical societies – stop medicalizing what is a natural transition in our mid-lives. Hey, here’s a nifty idea: why not review your data, read alternative medicine peer-reviewed journals and educate yourselves about effective alternative therapies for your patients who have been scared off by the negative findings surrounding HRT and antidepressants and other pharmaceuticals? What’s more, what if you made a greater effort to embrace multidisciplinary collaboration and invite educated and credentialed alternative practitioners into your fold, practitioners who might be able to offer you and your patients important solutions when Western ways fail or are simply, impractical?
  • To the World Health Organization – please stop telling us to celebrate the menopause. Trust me – when women are flashing in the middle of a meeting, sweat pouring down their faces as their colleagues look on, or are sleeping on soaking wet sheets because of night sweats, well, they don’t really feel like having a cocktail and a “WOOT,” ain’t life grand”-sort of celebration. Maybe, instead, think about devoting some of that hard research cash toward studies that focus first on women and last on profit.
  • To leading women’s health expert and Council Member of the British Menopause Society, Mr. Nick Panay, a Hot Flush Diary is the last thing I want to keep on my nightstand. In fact, the idea of taking notes on all of my hot flashes and night sweats and when/why/how they occur and how they make feel gets me pretty hot under the collar. Tell you what: the next time you have to pee for the zillionth time in the middle of the night, turn on the light and write in your BPH journal how you feel. I would guess that that’s not going to happen, right?

Want to “make this hot woman cool?” Stop making me feel as though menopause is a disease and not a natural transition that all women go through. Stop telling me that I should embrace this part of my life without fighting it every step of the way. And please, stop treating my body as if it’s disconnected from my mind.

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National Menopause Awareness Month

Posted by on Sep 10, 2008 in women's health | 3 comments

[image source: 123NewYear]

I received an email from menopauseexpert.com the other day touting National Menopause Awareness Month. I have a lot of respect for Rebecca Hulem and the programs she has in place to educate women about menopause. However, I think that there are a few problems with this initiative.

National Menopause Awareness Month was started by the FDA in 2004 primarily to raise awareness and provide education about hormone replacement therapy. Since its inception, there have been efforts to broaden the topics to include some alternative treatments but a quick glance at available materials says “outdated information” and “not broad enough”  to me. So, do we really want to tout a dated and data-limited campaign that is probably driven by lots of manufacturers of hormone replacement? I say a resounding “NO!”

Mind you, there are a lot of organizations and independents who are using the month as a springboard for promoting solid health information and advice on how to deal with symptoms and diseases related to menopause. I applaud those groups.

I believe that the effort to educate women about menopause needs to be ongoing and more importantly, all-inclusive and not relegated to a single month in the year.

The original intent of the month was to raise awareness about HRT. To promote the medicalization of menopause.  As I wrote last week, menopause is not a disease.

Let’s get out of the disease mindset. And start looking at ways to raise awareness in a consistent and meaningful fashion that that doesn’t pigeonhole, exclude or minimize.

What do you think?

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