Embracing the Change by Madeline Y Sutton, MD, MPH (Dr. Madeline, MD)

by Madeline Y Sutton, MD, MPH (Dr. Madeline, MD)

We’ve all heard our mothers, aunties, friends, and grandmothers speak of “the change.” Then, we reach this period of transition, and we’re still like, “What in the world is happening?” No matter what we think we know, it still catches us off-guard. That’s how the conversation starts with many of my patients, and that’s certainly how I felt when I started to notice that something felt different with me. But what I have learned and shared with all my patients is that there is a joy in understanding and embracing the change…

“The change,” or menopause, happens for most women by the age of fifty-one. For many, the change does not happen abruptly, but gradually over time. To be fully menopausal, a woman has to not have a menstrual cycle for twelve months. However, menopausal symptoms can last from four to as long as ten years, especially for some Black/African American women (whew—ten years is a long time!). Symptoms can include hot flashes, night sweats, memory changes, sleeplessness, vaginal dryness, feeling less sexually aroused, irregular periods which are often very heavy before the very last period, mood changes, and/or weight gain; these symptoms are all due to our ovaries shifting to deliver less estrogen than ever before in our lives.

And we’re learning more about how the menopause transition process is different for many Black women and Latinas. Several research studies show that Black women and Latinas often begin perimenopause earlier, experience menopause symptoms more intensely, and have longer transition periods. One national, longitudinal study of women and menopause, the Study of Women’s Health Across the Nation (SWAN), has found that Black women and Latinas reach menopause two years earlier (age forty-nine) than the median age of fifty-one years. Earlier menopause has implications for increased risk of heart disease, stroke, bone fractures, altered sexual experiences, and decreased life expectancy. For women of color in the United States, data suggest that long-term, cumulative effects of systemic racism and long-term stress are negatively affecting our overall health, including an earlier median age at menopause. That’s a lot to take in, Sisters…

Several research studies show that Black women and Latinas often begin perimenopause earlier, experience menopause symptoms more intensely, and have longer transition periods.

So, here’s how we navigate and embrace this change.

First, if you don’t already have one, find a healthcare provider who listens to you, I mean really HEARS you and your concerns. You need to be able to have a real talk with them.

Second, write down your questions and include a description of any symptoms you might be feeling or have felt recently. This will help you remember those things you may want to discuss with your doctor, nurse practitioner or physician’s assistant, and these details will help your healthcare provider determine which options to consider and discuss with you.

Third, if your healthcare coverage options limit your ability to select a preferred provider, then engage an advocate (someone who can help you get your concerns addressed and questions answered) during your health visits. This advocate can be a friend, family member, a hospital employee who is there to help patients, or even a paid professional.

Fourth, be open to discussions that may include low-dose hormone replacement therapy (HRT). Ask questions to be sure you understand what are myths and what are facts regarding HRT. For many patients, starting a low-dose HRT regimen, even for a short-term, is extremely helpful for symptom relief.

Fifth, let’s be open to lifestyle changes—if you smoke cigarettes, find help to stop; if you haven’t had much body movement, find a walking path or take the stairs; if your food is often heavy with cholesterol, replace a few meals with more baked foods and vegetables. If you’ve never had therapy, go talk to someone; processing long-term stress and systemic racism is real, and we need to deal with that. All of these affect how we go through menopause.

And ladies, embracing the change also means maintaining your sexy. I want you to always hold onto the part of you that is sexual; she doesn’t go away just because you’ve gone through the change. So, whether that means new lingerie, a fancy pair of shoes, a self-care adventure for you, a new sex partner or new games with a current sex partner, make sure that you are not sacrificing something that you may desire. Talk with your health care provider, get what you need, and continue living your best life while embracing the change.

You might find that life after the change is even better than what came before it…


Dr. Madeline Sutton (Dr. Madeline) is a board-certified gynecologist with over two decades of clinical research and patient care experience. She uses her social media platforms (Facebook, Twitter, YouTube and Instagram @ DrMadelineMD) to highlight women’s health topics and answer women’s questions. She has published over 150 scientific articles and a book about sexual health. She is living her best menopausal life and enjoys helping other women do the same.


4 Comments on “Embracing the Change by Madeline Y Sutton, MD, MPH (Dr. Madeline, MD)

  1. Health diversity is a critical topic, especially for someone like me teaching health psychology in the nursing program. Thank you Dr. Madeline and Dr. G for bringing this information and experience to light. I have so much yet to learn in psychology, medicine, and diversity. Thank you for the opportunity to continue learning from experts and experiencers in the field! Dr. D 📖❤️🏥

    Liked by 1 person

    • I agree Dr. D! Last year, I provided some training about exceptional learners and learning diversity to a colleague’s psych grad assistants so that they could have a better understanding of how learning can occur depending on a variety of things (i.e., race, ethnicity, SES, etc.). It was truly enlightening for her and her GAs.

      I feel the same about this issue. We’re all so different that there’s no way we can all have the exact same issues or solutions.

      Thanks as always for stopping by and commenting ❤

      Liked by 1 person

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

%d bloggers like this: