#SexColumn: Menopause - the many phases of being a woman

Every woman who reaches midlife will experience menopause when her ovaries eventually run out of eggs.Picture: File.

Every woman who reaches midlife will experience menopause when her ovaries eventually run out of eggs.Picture: File.

Published Aug 4, 2023

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Johannesburg - As you know I am an avid member of a number of social media groups. I also follow Oprah on Instagram and menopause is a hot topic at the moment. Recently despite my HRT (hormone replacement therapy) I’ve been experiencing my own person summers (hot flashes) despite the cold! Personally, I think it’s stress but who knows until I get those hormones tested.

This is also the weekend before Women’s Day and as women I believe, we get the rawest deal when it comes to perfectly natural biological functions.

Think about it – as soon as puberty hits, we grow breasts and hair in places we’d rather not have. Menstruation which will last for as long as our fertile years.

Childbearing during those same years, Mammograms become a part of your health regime and then joy of joys once you’ve done all that – Menopause!

Menopause is defined as the point in time when menstrual cycles permanently cease due to the natural depletion of ovarian ocytes from ageing. The diagnosis is typically made retrospectively after the woman has missed menses for 12 consecutive months. Your doctor can check your hormone levels and make a diagnosis as well.

This bundle of biological joy should start in your early 50s, but this is not cast in stone. It might be earlier, and it might be later, we are all different. Mine started right on time 52!

Now that we are not dying in our 30s, and living to 100, this menopause thing seems to last longer than it was ever intended to.

As I am the oldest in my set of friends, I am generally the first and found it incredibly lonely with no one to ask, ‘Am I normal?’

When I complain about skin texture, sagging boobs and needing a face lift, I am fobbed off as being ridiculous but 10 years later they are all joining the choir!

I have taken to asking everyone I can, of a certain age! I think my menopause has been relatively easy in comparison to some women I have spoken to. I was sitting in a coffee shop when a woman sitting opposite me started to glow. I mean really light up. The redness rose from her cleavage up her neck and to her face. Followed by sever sweating. She removed every item of clothes she could. By the time this event was over about 15 minutes had passed. She was literally sitting in a puddle of sweat.

I have never had that happen during the day – I turn into a radiator at night. Thank heavens for my pool. During the warmer months, I swim 3 or 4 times during the night to cool down.

If there is no pool the tiled bathroom floor works almost as well. In the months or years leading up to menopause, you might experience these signs and symptoms:

– Irregular periods.

– Vaginal dryness.

– Hot flashes.

– Chills.

– Night sweats.

– Sleep problem – insomnia, disturbed sleep or waking early

– Mood changes.

– Weight gain and slowed metabolism.

– Pain circumstances: can occur during sexual intercourse

– Whole body: fatigue, night sweats, osteoporosis,

-Hair: dryness or loss of scalp hair or a combination of all of the above.

– Also common: anxiety, dry skin, irritability, moodiness, reduced sex drive.

And there we have it – reduced sex drive.

Like we don’t have enough to contend with we don’t want to have sex and the chances of your partner understanding is very little.

I didn’t notice the lack of libido for a long while. For me these night sweats were the worst symptom but manageable (with the pool and bathroom floor).

I’ve never been a great sleeper, so I didn’t think anything of the worsening patterns. My vaginal wall was starting to tear when I had sex. Not sexy and very painful. My lovely

Doctor did all the tests and confirmed that menopause was upon me. We had to come up with a plan!

I went the HRT (Hormone Replacement Therapy) route. I’m impatient and needed a quick solution. I battled to find the right hormone and get tested every 12 months to see how things are going. Starting HRT was like going on the pill all over again. My breasts got really sensitive and sore. I bloated like a balloon and got mega headaches. Once the hormones had settled it got back to normal but there were a good 6 months of trial and error.

Treatment often depends on severity of your symptoms and you and your doctor or gynie need to discuss your options. I have met women who have decided on the homeopathic route. Some have had great success and others not so much.

Nothing stops menopause – treatments only offer symptomatic relief. The easiest of these symptoms to treat is vaginal dryness. A good lube and an oestrogen cream makes a world of difference. I use Pjur Repair Glide, an over the counter lubricant available from Lola Montez or online. Any lubricant will do but not all lubricants are equal!

If you want me to cringe like your knife or use a cheap lube that goes sticky! Gross! The worst symptom for me is the lack of libido. I have religiously followed a regime and honestly the only thing that seems to be working is increasing my exercise regime.

Night after night I heat my entire house and I’ve started to wonder just how long this is going to last. Most women experience hot flashes for 6 months to 2 years, although some reports suggest that they last considerably longer, as long as 10 years, depending on when they began.

For a small proportion of women, they may never go away. I think I fall into the latter category. It seems to me that this is going to go on forever!

Menopause is still a subject we know very little about. Awareness is increasing but maybe we should start speaking about it and asking questions like why can’t it be stopped and why can’t it be managed better?

What frustrates me is that it is just another joke at a woman’s expense and there is very little we can do to stop it, especially the mood swings.

I have to wonder if men had to experience menopause if research wouldn’t be much further along? But hey we still didn’t know much about the clitoris till the 90s, so I don’t think it’s going to be solved in my lifetime!

I’d love to hear how you are coping with menopause and if you have any tips for the readers. Email me – [email protected]

The Saturday Star