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30 August 2024

Menopause Steps Out Of The Shadows

Senate inquiry examines stigma and impacts of menopause and perimenopause

Menopause, often shrouded in stigma and silence, is finally stepping out from the shadows as society begins to recognize its significance. An inquiry conducted by the Senate Community Affairs References Committee is at the forefront of this change, focusing on the multifaceted impact of menopause and perimenopause. The inquiry is examining not only the economic consequences but also the physical health impacts, mental and emotional wellbeing of those experiencing these life stages, and the caregiving responsibilities tied to them.

During a recent inquiry hearing held in Melbourne, Tilly Mahoney, the sexual and reproductive health coordinator at Women’s Health in the North, shed light on the lack of societal conversation surrounding menopause and perimenopause. "Ongoing stigma can lead to isolation, ignorance, delays in seeking help for physical and mental health impacts, reduced workforce participation and discrimination," she noted. ”Normalising menopause and emphasising the positive or neutral aspects of this life stage can combat the narrative of loss or decline, which is tied to the intersection of sexism and ageism.”

Mahoney emphasized the need for society to move beyond the discomfort surrounding these topics, stating, “While physical symptoms may contribute to mental health issues, we must also tackle the social determinants of mental ill health—such as social connectedness and economic participation—because they are all influenced by the broader gender inequality.”

This surge of attention around menopause coincides with the inquiry's goal to explore the awareness of medical professionals about the symptoms and treatments related to menopause and its societal perceptions. With the report expected to be tabled to Parliament soon, it is clear the time for change is now.

Women facing the menopausal transition often deal with palpable symptoms like hot flashes, mood swings, and sleep disturbances, which can significantly disrupt their daily lives. The inquiry aims to not just evaluate these symptoms but also investigate how they impact various aspects of life, including family roles, employment, and overall mental health.

“Attributing mental ill health solely to biology risks reinforcing outdated stereotypes about women’s resilience and worthiness for the workforce," Mahoney cautioned. "This can entrench the narrative of women's unsuitability for work due to 'biological needs', rather than reflecting on how societal attitudes contribute to these issues.”

The mental health ramifications during menopause are becoming an increasingly recognized concern. Many women report feeling more isolated during this time, partly due to the stigma related to discussing menopausal symptoms. This stigma can discourage open conversations, causing many to suffer alone rather than reaching out for support.

An important aspect highlighted during the inquiry is the intersection of menopause, ageism, and sexism. Mahoney underscored this connection, stating, “The prevailing ideas about aging and gender often frame menopause as a negative transition. Changing this narrative can empower individuals going through these changes to see it as just another part of life.”

The inquiry discussions have also brought forth the need for increased healthcare provider education on menopause. Many healthcare professionals still lack adequate training on menopause management and are not fully equipped to support their patients through this stage of life.

A significant aim of the inquiry is to shed light on the economic effects of menopause, particularly with regard to workforce participation. Many women experiencing menopause feel pressured to hide their symptoms at work, fearing discrimination based on age and gender. This results not just in individual distress but can also lead to decreased workplace productivity—a loss felt by businesses nationwide.

"It’s about time we brought menopause out of the closet," said Mahoney, urging for policy changes. This can include creating workplace environments where menopause is recognized and supported, ensuring women can receive necessary assistance without fear of stigma.

The inquiry is set to present its findings to Parliament on September 17, 2024. Until then, the spotlight on menopause shines brighter than ever, illustrating the necessity for open dialogue and systemic change. The conversations sparked by this inquiry could pave the way for broader acceptance and support for those experiencing menopause, marking stepping stones toward building awareness and dismantling stigma associated with this natural transition.

The findings from the inquiry may not only influence healthcare practices or workplace policies but also contribute to cultural shifts affecting how menopause is perceived across society. By normalizing menopause, we may empower countless women to navigate this inevitable life stage with the assurance and support they deserve.

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