{"id":10234,"date":"2019-08-19T00:34:05","date_gmt":"2019-08-18T23:34:05","guid":{"rendered":"https:\/\/ftww.org.uk\/dev\/?post_type=blog&p=10234"},"modified":"2024-11-12T11:53:09","modified_gmt":"2024-11-12T11:53:09","slug":"science-menopauses-mortal-enemy-and-were-o-vary-glad-about-it","status":"publish","type":"post","link":"https:\/\/ftww.org.uk\/cy\/2019\/08\/19\/science-menopauses-mortal-enemy-and-were-o-vary-glad-about-it\/","title":{"rendered":"Science: Menopause\u2019s Mortal Enemy, and we\u2019re O-vary Glad About it!"},"content":{"rendered":"

A FTWW HQ Opinion Piece<\/strong><\/h3>\n

17\/08\/2019<\/p>\n

At FTWW HQ, we read with interest Wales Online\u2019s opinion piece on ovarian tissue transplantation for women who have gone through an early menopause. At the start of her piece, author Carolyn Hitt asked an interesting question, \u2018In dealing with the hormonal rollercoaster we are strapped to from puberty should we let science apply the brakes to nature?\u2019<\/p>\n

Our immediate response was, \u2018well, why not?\u2019 Isn\u2019t the human brain, and its capacity for scientific thought, something bestowed upon us by nature? And, in doing so, throughout the time on which we\u2019ve been on this planet, haven\u2019t those brains been responsible for countless interventions that pit us against nature\u2019s foibles?<\/p>\n

When we talk about \u2018allowing science to apply the brakes to nature\u2019, let\u2019s not forget that we\u2019re constantly engaged in such activity, precisely in order to survive as a species. We take medications to treat disease, we use antibiotics to ward off life-threatening infections, we take the contraceptive pill to manage our menstrual cycles and prevent pregnancy.<\/p>\n

So, if, with \u2018a simple half-hour surgical procedure, doctors can now delay the menopause for up to 20 years\u2019, we say, \u2018Go for it\u2019!<\/p>\n

You see, this isn\u2019t necessarily just about those who have entered the menopause early \u2013 whether that be as a result of premature ovarian insufficiency (which, by the way, is another of nature\u2019s foibles), or treatment for cancer or any other disease, be that medical or surgical treatment (and, oops, there we go again, interfering with nature)! It\u2019s about how \u2013 for a not insignificant number of women \u2013 menopause can be absolutely unbearable, and its effects last until we die.<\/p>\n

\"\"<\/p>\n

Women can suffer life-long effects as a result of menopause<\/em><\/strong><\/p>\n

We say, \u2018Go for it\u2019, not because we\u2019re all terrified of getting old and developing wrinkles (although maybe some are) or because we desperately want to have more babies (although maybe some do), but because menopause can cause cognitive problems so awful they\u2019re mistaken for dementia, joint pain so bad it\u2019s as debilitating as arthritis, mucus membranes so dry that they rip, bleed, and result in infections, insomnia so wretched that we can no longer function.<\/p>\n

It\u2019s about how loss of oestrogen means we are just as likely to develop cardiac disease as men \u2013 but far more likely to die of it because we present differently when having a heart attack. It\u2019s about how loss of oestrogen results in half of all women over the age of 50 developing osteoporosis \u2013 where our bones are so weak and brittle that 300,000 fractures per year can be attributed to it, costing the NHS \u00a36million per day. It\u2019s about how the highest number of completed suicides amongst women in the UK is in the 45 \u2013 55 age bracket, precisely when menopause usually hits.<\/p>\n

\"\"<\/p>\n

Osteoporosis kills more women than all gynaecological cancers put together<\/i><\/strong><\/p>\n

This is about \u2013 finally \u2013 having scientists recognising and doing something meaningful about a health issue which affects 52% of us, something which isn\u2019t necessarily as simple as patting away a few delicate beads of perspiration on our foreheads.<\/p>\n

Let\u2019s not forget that, actually, because of science already \u2018putting the brakes on nature\u2019, we are already living far longer as a species than we should. We were never intended to get far beyond menopause because, according to nature, we\u2019ve outlived our usefulness in terms of procreation.<\/p>\n

We were never intended to have over 400 periods during our lifetimes, because nature intended for us to be pregnant more or less continually. And yet, we don\u2019t question the science that has led us to this situation. We don\u2019t merely accept it; we welcome it! It\u2019s given us time: time, choices, and freedom to explore what life has to offer us as women.<\/p>\n

Why shouldn\u2019t we similarly welcome scientific advances that extend those choices further? Options that, instead of expecting us to put artificial chemicals into our bodies day after day (such as psychiatric medication often erroneously prescribed to deal with the mental health-related symptoms of menopause) actually enable us to utilise our own flesh to ward off its worst effects?<\/p>\n

Wales Online\u2019s piece does countless women a disservice when it underplays menopause as merely a \u2018natural transition half the population face\u2019. Certainly, whilst factually correct, this kind of comment is just as dangerous in its over-simplification as the stigma and stereotypes which it (rightly) decries.<\/p>\n

\"\"There\u2019s more to menopause than facing our wrinkles<\/em><\/strong><\/p>\n

The author \u2013 again rightly – laments the pressure women feel to look youthful and attractive, and expresses concerns over how the prospect of ovarian tissue transplantation will serve merely to ameliorate society\u2019s distaste for less than aesthetically-pleasing older women. But here\u2019s the thing: for a huge number of women reading, menopause has been more than \u2018distasteful\u2019, it\u2019s been a bloody disaster (ironic, given the absence of periods)!<\/p>\n

For those women who aren\u2019t living but existing, as menopause wreaks its havoc on their bodies and minds, being considered unattractive is probably the least of their concerns.<\/p>\n

Let\u2019s be clear: that there is a ridiculous amount of stigma around female ageing is undebatable \u2013 and it\u2019s enraging. Who amongst us hasn\u2019t noticed the absence of \u2018older women\u2019 on our TV screens \u2013 or the fact that it\u2019s 20-somethings advertising anti-ageing face creams because we\u2019re perceived as being too hideous to be seen in public?<\/p>\n

None of us is disagreeing that, as a society, we treat older women pretty damn abominably and that it needs to change. So too does the stigma around menopause and those attitudes which have resulted in so many women choosing to leave work because they simply can\u2019t cope. The question is, with what exactly are they struggling to cope?<\/p>\n

An unsympathetic, even hostile, workplace can absolutely be held responsible for so many women feeling that they have no choice but to leave – but that isn\u2019t the ONLY reason. Horrendous menopausal symptoms to which, currently, there seem to be only a few possible solutions are another.<\/p>\n

Without access to dedicated menopause specialists, HRT is hard to fathom or get right, especially when one has a complex medical history. The other alternatives – unproven herbal remedies, yoga, magnets in our knickers \u2013 aren\u2019t necessarily satisfactory alternatives at all for many women.<\/p>\n

\"\"<\/p>\n

Menopause care can be hard to navigate, especially without access to a specialist<\/em><\/strong><\/p>\n

In truth, we couldn\u2019t agree more with the desire to see the social stigma of menopause banished once and for all, and every employer working with its female employees to ensure that menopause policy and practice is co-produced. It\u2019s why FTWW was involved in bringing to Wales the first-ever Menopause Summit in June and why we\u2019re also organising a Women\u2019s Health Equality Event<\/strong><\/span><\/a> for October (featuring menopause and reasonable adjustments in the workplace, amongst many other topics).<\/p>\n

\"\"<\/p>\n

Our October 23rd event in North Wales is open to all who are interested in women\u2019s health and equality. For tickets, check out Eventbrite.<\/span><\/a><\/em><\/strong><\/p>\n

However, that doesn\u2019t negate the positive development that any potential mainstreaming of ovarian tissue transplantation may well prove to be for those women who want it. Undoubtedly, for some, that will mean thoughts of prolonging fertility (and more of those dreaded periods), even smoothing out some of those wretched wrinkles but, hey, isn\u2019t pesky \u2018science\u2019 already laying claim to all of that, with the likes of IVF and cosmetic surgery?<\/p>\n

Of course, we need to apply some serious moral thinking to it all but that\u2019s the other beauty of having a brain like ours (thanks, Nature!) We can be creative, scientific, and ethical all at the same time. And, just as with IVF, gene therapy, or any other scientific intervention which seems to frustrate nature, we\u2019d expect nothing less than a huge amount of philosophical debate and scrutiny to accompany any rolling out of this technology to \u2018the rest of us\u2019.<\/p>\n

For many members of FTWW, who have either been forced into early menopause or are simply struggling like crazy to deal with its long-term health ramifications, the prospect of ovarian tissue transplantation isn\u2019t about halting the ageing process or retaining erstwhile looks, nor is it about trying to subvert our natural destiny so that we can progress in our careers and let employers off the hook; it\u2019s about survival.<\/p>\n

\"\"<\/p>\n

It\u2019s not about turning back time: it\u2019s about surviving what\u2019s happening now and off-setting progressive health conditions<\/em><\/strong><\/p>\n

To say otherwise seems to come from a position of privilege \u2013 the privilege, almost certainly, of having a menopause which can be overcome by the taking of vitamins, evening primrose oil or, as the author herself cites, \u2018a designated Hormone Hour (with some) Narnia-like air-con\u2019. If only it were that easy\u2026<\/p>\n

So, yes, by all means let\u2019s continue to challenge damaging stereotypes \u2013 and that includes the one that exhorts us to embrace our wonderful, natural menopause, the one that suggests that with some kind words and access to an open window we can get through it.<\/p>\n

A truly supportive society supports women\u2019s choices about how best to manage her biology; it supports good health; it supports those scientific interventions which can make women\u2019s lives easier. It\u2019s about time!<\/p>","protected":false},"excerpt":{"rendered":"

A FTWW HQ Opinion Piece 17\/08\/2019 At FTWW HQ, we read with interest Wales Online\u2019s opinion piece on ovarian tissue transplantation for women who have gone through an early menopause. 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