Menopause Facts vs. Fiction: Separating Truth from Myth

As discussions around menopause evolve, particularly in a more positive direction, it’s important to address the misconceptions that still persist. Understanding what is fact and what is fiction about menopause will help you navigate this transition with greater clarity, better preparing you for the changes it brings. It’s crucial to know when symptoms may need medical attention and what’s simply a natural part of the journey. In this article, we’ll debunk some of the most common myths about menopause.

Menopause Starts at 45

Fiction
Menopause is clinically defined as having 12 consecutive months without a menstrual period. Perimenopause is the phase leading up to this point, and symptoms can begin during this time, often starting in a person’s mid-40s. While the average age of menopause in New Zealand and Australia is around 51, it can happen earlier or later for some individuals, with perimenopausal symptoms sometimes beginning in their late 30s.

Menopause Symptoms Don’t Require Medical Attention

Fiction
It’s a common misconception that menopause symptoms should just be “toughed out.” Many people avoid seeking help for years, thinking they need to simply deal with it. However, if your symptoms are affecting your quality of life, it’s important to speak with a healthcare professional. The belief that menopause symptoms should just be accepted can be harmful, especially if they are severe. If you’re unsure whether your symptoms warrant medical attention, always consult your GP or a specialist. Don’t hesitate to seek advice—there are treatments and support available.

Menopause Means No Sex

Fiction
Although it’s true that menopause can lead to a lower libido for some, this is usually due to hormonal fluctuations and is often temporary. The drop in oestrogen can also lead to vaginal dryness, making sex uncomfortable or even painful. However, using lubricants can help alleviate these symptoms. In fact, some people report an increased interest in sex post-menopause, with the relief from menstruation and the pressure of pregnancy concerns often improving the sexual experience. Sexual health can remain a positive part of life during and after menopause.

Menopause Makes You Gain Weight

Fiction
While hormonal changes during menopause can affect metabolism, weight gain is not inevitable. Menopause may lead to a shift in fat distribution, with some people noticing more fat stored around the abdomen rather than the hips or thighs. However, weight gain can be managed with a healthy diet and regular physical activity. Consulting with your GP for personalised advice can help you maintain a healthy weight throughout this transition.

Hormone Replacement Therapy (HRT) is Dangerous

Fiction
There’s a lot of conflicting information online about HRT. While some sources claim it’s dangerous, others advocate for it as the best treatment available. The truth is that HRT can be a very effective treatment for menopause symptoms, but it isn’t right for everyone. The decision to use HRT should be based on evidence and tailored to individual needs. Speaking with your doctor will give you the facts and help you make an informed choice about whether HRT is right for you.

Menopause Causes Forgetfulness

Fiction
It’s a common myth that menopause leads to memory loss or forgetfulness. While some people do experience cognitive changes during this time, these can often be attributed to factors such as stress, sleep disturbances, or mood swings rather than menopause itself. It’s important to acknowledge that many of these cognitive changes are temporary and tend to resolve once the body adjusts. Mental clarity can be supported through proper sleep, stress management, and maintaining an active mind.

People Don’t Talk About Menopause

Fiction
The idea that menopause is a taboo topic is quickly changing. While societal attitudes, such as ageism and sexism, have historically made menopause a difficult subject to discuss, there are now many avenues where people can find support and share their experiences. In Australia and New Zealand, menopause is increasingly discussed in social media groups, support networks, podcasts, and advocacy organisations. People should feel empowered to talk about their menopause journey with anyone they trust, and help is available for those seeking information and support.

As menopause becomes less of a hidden topic and more of a celebrated transition, it’s important to separate facts from fiction. If you’re experiencing symptoms or have concerns about menopause, don’t hesitate to seek professional advice. Understanding the realities of this natural life stage can help you navigate it with confidence and wellbeing.