Jen Gunter - The Menopause Manifesto: Own Your Health with Facts and Feminism
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Just as she did in her groundbreaking bestseller The Vagina Bible, Dr. Jen Gunter, the internets most fearless advocate for womens health, brings you empowerment through knowledge by countering stubborn myths and misunderstandings about menopause with hard-facts, real science, fascinating historical perspective, and expert advice.
The only thing predictable about menopause is its unpredictability. Factor in widespread misinformation, a lack of research, and the culture of shame around womens bodies, and its no wonder women are unsure what to expect during the menopause transition and beyond.
Menopause is not a disease, its a planned change, like puberty. And, just like puberty, we should be educated on whats to come years in advance, rather than the current practice of leaving people on their own with bothersome symptoms and too much conflicting information. Knowing what is happening, why, and what to do about it is both empowering and reassuring.
Frank and funny, Dr. Jen debunks misogynistic attitudes and challenges the over-mystification of menopause to reveal everything you really need to know about:
*Perimenopause *Hot flashes *Sleep disruption *Sex and libido *Depression and mood changes *Skin and hair issues Outdated therapies Breast health *Weight and muscle mass *Health maintenance screening *And much more!
Filled with practical, reassuring information, this essential guide will revolutionize how women experience menopause, including how their lives can be even better for it!
The only thing predictable about menopause is its unpredictability. Factor in widespread misinformation, a lack of research, and the culture of shame around womens bodies, and its no wonder women are unsure what to expect during the menopause transition and beyond.
Menopause is not a disease, its a planned change, like puberty. And, just like puberty, we should be educated on whats to come years in advance, rather than the current practice of leaving people on their own with bothersome symptoms and too much conflicting information. Knowing what is happening, why, and what to do about it is both empowering and reassuring.
Frank and funny, Dr. Jen debunks misogynistic attitudes and challenges the over-mystification of menopause to reveal everything you really need to know about:
*Perimenopause *Hot flashes *Sleep disruption *Sex and libido *Depression and mood changes *Skin and hair issues Outdated therapies Breast health *Weight and muscle mass *Health maintenance screening *And much more!
Filled with practical, reassuring information, this essential guide will revolutionize how women experience menopause, including how their lives can be even better for it!
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BY DR. JEN GUNTER
The Preemie Primer
The Vagina Bible
The Menopause Manifesto
The Vagina Bible
The Menopause Manifesto
THE MENOPAUSE MANIFESTO
Own Your Health with Facts and Feminism
DR. JEN GUNTER
CITADEL PRESS
Kensington Publishing Corp.
www.kensingtonbooks.com
Kensington Publishing Corp.
www.kensingtonbooks.com
All copyrighted material within is Attributor Protected.
CITADEL PRESS BOOKS are published by
Kensington Publishing Corp.
119 West 40th Street
New York, NY 10018
119 West 40th Street
New York, NY 10018
Copyright 2021 Jennifer Gunter
All rights reserved. No part of this book may be reproduced in any form or by any means without the prior written consent of the publisher, excepting brief quotes used in reviews.
PUBLISHERS NOTE
The reader is advised that this book is not intended to be a substitute for an assessment by, and advice from, an appropriate medical professional(s).
CITADEL PRESS and the Citadel logo are Reg. U.S. Pat. & TM Off.
ISBN: 978-0-8065-4066-5
Electronic edition:
ISBN-13: 978-0-8065-4067-2 (e-book)
ISBN-10: 0-8065-4067-2 (e-book)
ISBN-10: 0-8065-4067-2 (e-book)
For every woman.
Your awesomeness is unrelated to your estrogen.
Your awesomeness is unrelated to your estrogen.
Table of Contents
Introduction
The Manifesto
I F MENOPAUSE WERE ON Y ELP it would have one star.
This establishment has temperature control issues. Drenching heat followed by terrible chills. Defies the laws of thermodynamics. Would not recommend.
Awful, awful, awful! Bleeding was scheduled, but was rebooked without notification so arrived 3 weeks later than expected while I was in an Uber and I flooded the car. The driver gave me a terrible review!
The sex was dry.
And its no surprise. Most women have no idea what to expect when they are no longer expecting a period, and its uniquely awful and disempowering to not understand what is happening to your body and why. Menopause is like being sent on a canoe trip with no guide book and only a vague idea where you are headedalthough the expectation is its awful. There will be no advice on how to get there or how to manage any of the obstacles, such as rapids. That is if any exist. Who knows? Have fun figuring it out! Good times. Oh, and dont write. No one wants to hear about your journey or what it is like when you arrive.
Fear? Check. Uncertainty? Check. Medical ramifications? Check. Unpleasant symptoms? Check. Societal irrelevance? Check.
No wonder menopause receives such awful reviews.
The culture of silence about menopause in our patriarchal society is something to behold. Menopause doesnt even rate the shame that society gives to the vulva and vagina. Apparently there is nothing of lower value than an aging womans body, and many in our society treat menopause not as a phase of life, but rather as a phase of death. Sort of a predeath.
What little that is spoken about menopause is often viewed through the lens of ovarian failurethe assertion that menopause is a disease that exists because women and their ovaries are weak. The only grounds for this claim are that men dont experience menopause. But comparing women and men in this way is the same as comparing the liver with the heart. The liver isnt weak or diseased because it doesnt beat like the heart, and women arent diseased because the ovaries stop making estrogen.
The absence of menopause from our discourse leaves women uninformed, which can be disempowering, frightening, and makes it difficult to self-advocate. Consequently, many suffer with symptoms or dont receive important health screenings or therapies because they have been dismissed with platitudes like This is just part of being a woman or Its not that bad. But the issues with menopause even go beyond these knowledge gaps and the medical neglect. Women tell me that menopause is lonely; that there are no stories or culture. And so there is no whisper network to take up the slack from medicine. Nothing to offer comfort.
But many women are desperate to know more about menopause so they can understand how and why their body is changing, and they want information so they can make decisions that work for them. They also want to talk about what is happening to their body.
I contrast these experiences with my own. Having started medical school when I was twenty years old and my OB/GYN training when I was twenty-four, I cant remember back to a time when I didnt have a detailed understanding of the hormonal changes of both the menstrual cycle and menopause. And not just the biology, but how to apply it practically to my own body. I never once thought, Wow, that is unexpected, or Why am I sweating so much at the age of forty-five? or WHAT IS GOING ONWHY AM I BLEEDING EVERYWHERE!?
My medical knowledge didnt prevent me from having menopause acne, hot flushes, or those special heavy periods that are all typical of the menopause transition. But because I knew exactly what was happening and when to seek care, it made the whole process feel routine. Because I knew the tests that were indicated and those that were not, and because I understood the medicine, it was much easier for me to navigate the treatment options and choose the safest most effective therapy and avoid the snake oil. By the time I entered my own menopause transition, I had spent over twenty years speaking with women about their menopause and helping them manage their symptoms and any health concerns, so I had heard many stories and had knowledge of the range of experiences as well as the treatment options. It was fortunate that my view of the subject wasnt confined to what I saw at home. My mothers menopause was volcanic, and if that was all I had to go on, I would have been quite frightened.
Online, on book tour for The Vagina Bible, and during many interviews with reporters I often heard (and still hear today) What do I do? and Where do I turn? from women about menopause. I remember one interview in particular that had nothing to do with menopause or even menstruation and when for some reason I tangentially mentioned I was using an estrogen patch the conversation derailed and all the reporter wanted to discuss was menopause. Hearing over and over again from women from many countries about this need for knowledge made me obsessed with the idea that every woman should know about menopause like a well-informed gynecologist and so that is what I have set out to do in these pages.
For women to navigate menopause, they need facts because empowerment requires accurate informationbut they also need feminism because our bodies, our medical care, and even our thoughts have been colonized by the patriarchy. The cultural absence of menopause from our discussions isnt because thats what women want. The often pejorative language about menopause and the medical neglect also arent up there on the meno wish list.
Women often only hear the awful stories about menopause, but the truth is the menopause experience is a vast diaspora. Many women have mild symptoms, some moderate, and others severe. Often these symptoms are temporary, but occasionally theyre long lasting. Menopause does start a series of biological events that increase a womans risk of several medical conditions, such as cardiovascular disease and osteoporosis. But menopause isnt the only paint on a womans canvas. Age, other medical conditions, diet, exercise, and even adverse childhood events are also adding color to her portrait. So when a woman wants to consider what she should do, its important to step back and look at the whole picture. Managing menopause is the ultimate exercise in whole body or holistic medicine.
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