Menopause is at risk of being ‘medicalised’, experts say

During the menopause women may experience hot flushes and night sweats, sleep problems, changes in mood and aching muscles or joints.

Researchers say there is a risk that the menopause is being over-medicalised (Alamy/PA)
Researchers say there is a risk that the menopause is being over-medicalised (Alamy/PA)

The menopause is at risk of being “medicalised” into something that always needs treatment, experts have argued.

Writing in the British Medical Journal (BMJ), researchers said most women actually do not wish to have treatment such as hormone replacement therapy (HRT) unless their symptoms are severe.

They argued that the “message that menopause signals decay and decline” is widely reinforced but only serves to make women “expect the worst”.

They wrote: “Medicalisation and its narrow focus on symptoms may fuel women’s negative expectations of menopause and influence what physical and emotional experiences they attribute to menopause.”

The experts, including from the Institute of Psychiatry at King’s College London, said research suggests that “negative attitudes and expectations before menopause predict the likelihood of distressing menopausal symptoms.”

Medicalisation tends to emphasise the negative aspects of menopause and ... may increase women’s anxiety and apprehension about this natural life stage

Researchers

They added: “We argue that medicalisation of menopause risks collapsing the wide range of experiences at the average age associated with this natural process into a narrowly defined disease requiring treatment.

“Medicalisation tends to emphasise the negative aspects of menopause and, while effective treatments are important for those with troublesome symptoms, medicalisation may increase women’s anxiety and apprehension about this natural life stage.

“Changing the narrative by normalising menopause and emphasising positive or neutral aspects such as freedom from menstruation, pregnancy and contraception, together with information about managing troublesome symptoms might empower women to manage menopause with greater confidence.”

During the menopause, women may experience hot flushes and night sweats, sleep problems, changes in mood and aching muscles or joints.

But the researchers said these symptoms are “usually time limited”, while their “nature and severity vary substantially between women and within the same woman over time”.

They also argued that medics should “normalise the physical changes of menopause” and “provide reassurance about symptoms and their likely time course”.

Other suggestions in the paper are a focus on diet and exercise, using mindfulness and perhaps undergoing cognitive behavioural therapy to reduce stress and challenge negative perceptions.

In the UK, a shortage of HRT has led to an increased focus on the menopause.

Celebrities such as TV presenter Davina McCall have also raised awareness.

Dr Paula Briggs, chair elect of the British Menopause Society, said: “I agree that the menopause is not a deficiency state, but rather a life stage which can be managed in different ways.

Care should be individualised and ideally women in the UK should be supported with good quality information from reputable sources on which to make their decision regarding menopause management.

“However, for some women menopausal symptoms have a huge impact on how they function.

“Hormone replacement therapy is the most effective treatment in eligible women, but women should not feel that they have to use it.

“There are many excellent GPs in the UK offering women’s healthcare. In an ideal world women would access their care from their GP with the support of specialists for mentorship, education and research into new treatment options.”

Register for free to continue reading

Registration is a free and easy way to support our truly independent journalism

By registering, you will also enjoy limited access to Premium articles, exclusive newsletters, commenting, and virtual events with our leading journalists

Please enter a valid email
Please enter a valid email
Must be at least 6 characters, include an upper and lower case character and a number
Must be at least 6 characters, include an upper and lower case character and a number
Must be at least 6 characters, include an upper and lower case character and a number
Please enter your first name
Special characters aren’t allowed
Please enter a name between 1 and 40 characters
Please enter your last name
Special characters aren’t allowed
Please enter a name between 1 and 40 characters
You must be over 18 years old to register
You must be over 18 years old to register
Opt-out-policy
You can opt-out at any time by signing in to your account to manage your preferences. Each email has a link to unsubscribe.

By clicking ‘Create my account’ you confirm that your data has been entered correctly and you have read and agree to our Terms of use, Cookie policy and Privacy notice.

This site is protected by reCAPTCHA and the Google Privacy policy and Terms of service apply.

Already have an account? sign in

By clicking ‘Register’ you confirm that your data has been entered correctly and you have read and agree to our Terms of use, Cookie policy and Privacy notice.

This site is protected by reCAPTCHA and the Google Privacy policy and Terms of service apply.

Register for free to continue reading

Registration is a free and easy way to support our truly independent journalism

By registering, you will also enjoy limited access to Premium articles, exclusive newsletters, commenting, and virtual events with our leading journalists

Already have an account? sign in

By clicking ‘Register’ you confirm that your data has been entered correctly and you have read and agree to our Terms of use, Cookie policy and Privacy notice.

This site is protected by reCAPTCHA and the Google Privacy policy and Terms of service apply.

Thank you for registering

Please refresh the page or navigate to another page on the site to be automatically logged inPlease refresh your browser to be logged in