{"id":9457,"date":"2023-12-14T21:09:54","date_gmt":"2023-12-14T14:09:54","guid":{"rendered":"https:\/\/loudhdtv.com\/?p=9457"},"modified":"2023-12-14T21:09:54","modified_gmt":"2023-12-14T14:09:54","slug":"menopause-gaslighting-hinders-care-for-women","status":"publish","type":"post","link":"https:\/\/loudhdtv.com\/?p=9457","title":{"rendered":"Menopause Gaslighting Hinders Care for Women"},"content":{"rendered":"<p> <script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-3711241968723425\"\r\n     crossorigin=\"anonymous\"><\/script><br \/>\n<\/p>\n<div>\n<div class=\"drop-cap text-big text-gray\"> <span class=\"drop-cap__first text-dropcap \">I<\/span>f you\u2019re a woman in your mid-30s, 40s, 50s, or older, chances are you\u2019ve experienced menopausal symptoms. Hot flashes, night sweats, mood swings, brain fog, vaginal dryness, dry skin, weight gain, and trouble sleeping <a href=\"https:\/\/www.wellandgood.com\/surprising-menopause-symptoms\/\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.wellandgood.com\/surprising-menopause-symptoms\/\">are all hallmark symptoms of menopause<\/a>, which \u201cofficially\u201d begins one year after your last period, and perimenopause, a transitional period of fluctuating hormones that <a href=\"https:\/\/www.menopause.org\/for-women\/menopauseflashes\/menopause-symptoms-and-treatments\/menopause-101-a-primer-for-the-perimenopausal#:~:text=Physical%20changes%20begin%20years%20before,after%20the%20final%20menstrual%20period.\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.menopause.org\/for-women\/menopauseflashes\/menopause-symptoms-and-treatments\/menopause-101-a-primer-for-the-perimenopausal#:~:text=Physical%20changes%20begin%20years%20before,after%20the%20final%20menstrual%20period.\">can last between 4 to 8 years<\/a>, according to the North American Menopause Society (NAMS). <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/18779760\/\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/18779760\/\">Ninety-five percent<\/a> of women ages 35 and up report having experienced physical symptoms of menopause, while 79 percent report having experienced <a href=\"https:\/\/www.wellandgood.com\/perimenopause-definition\/\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.wellandgood.com\/perimenopause-definition\/\">menopause-related emotional symptoms<\/a>, and 40 percent saying the symptoms were problematic in their lives.<\/div>\n<p>Considering that up to <a href=\"https:\/\/www.mayoclinichealthsystem.org\/hometown-health\/speaking-of-health\/too-embarrassed-to-ask-part-3#\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.mayoclinichealthsystem.org\/hometown-health\/speaking-of-health\/too-embarrassed-to-ask-part-3#\">2 million women<\/a> in the U.S. are expected to reach menopause each year, getting treatment for the laundry list of symptoms that can affect work, home, and social life should be easy, right? Wrong.<\/p>\n<p>Research suggests that <a href=\"https:\/\/www.maturitas.org\/article\/S0378-5122(07)00266-6\/fulltext\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.maturitas.org\/article\/S0378-5122(07)00266-6\/fulltext\">75 percent of women<\/a> who seek care for menopausal symptoms don\u2019t receive any treatment. A 2023 survey conducted by menopause health startup <a href=\"https:\/\/clicks.trx-hub.com\/xid\/leafgroup_ca5e0_wellgood?q=https%3A%2F%2Fgo.skimresources.com%3Fid%3D104860X1561639%26xs%3D1%26xcust%3DSTMSLS-804085%26url%3Dhttps%253A%252F%252Fourkindra.com%252F&amp;p=https%3A%2F%2Fwww.wellandgood.com%2Fmenopause-gaslighting%2F&amp;event_type=click\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/ourkindra.com\/\" data-type=\"affiliateLink\" data-aff-intermediate=\"https:\/\/go.skimresources.com?id=104860X1561639&amp;xs=1&amp;xcust=STMSLS-804085&amp;url=https%3A%2F%2Fourkindra.com%2F\">Kindra<\/a> and The Harris Poll found that <a href=\"https:\/\/clicks.trx-hub.com\/xid\/leafgroup_ca5e0_wellgood?q=https%3A%2F%2Fgo.skimresources.com%3Fid%3D104860X1561639%26xs%3D1%26xcust%3DSTMSHL-1142355%26url%3Dhttps%253A%252F%252Fourkindra.com%252Fblogs%252Fjournal%252Fmenopause-medical-misdiagnosis&amp;p=https%3A%2F%2Fwww.wellandgood.com%2Fmenopause-gaslighting%2F&amp;event_type=click\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/ourkindra.com\/blogs\/journal\/menopause-medical-misdiagnosis\" data-type=\"affiliateLink\" data-aff-intermediate=\"https:\/\/go.skimresources.com?id=104860X1561639&amp;xs=1&amp;xcust=STMSHL-1142355&amp;url=https%3A%2F%2Fourkindra.com%2Fblogs%2Fjournal%2Fmenopause-medical-misdiagnosis\">one in three women<\/a> ages 45 to 54\u2014the age range when menopause most commonly occurs\u2014report being misdiagnosed with another condition by their provider before finding out menopause was causing their symptoms.<\/p>\n<div class=\"related-content \" style=\"\" data-module-init=\"related-content\" data-module-immediate=\"\" v-cloak=\"\">\n<div class=\"related-content__wrapper \" v-cloak=\"\" :class=\"{'is-loaded':isLoaded}\">\n<p> <span class=\"inline pr-6 text-seafoam-dark\">Related Stories<\/span> <\/p>\n<p> <related-content class=\"related-content__links\" parent-article-permalink=\"https:\/\/www.wellandgood.com\/menopause-gaslighting\/\" current-title=\"Menopause Gaslighting Is a Real Problem That Greatly Impacts Womens Care\u2014Here\u2019s What To Do if It Happens to You\" current-image=\"https:\/\/www.wellandgood.com\/wp-content\/uploads\/2023\/12\/GettyImages-menopausal-gaslighting-JoseLuisPelaez-425x285_418x278_true_70.webp\" v-on:parsely-posts-loaded=\"onPostsLoaded\" start-date=\"2023-06-14\" tag=\"div\" inline-template=\"\" url=\"https:\/\/www.wellandgood.com\/menopause-gaslighting\/\" secret=\"w5ztterVB03LGZJLfXS0hf3EvQBuFFIWew9hmVQxthU\" apikey=\"wellandgood.com\" limit=\"3\"> <\/p>\n<div>\n<div class=\"related-content__card mb-[10px] sm:mb-[20px]\" :class=\"{'related-content__card--full':posts.length === 1}\" v-for=\"(post, key) in posts\"> <a v-on:click.prevent=\"trackLinkGA($event, key)\" :href=\"https:\/\/www.wellandgood.com\/menopause-gaslighting\/post.url\" data-url-source=\"related-content\" class=\"related-content__link\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"\"> <\/p>\n<div class=\"related-content__card--image bg-tan\" :style=\"{ backgroundImage: 'url(' + post.image_url + ')' }\"> <img :src=\"https:\/\/www.wellandgood.com\/menopause-gaslighting\/post.image_url\" :alt=\"post.title\"\/> <\/div>\n<p> <\/a>  <\/div>\n<\/p><\/div>\n<p> <\/related-content> <\/div>\n<\/p><\/div>\n<p>Do those numbers make you mad? They should. But sadly, menopausal gaslighting is yet another example of the health-care status quo, where women\u2019s health concerns are <a href=\"https:\/\/www.wellandgood.com\/gender-bias-health-care\/\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.wellandgood.com\/gender-bias-health-care\/\">historically dismissed, misdiagnosed<\/a>, or <a href=\"https:\/\/www.wellandgood.com\/women-clinical-trials\/\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.wellandgood.com\/women-clinical-trials\/\">under-researched<\/a>.<\/p>\n<p>But when it comes to menopausal care, you shouldn\u2019t have to grin and bear your symptoms\u2014particularly if they\u2019re disrupting your life and well-being. Here\u2019s what you need to know about why menopausal care is so often inadequate and what you can do to make sure you get the care you need\u2014and deserve.<\/p>\n<h2><strong>Why your doctor may not know how to treat menopausal symptoms<\/strong><\/h2>\n<p>One of the biggest factors in inadequate menopause treatment is that the vast majority of doctors aren\u2019t trained to recognize or treat its symptoms. A 2023 study found that only <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/37738034\/\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/37738034\/\">31.3 percent of surveyed OB\/GYN residency programs offered menopause education<\/a>, and only 29.3 percent involved trainees working at a menopause clinic. Another study from 2019 found that less than <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30711122\/\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30711122\/\">7 percent of family medicine, OB\/GYN, and internal medicine residents<\/a> felt adequately prepared to manage menopausal care. That equates to a well-documented care gap for women in menopause, says <a href=\"https:\/\/clicks.trx-hub.com\/xid\/leafgroup_ca5e0_wellgood?q=https%3A%2F%2Fgo.skimresources.com%3Fid%3D104860X1561639%26xs%3D1%26xcust%3DSTMSHL-1142355%26url%3Dhttps%253A%252F%252Fourkindra.com%252Fpages%252Fscience-new&amp;p=https%3A%2F%2Fwww.wellandgood.com%2Fmenopause-gaslighting%2F&amp;event_type=click\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/ourkindra.com\/pages\/science-new\" data-type=\"affiliateLink\" data-aff-intermediate=\"https:\/\/go.skimresources.com?id=104860X1561639&amp;xs=1&amp;xcust=STMSHL-1142355&amp;url=https%3A%2F%2Fourkindra.com%2Fpages%2Fscience-new\">Suzanne Gilberg-Lenz,\u00a0MD<\/a>, a board-certified OB\/GYN and senior medical advisor for Kindra.<\/p>\n<p>\u201cInsufficient training on menopause care during medical school and residency contributes to the oversight,\u201d says Dr. Gilberg-Lenz. \u201cAddressing this gap through improved education and awareness is essential to ensuring that women receive the attention and care they deserve during this critical life stage.\u201d<\/p>\n<p><a href=\"https:\/\/www.linkedin.com\/in\/taniquamillermd\/\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.linkedin.com\/in\/taniquamillermd\/\">Taniqua Miller, MD<\/a>, a board-certified OB\/GYN with the virtual menopausal care platform <a href=\"https:\/\/clicks.trx-hub.com\/xid\/leafgroup_ca5e0_wellgood?q=https%3A%2F%2Fgo.skimresources.com%3Fid%3D104860X1561639%26xs%3D1%26xcust%3DSTMSHL-1108298%26url%3Dhttps%253A%252F%252Fwww.evernow.com%252F&amp;p=https%3A%2F%2Fwww.wellandgood.com%2Fmenopause-gaslighting%2F&amp;event_type=click\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.evernow.com\/\" data-type=\"affiliateLink\" data-aff-intermediate=\"https:\/\/go.skimresources.com?id=104860X1561639&amp;xs=1&amp;xcust=STMSHL-1108298&amp;url=https%3A%2F%2Fwww.evernow.com%2F\">Evernow,<\/a> says doctors-in-training are often given clinical guidelines on questions and topics to discuss with women in their 20s during annual visits, but aren\u2019t typically offered similar guidance for women in midlife. \u201cWe are never taught in training that if you see a patient in their 40s to tell them, \u2018Hey, you might experience these symptoms,\u2019\u201d Dr. Miller says.<\/p>\n<blockquote>\n<p>&#8220;It\u2019s under-appreciated in the medical community how dramatically [menopause] symptoms can affect quality of life. It\u2019s really about how you value people in society who no longer have reproductive ability.&#8221; \u2014Taniqua Miller, MD, OB\/GYN<\/p>\n<\/blockquote>\n<p>With such limited (or non-existent) training, many doctors are not up to speed on the latest evidence-based practices for treating menopausal symptoms, says <a href=\"https:\/\/www.linkedin.com\/in\/goldman-mindy-9b7a8930\/\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.linkedin.com\/in\/goldman-mindy-9b7a8930\/\">Mindy Goldman<\/a>, MD, a board-certified OB\/GYN and chief clinical officer for <a href=\"https:\/\/www.joinmidi.com\/\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.joinmidi.com\/\">Midi Health<\/a>, a virtual care resource for women 40 and up. And that greatly affects their care, she says.<\/p>\n<p>\u201cEver since the publication of the large <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3963523\/\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3963523\/\">Women\u2019s Health Initiative<\/a> [study] in 2002, which raised concerns about [hormone therapy] increasing the risk of breast cancer, trainees in medicine have had little training in menopause in general, and the actual risks and benefits of HRT. We\u2019ve learned a lot more since that time,\u201d says Goldman. Subsequent research has shown lower doses of hormone therapy (HT), given to younger women for specific issues like hot flashes and vaginal dryness, <a href=\"https:\/\/www.menopause.org\/for-women\/menopauseflashes\/menopause-symptoms-and-treatments\/the-experts-do-agree-about-hormone-therapy\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.menopause.org\/for-women\/menopauseflashes\/menopause-symptoms-and-treatments\/the-experts-do-agree-about-hormone-therapy\">helps symptoms with very low risk<\/a>. \u201cThe types of hormones used today are safer and we know that for most women starting HRT soon after menopause the benefits outweigh the risks with lower risks of cardiovascular disease, bone loss, as well as symptom management, yet health care providers get little training in this area of medicine.\u201d<\/p>\n<p>Indeed, a 2020 study found that medical residents <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6597249\/\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6597249\/\">tend to shy away from offering hormone therapy (HT)<\/a> altogether, even when doing so is considered to be best practice. One third of the surveyed residents declined to offer hormone therapy to newly menopausal women, despite evidence supporting the safety of that treatment.<\/p>\n<p>Then there\u2019s the persistent view among some doctors that menopause is just part of aging and we should simply roll with the changes, says Dr. Miller. The above-mentioned Kindra survey found that 36 percent of women report being worried about being dismissed about menopause by their health care providers; of those who sought care, nearly 60 percent found their doctors\u2019 advice unhelpful.<\/p>\n<p>\u201cThere\u2019s an assumption that it\u2019s a natural transition and should be treated naturally; that women should just tough it out,\u201d Dr. Miller says. \u201cIt\u2019s under-appreciated in the medical community how dramatically symptoms can affect quality of life. It\u2019s really about how you value people in society who no longer have reproductive ability.\u201d<\/p>\n<h2><strong>How to avoid menopause gaslighting and get your concerns addressed<\/strong><\/h2>\n<p>If you suspect you\u2019re starting to go through the menopause transition, Dr. Miller recommends you first educate yourself on menopause, its symptoms, and treatment through trusted sources like <a href=\"https:\/\/www.menopause.org\/\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.menopause.org\/\">NAMS<\/a> <em>before<\/em> you talk to your doctor.<\/p>\n<p>\u201cWe know when you have education on symptoms, outcomes actually improve,\u201d she says. \u201cDo your homework, understand what\u2019s going on. Don\u2019t be fully dependent on your clinician to educate you.\u201d<\/p>\n<p>If you feel your concerns are being dismissed by your doctor (or are worried that will happen), it&#8217;s crucial to be your own advocate, says Dr. Gilberg-Lenz, who authored <a href=\"https:\/\/thedrsuzanne.com\/themenopausebootcamp\/\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/thedrsuzanne.com\/themenopausebootcamp\/\"><em>The Menopause Bootcamp<\/em><\/a>, which includes actionable tips to prepare for your doctor\u2019s appointment. \u201cWrite down your symptoms and questions, being specific about what you&#8217;re experiencing, to take to your next appointment. Another great tip is to bring a supportive advocate like a friend or family member to provide another voice to your doctor,\u201d she says.<\/p>\n<p>If possible, Dr. Miller also recommends setting up a dedicated appointment to discuss menopause with your doctor, as opposed to trying to squeeze such a broad topic into an annual physical or well-woman visit. \u201cIf you still feel your concerns are being blown off, find someone else. So many women I talk to say they don\u2019t feel seen or heard by the same OB\/GYNs who delivered their babies once they reach menopause,\u201d she adds.<\/p>\n<h2><strong>Why finding specialized menopausal care can be the answer<\/strong><\/h2>\n<p>Because menopause symptoms often occur across the medical spectrum (think: mental health symptoms like anxiety, vasomotor symptoms like heart palpitations and hot flashes, gynecological symptoms like vaginal dryness) it can be difficult to find one doctor who has the necessary training to address a wide range of concerns, says Dr. Goldman. Finding a provider who is a <a href=\"https:\/\/www.menopause.org\/for-professionals\/ncmp-certification\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.menopause.org\/for-professionals\/ncmp-certification\">NAMS Certified Menopause Practitioner<\/a> (NCMP) can be a godsend for many women, all three doctors say. These medical professionals have passed an additional exam proving their competency and ability to treat menopause-related conditions; they have to renew their certification every three years to retain their credentials.<\/p>\n<p>\u201cThink about the patient with sleep troubles, period problems, and weight changes, who might seek help from a sleep doctor, their OB\/GYN, and their internist, never speaking to a clinician who connects the dots between these symptoms,\u201d says Dr. Goldman. \u201cWe hear from so many patients at Midi who have appreciated being able to meet with one specialist clinician who can look at the whole picture of their specific symptoms and develop a personalized treatment program for their needs. They much prefer that to piecing together care\u00a0that may not be effective from multiple providers, or worse, having their concerns dismissed altogether.\u201d<\/p>\n<p>While you can do an <a href=\"https:\/\/portal.menopause.org\/NAMS\/NAMS\/Directory\/Menopause-Practitioner.aspx\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/portal.menopause.org\/NAMS\/NAMS\/Directory\/Menopause-Practitioner.aspx\">online search<\/a> for a NCMP in your area, there are only about 1,900 of them in the U.S.\u2014meaning it may be hard to find one close by, especially if you live in a rural location. Virtual care platforms such as Evernow, Midi, and <a href=\"https:\/\/www.gennev.com\/kindra\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.gennev.com\/kindra\">Gennev<\/a>, (a partner of Kindra) help fill that gap by providing dedicated menopausal care to women who otherwise might not have access to a NCMP.<\/p>\n<p>\u201cWhen you look at these platforms, they have some of the best experts in menopausal care,\u201d says Dr. Miller. \u201cThese are practitioners who live and breathe menopause and are ready to partner with you to find solutions.\u201d<\/p>\n<p>Having access to practitioners who understand menopause and how to treat it also helps alleviate concerns women might have of being dismissed, misdiagnosed, or not receiving the proper treatment, says Dr. Goldman.<\/p>\n<p>\u201cWomen need to know that there are solutions and that there is no need to suffer,\u201d says Dr. Goldman. \u201cFinding a specialty provider who will take the time and have the dedicated training and education to understand specific symptoms and be able to work with your individual needs\u2014not just on one initial visit, but along the way to make adjustments and changes as needed based on what\u2019s working for you and side effects you might experience\u2014is the biggest solution to this situation.\u201d<\/p>\n<h2><strong>When will menopause finally get the attention it deserves?<\/strong><\/h2>\n<p>While the medical community may be a bit behind, it is encouraging that the larger societal conversation around \u201cthe change\u201d is, well, changing. Menopause is no longer the taboo subject it was when our grandmothers (and in some cases, mothers) went through it\u2014even the fact that there are now TV commercials hawking menopausal products is progress.<\/p>\n<p>As each new generation begins to reach perimenopause and menopause, we can expect talk about menopause to become more open and less stigmatized, much like it has been with topics such as menstruation and mental health, says Miller.<\/p>\n<p>\u201cFrom a generational standpoint, we are not going back. Women in Gen X are experiencing menopause differently than Baby Boomers who didn\u2019t talk about it or question doctors,\u201d says Dr. Miller. \u201cI don\u2019t think we\u2019re putting menopause back in a box.\u201d<\/p>\n<div class=\"block-thin post-citations mt-[40px] mb-[30px]\" data-module-init=\"main-2020\/post-citations\" data-module-immediate=\"true\">\n<hr class=\"!border-seafoam-dark mb-[24px]\"\/>\n<div class=\"post-citations-content flex flex-col gap-[24px]\">\n<p>Well+Good articles reference scientific, reliable, recent, robust studies to back up the information we share. You can trust us along your wellness journey.<\/p>\n<div>\n<ol class=\"!ml-[18px] !mt-0\">\n<li>\n              Simon, James A, and Kathleen Z Reape. \u201cUnderstanding the menopausal experiences of professional women.\u201d\u00a0<i>Menopause (New York, N.Y.)<\/i>\u00a0vol. 16,1 (2009): 73-6. doi:10.1097\/gme.0b013e31817b614a            <\/li>\n<li>\n              Williams, Rachel E et al. \u201cHealthcare seeking and treatment for menopausal symptoms in the United States.\u201d <em>Maturitas<\/em> vol. 58,4 (2007): 348-58. doi:10.1016\/j.maturitas.2007.09.006            <\/li>\n<li>\n              Allen, Jennifer T et al. \u201cNeeds assessment of menopause education in United States obstetrics and gynecology residency training programs.\u201d <em>Menopause<\/em> <em>(New York, N.Y.)<\/em> vol. 30,10 (2023): 1002-1005. doi:10.1097\/GME.0000000000002234            <\/li>\n<li>\n              Kling, Juliana M et al. \u201cMenopause Management Knowledge in Postgraduate Family Medicine, Internal Medicine, and Obstetrics and Gynecology Residents: A Cross-Sectional Survey.\u201d <em>Mayo Clinic proceedings<\/em> vol. 94,2 (2019): 242-253. doi:10.1016\/j.mayocp.2018.08.033            <\/li>\n<li>\n              Manson, JoAnn E et al. \u201cMenopausal hormone therapy and health outcomes during the intervention and extended poststopping phases of the Women\u2019s Health Initiative randomized trials.\u201d <em>JAMA<\/em> vol. 310,13 (2013): 1353-68. doi:10.1001\/jama.2013.278040            <\/li>\n<li>\n              Berga, Sarah L, and Vesna D Garovic. \u201cBarriers to the Care of Menopausal Women.\u201d <em>Mayo Clinic proceedings<\/em> vol. 94,2 (2019): 191-193. doi:10.1016\/j.mayocp.2018.12.016            <\/li>\n<\/ol><\/div>\n<\/p><\/div>\n<hr class=\"!border-seafoam-dark mt-[24px]\"\/>\n  <\/div>\n<\/p><\/div>\n<div data-type=\"_mgwidget\" data-widget-id=\"1675549\">\r\n<\/div>\r\n<script>(function(w,q){w[q]=w[q]||[];w[q].push([\"_mgc.load\"])})(window,\"_mgq\");\r\n<\/script>\r\n\n","protected":false},"excerpt":{"rendered":"<p>If you\u2019re a woman in your mid-30s, 40s, 50s, or older, chances are you\u2019ve experienced menopausal symptoms. Hot flashes, night sweats, mood swings, brain fog, vaginal dryness, dry skin, weight gain, and trouble sleeping are all hallmark symptoms of menopause, which \u201cofficially\u201d begins one year after your last period, and perimenopause, a transitional period of &hellip;<\/p>\n","protected":false},"author":3,"featured_media":9458,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-9457","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/loudhdtv.com\/index.php?rest_route=\/wp\/v2\/posts\/9457","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/loudhdtv.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/loudhdtv.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/loudhdtv.com\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/loudhdtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=9457"}],"version-history":[{"count":0,"href":"https:\/\/loudhdtv.com\/index.php?rest_route=\/wp\/v2\/posts\/9457\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/loudhdtv.com\/index.php?rest_route=\/wp\/v2\/media\/9458"}],"wp:attachment":[{"href":"https:\/\/loudhdtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=9457"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/loudhdtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=9457"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/loudhdtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=9457"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}