Interview/ Dr Manjula Anagani, clinical director, robotic gynaecologist and head of department, Care Vatsalya, Women and Child Institute, Hyderabad
Q/ What is menopause?
A/ Menopause is the conclusion of month to month cycles for 12 successive months because of diminishing ovarian capacity. It ordinarily happens somewhere between age 45 and 55, yet can vary in light of hereditary, natural and wellbeing components. It is an unavoidable point in a woman’s journey, yet is one of the least comprehended and most undermentioned wellbeing conditions.
Q/ What are its various stages?
A/ Perimenopause: Can last 4-10 years; characterised by irregular cycles and hormone inconsistencies.
Menopause: Formally begins 12 months after the last monthly cycle.
Postmenopause: The period after menopause, where side effects may continue or develop.
A patient once came to me befuddled about her manifestations―hot surges, state of mind swings, unstable periods―thinking it was simply pressure. A nitty gritty meeting uncovered she was in perimenopause. Understanding these stages can help women oversee their wellbeing proactively.
Q/ How does menopause in Indian women compare with that of women in the west?
A/ Many Indian women report menopause symptoms similar to people in the west like hot flashes and sleep issues. However, cultural factors influence their perceptions, with psychological changes often discounted as mere ‘weakness’ or stress rather than hormonal changes. Recognising these as medical symptoms rather than just life burdens is crucial. Indians experience menopause sooner than women in the west, potentially because of hereditary and way of life contrasts. Indians are also exposed to genetic risks such as those for osteoporosis. The connection between hormonal switches and life stages is still under investigation.
Q/ How long do symptoms persist?
A/ Symptoms sometimes linger for half a decade post menopause. Each phase demands an individualised holistic approach incorporating behaviour modifications, interventions, and psychological help.
Q/ How far reaching are the effects of menopause?
A/ Menopause brings significant physical and emotional changes that shake the foundations of daily routine, inducing fatigue, sadness, weakening bones and heart risks. Yet, societal dictates often compel women to simply endure. One patient described to me feeling like she had lost authority over her body. It is far more than a milestone of age―it ushers in a life-altering season requiring medical and emotional backup.
Q/ What are the most common myths about menopause?
A/ Menopause implies the conclusion of an active life and that HRT is the sole answer. The reality is that an active life can be restored by concentrating on wellbeing and individual objectives. Lifestyle changes, modifications in eating regimen and different treatments can help.
Q/ What are some natural ways to manage hormonal changes?
A/ Phytoestrogens found in soy and flaxseeds could help temper fluctuations. Exercise provides numerous physical and mental benefits, helping some women handle hot flashes or mood swings. Stress management techniques including yoga and meditation can make symptoms easier to bear. Calcium and vitamin D supplements reinforce bone health. The discussion surrounding menopause is overdue for upgrading. Medical professionals require more comprehensive training to confidently assist each patient. In society, widespread acceptance and a spirit of sisterhood could encourage women to approach this phase feeling embraced rather than alienated. With open dialogue, we help empower others to navigate changes with self-possession instead of suffering silently.
Q/ Is menopause just an end?
A/ Menopause is not really an end but an entrance to another period of life. With the correct method, women can embrace this change emphatically. Uplift women in menopause; encourage open conversations; give enthusiastic backup; advance solid way of life decisions and seek clinical help when needed. Support from family and friends can make all the difference. Even a simple ‘How are you feeling today?’ can be incredibly reassuring.