Mon Oct 7

Is there anything good about menopause? Yep, here are 4 things to look forward to

Written by Yvonne Middlewick, Nurse, Lecturer & Director of Post-graduate Studies in the School of Nursing and Midwifery, Edith Cowan University

Menopause is having a bit of a moment ^[1], with less stigma and more awareness about the changes it can bring.

A recent senate inquiry recommended ^[2] public education about perimenopause and menopause, more affordable treatments and flexible work arrangements.

But like many things in life the experiences of menopause are on a continuum. While some women find it challenging and require support, others experience some physical and emotional benefits. These are rarely reported – but we can learn from the research available and, importantly, from people’s lived experiences.

Here are four changes to look forward to once you reach menopause.

1. No more periods or related issues

Menopause ^[3] is considered “complete” 12 months after the final period of a woman (or person assigned female at birth) who previously menstruated.

Perhaps unsurprisingly, the benefit at the top of the list is no more periods (unless you are taking hormone therapy and still have your womb). This can be particularly beneficial for women who have had to manage erratic, unpredictable and heavy bleeding ^[4].

At last, you don’t need to keep sanitary protection in every bag “just in case”. No more planning where the bathroom is or having to take extra clothes. And you’ll save money by not purchasing sanitary products.

There is also good news for women who have had heavy bleeding due to uterine fibroids – common benign gynaecological tumours that affect up to 80% of women. The evidence suggests ^[5] hormonal changes (for women not taking hormone therapy) can lead to a reduction in the size of fibroids and relieve symptoms.

Women who suffer from menstrual migraine may experience an improvement in migraines post-menopause as their hormonal fluctuations begin to settle – but the timeframe for this remains unclear ^[6].

For some women, no more periods also means more participation in social activities from which they may have been excluded due to periods. For example, religious activities or food preparation ^[7] in some cultures.

2. Getting your body and your groove back

Throughout their reproductive lives, women in heterosexual relationships are usually the ones expected to be proactive about preventing pregnancy ^[8].

Some post-menopausal women describe ^[9] a re-emergence of their sexuality and a sense of sexual freedom that they had not previously experienced (despite contraceptive availability) as there is no longer a risk of pregnancy.

A participant in my research into women’s experiences of menopause ^[10] described the joy of no longer being child-bearing age:

I’ve got a body back for me, you know, coz I can’t get pregnant, not that I haven’t enjoyed having [children] and things like that and it was a decision to get pregnant but I feel like, ooh my body isn’t for anybody now but me, people, you know?

For women who have chosen to be child-free there may also be a sense of freedom from social expectations. People will likely stop asking them when they are planning to have children.

3. A new chapter and a time to focus on yourself

Another participant described ^[11] menopause as an unexpected “acceleration point” for change.

Women told us they were more accepting of themselves and their needs rather than being focused on the needs of other people. Researchers have previously tracked this shift ^[12] from “living for others” to “a life of one’s own”.

Some women find the strength of emotions at this time a challenge, whereas others find their potency can facilitate liberation ^[13] – enabling them to speak their minds or be more assertive than at any other time in their lives.

4. Increased self-confidence

A new sense of liberation can fuel increased self-confidence at menopause. This has been reported ^[14] in studies based on in-depth interviews with women ^[15].

Confidence boosts can coincide with changes in career and sometimes in relationships ^[16] as priorities and self-advocacy transform.

Life on the other side

It can be hard to think about what is good about menopause, particularly if you are having challenges during perimenopause – but these can get better with time.

In cultures where women are valued as they become older ^[17], women describe themselves as positively contributing to the community. They find they gain power and respect as they age.

We need to work towards more positive societal attitudes on this front. Our bodies change across the lifespan and are remarkable at every stage, including menopause.