A gynecologist and obstetrician based in Aix-en-Provence has been using social media to highlight the many misunderstandings about perimenopause and menopause. These are the transitional periods leading up to and following the end of a woman's reproductive years, often marked by physical and emotional changes. The specialist explains that while some myths are harmless, others can lead to poor health decisions. One common belief is that menopause happens suddenly, but the specialist clarifies that it is preceded by perimenopause, a phase that can last several years. During this time, menstrual cycles may become irregular, with periods that are more frequent or heavier, along with other symptoms. However, in some cases, such as after an oophorectomy (removal of the ovaries) or certain chemotherapy treatments, the transition can be more sudden.
In France, the average age of menopause is around 52, but the process is rarely straightforward. A significant misconception is the idea that irregular periods mean contraception is no longer needed. The specialist emphasizes that ovulation can still occur, even if it is not regular, and that contraception should continue until menopause is confirmed—defined as twelve consecutive months without a menstrual period. Another common misconception is the belief that a blood test is necessary at the first sign of doubt. Except in cases where periods stop suddenly before the age of 45, the diagnosis of menopause is primarily based on the absence of periods for twelve months. Hormonal tests are not reliable at this age due to natural daily fluctuations and the influence of hormonal contraception.
Hot flashes are often seen as the main symptom of menopause, but the specialist notes that other symptoms are equally common. Misconceptions include the idea that vaginal dryness must be endured without seeking relief, and the fear that hormone therapy causes cancer, which needs to be re-evaluated based on current research. The specialist also addresses the belief that menopause before the age of 45 does not exist, emphasizing that early menopause is a real possibility that is often overlooked. Additionally, the idea that gynecological check-ups are unnecessary for women in menopause is a mistaken reflex that can have financial and health consequences.
The specialist encourages open conversations about these topics, stressing the importance of understanding the processes of perimenopause and menopause to reduce the stigma and fear associated with this phase of life. By gaining a better understanding, women can approach this period with confidence and continue to seek medical advice as needed.
Menopause Misconceptions and the Importance of Accurate Information
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