The Lancet publishes series of papers addressing menopause and the need for a new approach to treatment and support
Menopause is a significant stage in a woman’s life, and the approach to its treatment and support is crucial. The Lancet has recently published a series of papers addressing menopause, coinciding with International Women’s Day, which emphasizes the need to invest in women and accelerate progress.
The authors of the Lancet papers advocate for a new approach that focuses on empowering women during this life stage. They define empowerment as an active process involving gaining knowledge, confidence, and self-determination to self-manage health and make informed decisions. This approach positions the patient as an expert in their own condition, with the healthcare worker supporting them as an equal and active partner in managing their care.
While this perspective is commendable, the authors also argue that a medicalized view of menopause disempowers women. However, a study cited in the Lancet (Steptoe et al., Lancet, 14 Feb. 2015) reports the lowest levels of wellbeing in ages 45-54 years in high-income countries, which aligns with the typical years of menopausal transition in these populations.
One case study highlights the challenges women may face during the menopausal transition. A 38-year-old woman experienced a range of symptoms, including anxiety, low mood, insomnia, and physical discomfort. Despite seeking medical help, her symptoms were not effectively addressed until she presented with night sweats at the age of 44, leading to a diagnosis of menopause.
This case underscores the need for a comprehensive and supportive approach to women’s health during menopause. By recognizing the transformative effects of appropriate treatment and support, healthcare providers can ensure that women receive the gold standard of care during this significant life stage.