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Menopause

Menopause- Not just a women’s problem

With serious impacts on women’s mental health, perimenopause and menopause is costing UK economy 14 million working days per year

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Kate Bache, Health & Her co-founder

As Health & Her research reveals one in ten women have suicidal thoughts during menopause, Kate Bache says menopause is a problem for both society and economy.

In the UK, 370,000 women aged between 50 and 64 have left or considered leaving their career due to the intensity of their menopause symptoms and another quarter had to reduce their hours or change their working pattern entirely.

Such figures suggest a huge need for support, says Kate Bache, co-founder of Health & Her – a platform offering expert advice and products for women experiencing perimenopause and menopause.

Her company’s research has shown that one in ten women have suicidal thoughts during perimenopause and nine in ten are struggling with their mental health while also having the highest rate of divorce.

“These are just the facts,” Bache explains. “But they don’t tell you about the impacts on perhaps women’s children or their elderly parents. With many women being the nucleus of their family and community, menopause is definitely having a big societal effect.

“It is a problem for both society and economy,” she continues. “That’s why it’s really important to make progress and start talking about it.

“It’s unfortunate that there are still people out there who don’t take menopause seriously. I don’t think women are being self-centred with regards to menopause. In fact, if anything, they’re being selfless by making sure that they are healthy and feeling good about themselves so that they can continue to do everything they do every day.”

To help employers, Health & Her has launched a personalised employer menopause support plan that allows companies to empower their workers with specialist advice and training,  along with an app that helps women track their symptoms, learn about their body and build new habits.

“A lot of the psychology around tracking your perimenopause and menopause symptoms is about taking control and understanding your own self and the app helps women do exactly that,” Bache tells me. “We knew this was a really important part of what we should do and we’ve always taken a very holistic approach. We wanted to empower women to make the right decision for them, their symptoms and their journey.”

Different lifestyle factors and daily habits can have a great impact on women’s symptoms. Studies have suggested that cognitive behavioural therapy is a non-medical approach that can be helpful for symptoms such as hot flashes, anxiety, low mood and even low libido.

The co-founder says that: “It’s not as easy as just taking a pill. Unfortunately, to improve your symptoms, you have to look at other health aspects in your life alongside that.

“So, we looked at evidence and we tried to bring that to women in the best accessible way,” she adds. “One of the reasons why many users think our app is different is because of the daily reminders and tools that help them make small changes in their life.

“Our pelvic floor exercise did very well and other sleep, meditation and breathing exercises help women enormously with all sorts of symptoms like anxiety, mental health and insomnia.”

             Between 70 and 80 per cent of the women who used the Health & Her app noticed improvement in their symptoms

Although women’s life stages have been historically neglected, Bache says that things are starting to change. “I think there is a rightly so more conversation opening up,” she points out.

“Women are now having the opportunity to be in positions of power that can really drive that forward. But menopause awareness is more needed than ever because it’s having an even bigger impact on society.”

Recent studies have shown that women are more at risk of osteoporosis and heart disease post-menopause and the way they manage their menopause symptoms has been seen as an important factor in determining their health in later life.

“Women start to understand that it is something bigger here and that there are many ways they can take care of themselves,” Kate Bache says.

“Data is critical in this entire sector, because it will create better products, better technology and will inform and help healthcare professionals and health systems to provide better care,” she continues.

“Our team are unearthing insights all the time and we will be looking to make all that information available to healthcare professionals. That’s going to take a few years, but we absolutely see ourselves as being that thought leader.

“Fundamentally, our focus is on menopause, perimenopause and post-menopause, but there are still a lot of gaps everywhere [in the sector] in terms of insights and understanding. There is so much more that can be done.”

The co-founder is excited about improving and expanding Health & Her geographically. “What’s really important to us now is to expand our services and continue to innovate as rapidly as we have been doing.”

Download the free Health & Her app on App Store and Google Play.

For more info, visit healthandher.com.

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Cultural stigma is a barrier to menopause help, black women say

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Cultural stigma and a lack of education are making it harder to get menopause help, ethnic minority women in Jersey have said.

The women came together to share their stories at an event in St Helier hosted by Eve Studios and Liberty Underwear.

Participants were encouraged to speak openly about the symptoms they had experienced.

Angela Mowanga, from Jersey, told ITV Channel: “I became dismissive about signs and symptoms. From our parents and our grandparents, they just carried on.

“I hardly heard the word menopause spoken about in my household. We never had things like hot flushes, itchy skin and tiredness.

“So for us to start talking about menopause, there is a taboo around it. A taboo that comes from ignorance but also not being willing to educate ourselves.

“We as women of colour, societies of colour, we have a lot of taboo subjects, which now have to be highlighted with the generation today.

“However, with the modern day, society is changing. And we hope programmes like this can actually be well received.”

Daisy Ayebale, from Jersey, added: “I think it’s important we are listened to. We need the right information from the experts, but we have also been overlooked when it comes to the healthcare system.

“We need to know this information before it’s too late, before you’re gambling with your health. We are glad to be changing the narrative, we are glad to be changing things right now. We are very hopeful.”

Research shows that black women are more likely to experience menopausal symptoms earlier, more intensely and for longer.

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Insight

Women urged to be wary of menopause misinformation on social media

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Women are being urged to seek evidence-based advice and avoid menopause misinformation shared on social media.

A seminar co-hosted by the World Health Organization (WHO) mainly examined what is known about the cognitive effects of menopause and current research in the field worldwide.

Dr Nicole Jaff, a South African academic and certified menopause practitioner, said research into menopause and its effects was now at a peak.

She said: “There’s a lot of information out there.

“But I would say please look for the evidence-based information, not for the influencers and the misinformation, but those who are giving guidelines, who are giving information.”

Jaff highlighted research into cognitive changes during menopause and how some women experience brain fog, a term for difficulties with memory, concentration and clear thinking.

She said: “I’m very excited about the non-hormonal treatments that are now available, especially for women who could never take hormone therapy because of breast cancers and various cancers, who can now take it.

“I’m extremely excited about people who are standing up for evidence-based medicine, for science, who are actually fighting back against a lot of the social media and influencers who are not giving evidence-based information and making life very difficult for women because they think they should be forever young or buying this or buying that.”

Jaff advised women and healthcare workers to read new guidelines recently issued by the International Menopause Society. They are available free to download from its website.

The seminar also heard from Professor Aimee Spector, professor of clinical psychology of ageing at University College London.

She raised similar concerns about misinformation, particularly claims linking hormone replacement therapy, known as HRT, to dementia. Some claims suggest HRT reduces dementia risk, while others suggest it increases the risk.

Spector said: “I think there’s also lots of misinformation.

“And I think that there’s huge variations in how even professionals and doctors interpret this information.”

She was part of an international research team commissioned by the WHO last year to assess published studies on the issue.

The institutions involved also included the Global Brain Health Institute at Trinity College Dublin.

Spector said: “The first thing to say is that the quality of evidence was very low.

“Nine out of the 10 studies we looked at were observational, which means that you’re observing patterns over time. But you don’t necessarily know whether that’s due to the hormone therapy or not.

“Our overall recommendation was that there’s insufficient evidence for menopause hormone therapy in terms of either increasing or reducing the risk of dementia. In other words, we don’t know either way.”

Spector said women should therefore decide whether to use HRT to treat menopause symptoms rather than based on concerns about dementia.

She said: “It’s recommended for menopause symptoms, but it’s not recommended to reduce dementia. And I think a lot of people are saying that.”

The Menopause on the Brain webinar was part of an ongoing series hosted by the WHO and other global health agencies.

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News

Premature menopause is a high blood pressure risk, study finds

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Premature menopause is linked to a higher risk of developing high blood pressure, according to a study of more than 107,000 women.

The risk was highest among women who reached menopause between the ages of 25 and 35.

Researchers said the findings support earlier cardiovascular screening for women who reach menopause before the age of 40.

Dr Stephanie Faubion, medical director for The Menopause Society, said: “The results of this study highlight the potential adverse long-term health outcomes associated with premature menopause, and in particular, the need to regularly screen for cardiovascular risk factors such as hypertension.

“Use of hormone therapy is also routinely recommended in women with premature menopause at least until the natural age of menopause unless contraindications exist.”

Hormonal changes during menopause are known to affect women’s wider health, while earlier menopause has previously been linked to coronary heart disease and stroke.

Coronary heart disease develops when the blood vessels supplying the heart become narrowed or blocked.

However, previous evidence directly linking the timing of menopause to high blood pressure has been mixed.

High blood pressure, also known as hypertension, puts extra strain on the heart and blood vessels and can increase the risk of heart disease and stroke.

Researchers said it can be difficult to separate the direct effects of hormonal changes from factors that often accompany menopause, including weight gain, metabolic changes and other cardiovascular risks.

Metabolic changes affect how the body processes and uses energy, including sugar and fat.

The study analysed data from 107,836 postmenopausal women who joined the UK Biobank between 2006 and 2010. They were followed for a median of almost 15 years.

Researchers divided the women into three groups based on their age at menopause: after 45, between 40 and 45, or before 40.

They also examined whether menopause occurred naturally or followed surgery.

During the follow-up period, 18,508 women, or 17.2 per cent, were diagnosed with high blood pressure.

The proportion increased as the age at menopause fell. Hypertension developed in 16.6 per cent of women who experienced menopause after 45, compared with 18.8 per cent of those who reached menopause between 40 and 45.

Among women who experienced menopause before 40, 22.6 per cent developed the condition.

After taking account of more than 50 factors, including weight, lifestyle habits, family history and laboratory results, premature menopause remained linked to a 12.3 per cent higher risk of hypertension than menopause after age 45.

Further analysis suggested the risk peaked among women who reached menopause between the ages of 25 and 35.

The researchers said this may mean that the cardiovascular risk associated with premature menopause is concentrated among a younger group than the conventional under-40 definition suggests.

Surgical menopause was initially linked to higher rates of hypertension, but the association was no longer significant after other risk factors were taken into account.

The authors said clinicians should consider age at menopause as a distinct cardiovascular risk factor, particularly for women who experience it before 40.

They also called for earlier detection and management of hypertension, alongside individual discussions about hormone therapy.

Hormone therapy replaces hormones that decline during menopause and may be recommended for some women, depending on their individual health and medical history.

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