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[Climacteric--medicalization, minimalization or normalization?].

B Hovelius1, H Ekström, J Esseveld

  • 1Samhällsmedicinska institutionen, Lunds universitet, Malmö. Birgitta.Hovelius@smi.mas.lu.se

Lakartidningen
|February 24, 2001
PubMed
Summary
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Women's experiences of the climacteric differ from the biomedical model, which views menopause as a disease. A holistic approach respecting women's autonomy is recommended for menopause care.

Area of Science:

  • Integrative medicine and women's health.
  • Critique of the biomedical model in gynecology.
  • Socio-cultural aspects of menopause.

Context:

  • The biomedical model frames the climacteric and menopause as "estrogen deficiency disease," a risk factor for illness.
  • This perspective may lead to medicalization, pathologization, and increased reliance on healthcare systems.
  • Women using hormonal therapy differ significantly from non-users, complicating epidemiological studies on long-term effects.

Purpose:

  • To challenge the biomedical model's limitations in understanding women's climacteric experiences.
  • To advocate for a holistic approach in midlife women's healthcare consultations.
  • To emphasize the importance of women's autonomy in decision-making regarding menopause and hormonal therapy.

Summary:

Related Experiment Videos

  • Women's lived experiences of the climacteric are often misaligned with the biomedical view of menopause as a deficiency disease.
  • A holistic approach is proposed, considering gender identity, life conditions, and individual perspectives on diagnosis and treatment.
  • The decision-making process for hormonal therapy should empower women, given the uncertainties surrounding its risks and benefits.

Impact:

  • Promotes a patient-centered, individualized approach to menopause care, moving beyond a disease-centric model.
  • Encourages critical evaluation of medicalization and pathologization of women's health experiences.
  • Supports informed decision-making and respects women's autonomy in managing climacteric symptoms and treatments.