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Menopause: A complex and controversial journey
1Department of OBGYN, 1104 University of New Mexico Hospital, Albuquerque, USA.
Post Reproductive Health
|September 22, 2017
Summary
Menopause, the permanent cessation of menstruation, has historically been viewed as a disease. This paper reviews its history, feminist perspectives, and hormone replacement therapy (HRT) benefits and risks.
Area of Science:
- Reproductive Endocrinology
- Women's Health
- Medical History
Background:
- Menopause, defined as 12 months of amenorrhea, has been historically framed as a disease, contrasting with feminist perspectives.
- Past discourse often labeled menopause as a "disease of the castrates," overlooking diverse patient experiences.
- Recent years have seen significant feminist contributions to discussions on menopause and contraception.
Purpose of the Study:
- To provide a historical overview of menopause and hormone replacement therapy (HRT).
- To discuss evolving perspectives on menopause, including feminist viewpoints.
- To analyze the benefits, risks, compliance, and discontinuation factors of HRT.
Main Methods:
- Literature review of historical and contemporary discourse on menopause.
- Analysis of feminist contributions to the menopause debate.
- Examination of data regarding hormone replacement therapy (HRT) efficacy and patient adherence.
Main Results:
- Menopause has transitioned from a disease-centric view to encompass broader socio-feminist perspectives.
- Hormone replacement therapy (HRT) presents a complex profile of benefits and risks.
- Patient autonomy and individual experiences are increasingly recognized as crucial in menopause care.
Conclusions:
- Primary care providers must be knowledgeable about menopause to offer patient-centered care.
- Respecting patient autonomy and decision-making is paramount in managing menopause.
- A comprehensive understanding of menopause requires integrating historical, medical, and socio-feminist viewpoints.