Women's Midlife Health: Reframing Menopause

The 1998 document highlights the need for a reframed approach to menopause, viewing it as a natural part of aging rather than a deficiency or disease. It discusses the endocrinological, physical, and psychological changes associated with menopause, including rising FSH levels, menstrual irregularities, hot flashes, sleep disturbances, and changes in sexuality, breast, cardiovascular, and skeletal health. The document suggests individualized care by midwives, considering each woman's preferences and risk factors, and emphasizes lifestyle changes, hormone replacement therapy (HRT), and other treatments for managing symptoms. It also addresses health screenings and interventions, the use of serum FSH levels for diagnosing menopause, and the importance of midwives in supporting women through this transition. The document underscores the variability in women's experiences of menopause and the importance of informed decision-making in midlife health management.