Unpacking Menopause

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“It shouldn’t require an act of feminism to know how your body works, but it does. And it seems there is no greater act of feminism than speaking up about a menopausal body in a patriarchal society. So let’s make some noise.” ~ Dr. Jen Gunter

I am turning forty-seven in October. In the last six months, my period has significantly changed for the first time in thirty-five years. It has gone from being regular and predictable to intermittent. This is an early sign that I am entering into perimenopause. Perimenopause means “around menopause” and refers to the time during which your body makes the natural transition to menopause, marking the end of the reproductive years.

Unlike the transition into puberty, this stage of a woman’s life seems to be shrouded in mystery. Neither myself, nor the friends that I have talked to about it, have any real idea what to expect, or how to prepare ourselves. In general, our mothers did not share their experiences, and due to my own mother’s journey with Alzheimer’s disease, I can no longer ask her about it.

I have decided to start educating myself on menopause and I am heartened by some of the good information that I have found out there so far. Notably, The Menopause Manifesto, was published in 2021 by gynaecologist Jen Gunter. It is a combination of personal anecdotes, hard science, and medical advice. Gunter breaks menopause down into its component parts, robbing it of its shame and secrecy. The book is organized in a way that makes it possible to pick and choose what to read based on need and curiosity. Each chapter ends with a useful summary, and diagrams help to illustrate the book’s statistics.

During the menopause transition, women can expect to experience symptoms such as weight gain, hot flashes, abnormal bleeding, temporary cognitive changes, vaginal dryness, pain during sex, decreased libido, depression and joint pain. There is also increased risk of osteoporosis, dementia, metabolic syndrome (a combination of diabetes, high blood pressure and obesity), type 2 diabetes and urinary tract infections.

It is not all, however, doom and gloom. As a gynaecologist, Gunter provides vital information on available treatments and support, from traditional hormone replacement therapies (HRT) to alternative medicines. She also discusses where we may be led astray by celebrity endorsements of natural remedies, and by “compound” therapies – treatments that resemble traditional HRT, but which remain largely unregulated and untested.

Gunter notes that patriarchal social structures mean that a woman’s worth is often weighed based on her youth and fertility. Gender and racial bias in the medical profession increase the risk of women with symptoms of menopause being dismissed. There is also a strong link to cardiovascular disease, which is responsible for the death of 1 in 3 females: more than die annually from breast cancer. This is why it is so important for us to be educated on our options and make informed choices about our healthcare.

In addition to reading Gunter’s book, I also recently listened to an interesting podcast released by Zoe on menopause, which I found to be very helpful. It features an interview with Dr. Louise Newson. She is a menopause specialist who holds an Advanced Menopause Specialist certificate with the Faculty of Sexual and Reproductive Healthcare and the British Menopause Society. She is passionate about improving education about the perimenopause and menopause and improving awareness of safe prescribing of HRT to healthcare professionals.

I hope that these resources are useful to you and I encourage you to share any others that you come across with me. I am interested in learning more about this transition so that I can support myself and my friends through this significant life change.

Something to Inspire

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“We’re not doomed in any way because whatever happens, we can begin, right now, to do our very best. There’s always something small we can do to alter our habitual response, even a little bit. It could be taking a few conscious breaths, or stepping back for a moment, or walking around the block to change the energy. It could be anything, as long as it interrupts the process of escalating our suffering in the exact same habitual way, over and over and over.”

~ Welcoming the Unwelcome: Wholehearted Living in a Brokenhearted World, by Pema Chödrön,

Something to Inspire

“Now. That’s the key. Now, now, now. Mindfulness trains you to be awake and alive, fully curious, about what? Well, about now, right? You sit in meditation and the out-breath is now and waking up from your fantasies is now and even the fantasies are now, although they seem to take you into the past and into the future. The more you can be completely now, the more you realize that you’re in the center of the world, standing in the middle of a sacred circle.”

~ Excerpted from: Awakening Loving-Kindness, Pema Chödrön, page 57

Better Brain Health Challenge

Alzheimer’s disease is a progressive neurologic disorder that causes the brain to shrink (atrophy) and brain cells to die. Alzheimer’s disease is the most common cause of dementia — a continuous decline in thinking, behavioural and social skills that affects a person’s ability to function independently.

Two of my close family members suffer from advanced Alzheimer’s disease. It is a terrible, debilitating illness; but research is showing that lifestyle choices make a big difference in prevention. I recently shared the amazing work of two neurologists, Drs Ayesha and Dean Sherazi, who have dedicated their careers to raising awareness on what can be done. They are launching a free 7-day challenge, starting on Monday June 13th. I will be taking part and I encourage you to check in out.

You can sign up for free by clicking on this link:

https://betterbrainhealthchallenge.mn.co/share/IocuZmDrME3G-7FO?utm_source=manual

Something to Inspire

“Can you learn to surf the chaos and uncertainty that real life includes without falling into a trance of unworthiness? You can. A surfer is powerless to change the towering wave rushing toward her. But she doesn’t want to change it. She wants to surf it and she learns to feel safe in the immense ocean of being even when she falls. She confidently gets right back up to meet the next wave.”  

Excerpted from: Zen in the Age of Anxiety: Wisdom for Navigating Our Modern Lives, by Tim Burkett, page 31

Something to Inspire

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“Status quo is not very helpful for spiritual growth, for using this short interval between birth and death. On the other hand, expanding our ability to feel comfortable in our own skin and in the world, so that we can be there as much as possible for other people, is a very worthy way to spend a human life.”
Excerpted from:

Welcoming the Unwelcome: Wholehearted Living in a Brokenhearted World
by Pema Chödrön

“If you make happiness your primary goal, you might miss out on the challenges that give life meaning. ..Bringing good things into your life, whether love, career success, or something else, usually involves risk. Risk doesn’t necessarily make us happy, and a risky life is going to bring disappointment. But it can also bring bigger rewards than a life played safe, as the study of happiness, academic achievement, and income suggests. Those with the highest performance at work and school made decisions that were probably unpleasant at times, and even scary…

As with everything in life, happiness has its trade-offs. Pursuing happiness to the exclusion of other goals–known as psychological hedonism–is not only an exercise in futility. It may also give you a life that you find you don’t want, one in which you don’t reach your full potential, you’re reluctant to take risks, and you choose fleeting pleasures over challenging experiences that give life meaning.”

How to Build a Life” is a weekly column by Arthur Brooks, tackling questions of meaning and happiness. 

The full article can be read in the Atlantic:

https://www.theatlantic.com/family/archive/2022/03/chasing-happiness-leads-to-dissatisfaction/629427/

A Fresh Slate

For the last twenty years, my garage has been overflowing with other people’s possessions: boxes, paintings and frames, dishes and china, photo albums, clothing, furniture, art work, paper work. You name it. I have stored it. Most of these items never get picked back up again. People move or they forget that they have put them there. People pass away. It has become the land of forgotten things.

This week, I spent four full days cleaning out my garage and getting rid of everything that is not mine or in active use. The junk guys had to do three pick ups from my house. It was epic and exhausting but I feel a great sense of accomplishment, ease and joy now that it is done. I have reclaimed this space. It is no longer cluttered, clogged and impossible to walk in. It is spacious and open.

It is interesting how physical spaces are often a reflection of our internal lives. I have only recently learned how to set boundaries and to say no. I was never taught this skill as a child, and if anything, I was actively taught that I should always say yes to others. No matter my own needs, the needs of others always came first.

I have since learned that this is neither healthy or sustainable. As Brené Brown says, “the most compassionate people have the most well-defined and well-respected boundaries.” This is because when they say yes, they mean it, and when they say no, they mean it. There is no hidden anger or resentment. A yes is an authentic yes. So moving forward, I am going to say no when anyone asks to store something in my garage: it is not theirs to fill up. This will leave me with the space to say yes to the things that I truly want to.

A Day of Reflection and Remembrance

September 30th, 2021 marks the first National Day for Truth and Reconciliation. The creation of this day is in response to the 94 calls to action from the Truth and Reconciliation Commission. It is a new federal statutory holiday in Canada, marking the genocide that took place in our country, as well as the irreparable, intergenerational harm that residential schools continue to afflict upon Indigenous families and communities. It honours the survivors. Residential schools were government-sponsored religious schools specifically established to “kill the Indian in the child” and assimilate Indigenous children into Euro-Canadian culture. They ran for over over a hundred years, from the late 1800s until 1996: impacting over 150,000 children.

The Truth and Reconciliation Commission final report estimates that more than 4,000 indigenous children died in residential schools from either neglect or abuse. It is believed that this number is actually five to ten times higher, but the final total is unknown, due to poor record keeping by the churches, and unmarked mass graves.

Throughout the spring and summer of 2021, many new discoveries of children’s bodies were made due to the ground penetrating radar technology. The Tk’emlúps te Secwépemc First Nation in British Columbia discovered 215 unmarked graves on the grounds of the former Kamloops Indian Residential School. The Penelakut First Nation located 160 undocumented and unmarked graves in the province’s Southern Gulf Islands, once home to the Kuper Island Residential School; and 750 unmarked graves were discovered on the grounds of the former Marieval Indian Residential School in Saskatchewan.

September 30 is also Orange Shirt Day. This is an Indigenous-led grassroots commemorative day that honours the children who survived Indian Residential Schools and remembers those who did not. This day originates from the experience of Phyllis Webstad, a Northern Secwpemc (Shuswap) from the Stswecem’c Xgat’tem First Nation, on her first day of school, where she arrived dressed in a new orange shirt, and it was taken away from her. It has come to symbolize the stripping away of culture, freedom and self-esteem experienced by Indigenous children over generations. Orange Shirt Day invites Canadians to wear orange shirts on September 30th each year to honour survivors of residential schools, their families, and their communities. 

Many Canadians view the residential school system as part of a distant past, disassociated from the current day. This is incorrect. The last residential school did not close its doors until 1996, and many of the leaders, teachers, parents, and grandparents of our Indigenous communities are residential school survivors. Although residential schools are closed, their effects remain ongoing for both survivors and their descendants who now share in the intergenerational effects of trauma and loss of language, culture, traditional teachings, and mental/spiritual wellbeing.

In Canada, 52.2% of children in foster care are Indigenous, but account for only 7.7% of the child population. This means 14,970 out of 28,665 foster children in private homes under the age of 15 are Indigenous: many of them permanently removed from Indigenous communities. Results from the 2011 National Household Survey also show that 38% of Indigenous children in Canada live in poverty, compared to 7% for non-Indigenous children. This stark reality illustrates the ongoing ripple effects of racists government policies, such as the Indian Residential School System, and the Indian Act.

On this first National Day of Truth and Reconciliation, every Canadians must take small, incremental steps on the path towards reconciliation. This can be done in many different ways, through learning, attending events, or donating to your community. It is a personal journey but one that we all need to commit to if we are to successfully move this country towards meaningful reconciliation with Indigenous peoples.

Here are some links that provide ideas for how you can take action today:

https://www.cbc.ca/news/canada/manitoba/community/personal-acts-reconciliation-1.4687405