The Silent Passage

Gail Sheehy’s book about menopause is a classic guide in desperate need of updating—I think there’s been a lot more research about the impact of HRT, but she sells it as the easiest way to drop a Get Out of Jail card to avoid the peskiest of effects.

George Sand wrote a letter to her editor in 1853 that mentions her state:

“I am as well as I can be, given the crisis of my age. So far everything has taken place without grave consequence, but with sweats that I find overwhelming, and which are laughable because they are imaginary. I experience the phenomenon of believing that I am sweating 15 or 20 times a day and night… I have both the heat and the fatigue. I wipe my face with a white handkerchief and it is laughable because I am not sweating at all. However, that makes me very tired.”

Natural remedies for perimenopausal symptoms:

  • Dong quai
  • Black cohosh
  • Vitamin E and licorice
  • Siberian ginseng
  • Tofu & soy milk

Also, birth control pills can help mitigate some of the symptoms during peri-pause. “The body still manufactures its own estrogen, erratically, now and then, causing an excess of the hormone. The way around it is to give a dose of estrogen high enough to suppress the body from making its own, such as that contained in oral contraceptive pills.”

Apparently weight plays a big difference in how you experience the pause, with plump ladies having fewer effects usually. Other ways your diet can help you through this:

  • Decrease fat intake
  • Increase calcium intake
  • Increase tofu
  • Eat yams (source of natural plant estrogen, lots of beta carotene that’s an antioxidant)

Let’s not forget that heart disease is the number one killer of ladies over 50 though. To that end:

  • Don’t smoke
  • Cut down on animal fat/trans-fat. Diet for midlife women: low in fat/dairy products, high in phytoestrogens (soy milk!), high in veggies/fruit, esp those with Vitamin E & folic acid, high in fiber, small portions (frequent small meals)
  • Exercise – rapid walking!
  • Reduce stress

What about bones?!

  • Calcium supplmements
  • Brisk walking
  • Tai Chi!