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'The Wisdom of Menopause' by Dr. Christiane Northrup is a powerful guide that transforms menopause from a "problem period" into a time of growth and strength. She approaches the process holistically — looking at body, emotions, and spirit. The book is updated with the latest research on sex after 50, hormone therapy, bone health, diet, and spiritual transformation.
Menopause progresses through three phases: perimenopause (the menstrual cycle continues but may be irregular and include early menopause symptoms); menopause (12 months with no menstrual cycle); and postmenopause (the years following menopause). Some experts add premenopause (menstrual cycles with established hormones without any fertility changes) and late perimenopause (the later stages of change) to the phases.
Perimenopause typically begins in your mid-to-late 40s, though it can begin as early as your late 30s or as late as your early 50s. This transition generally lasts an average of four years but can extend up to ten years. Genetics, lifestyle, and overall health influence when it starts and how long it lasts for each woman.
The healthiest age range is between 45 and 55, with an average age of 51. An earlier menopause (before 40) increases risks for osteoporosis and heart disease. Later menopause (after 55) may slightly increase breast and ovarian cancer risks. However, timing is mainly genetic, and you can't control it — only manage its effects.
Five key nuances of menopause: hormonal changes that affect mood and energy; hot flashes and sweating; sleep disturbances; risks to bones and the heart; and changes in sex life and intimacy. Understanding these aspects helps a woman accept herself and maintain her health.
During menopause, particular attention should be paid to hormonal balance, bones, and the heart. Women may be advised to supplement calcium and vitamin D for their bones, as well as magnesium and omega-3 for their heart health. Herbal supplements (e.g., black cohosh or soy) are different than prescription medication to alleviate hot flashes. It is important to exercise regularly and eat a balanced diet.
Oprah Winfrey has been very candid about menopause, admitting to having heart palpitations, difficulty concentrating, and difficulty reading — so much so that she temporarily suspended her book club. She called it "living like you're dying every night" and urged women to find a doctor who will truly listen. She also added that aging is not something to be ashamed of. Fighting aging is absurd.
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