Gather around, my young friends and fellow dinosaurs, let me tell you about some BULLSHIT no one ever tells you about. I'm talking about menopause and perimenopause. Now, menopause has a very stringent medical definition. You have to not have had a period for exactly 12 months and a day to be considered in menopause. All the bullshit before that day once you start going through The Change is considered perimenopause. Here's some bullshit you might experience that people actually talk about when you're in perimenopause:
- shorter time between periods
- hot flashes and/or cold flashes
- Vagina as dry as the Sahara desert
- lighter periods and/or endless bleeding like it's The Flood but it's in your pants
- lack of interest in Adult Fun Times
This time of joy can last anywhere from a couple of years to a god damn decade and there's no medical way right now to predict it.
Here's some of the REAL bullshit they don't tell you about but your dinosaur aunt is here to let you know:
- You can start perimenopause in your 30s, don't listen to idiot doctors who tell you you're "too young" because they don't know your body like you do.
- Perimenopause will make you HELLA DUMB. Seriously, I'm talking Bigly broken brain. Brain fog? Check. Short term memory? Wave goodbye to it. Ability to make words form out of thoughts? Yeah, good luck to you.
- Perimenopause can cause horrible fatigue because in addition to losing estrogen, you're also losing testosterone. Oh and that also leads to muscle wasting, cool cool.
- Things might suddenly hurt more because estrogen is known to be neuroprotective.
- If you're super lucky like I am, and like to collect rare illnesses, you might even get Burning Mouth Syndrome 💀
- And meanwhile, while you're going through this bullshit, you'll be getting gaslit by doctors who are operating based on 30 year old debunked data about how HRT causes breast cancer (not really) and that they shouldn't put you on it until you're in actual menopause. (Data shows starting HRT early can potentially prevent Alzheimer's in later years.)
- There are entire online clinics right now (I use Midi Health) focused on providing care for peri and menopausal patients and they will happily prescribe you HRT even if your regular PCP or OBGYN do not (if you meet the criteria). I've been pretty impressed with how holistically they view the patient. For full disclosure, I learned about them from my integrative health doctor and they do not accept Medicare (yet).
I'm 46 years old right now and I've been symptomatic for perimenopause for the last 8 years, although it's gotten the most dramatic in the past 2 years or so, which I hope means I'm almost done, holy hell. Yeah I was on the early side, but if it can happen to me, it can happen to you, so it's never too early to think about these things. And I hope to at least spare some of you the mind-fuckery I've been through because no one told me about most of this stuff, including my own mother who just DOESN'T REMEMBER what happened to her and now I completely understand why. And because I also have a connective tissue disease, I used to just dismiss my pain and fatigue as being caused by that illness rather than the loss of hormones.
Anyways, this is why we need Elders in our lives, so they can do Grandma Story Hour like I just did and validate you when the entire medical field tries to gaslight you. I hope you've found some or all of this educational/useful. Please share with your friends because we really do NOT talk about this stuff enough. (Ewwww Moon Blood!)
Stay well, and don't let the bastards grind you down!
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