“I am still in despair over losing my identity,” said a blog comment in a discussion about post-menopause weight gain. Instead of recovering an identity, for some of us, as women age, our attitudes toward fitness may require forging new identities. But the challenge in coming to desire fitness, post-menopause, is a project of actually changing my desires. Habituating a good practice can lead to a change in our appetites, so that instead of losing our identities, we may become the (...) characters that we set goals to be. (shrink)

Although previous studies showed that women’s menopause-related symptoms varied in different ethnic groups and countries, and were affected by specific social and cultural factors, few studies have been conducted to explore menopause-related symptoms and its influencing factors in middle-aged women among ethnic groups in China. This study aimed to explore the characteristics of menopause-related symptoms and its influencing factors among Mosuo, Yi, and Han women in Yongning area of Yunnan province, China. A cross-cultural design by snowball sampling method was used (...) to recruit 208 women aged 40–60 from Yongning Township, Ninglang County, Yunnan province, China. The 11-item Menopause Rating Scale was used to assess menopause-related symptoms. Compared with Yi and Han women, Mosuo women were accorded the highest family status. Multiple linear regression analyses showed that ethnicity, age, family support, and family decision-making patterns were associated with the severity of menopause-related symptoms. Yi and Han women had more severe menopause-related symptoms than Mosuo women. Among the three groups, women living in “female-dominated” and “co-deliberated” households had significantly lower scores of menopause-related symptoms than those in “male-dominated” households. This study indicates that menopause-related symptoms vary among middle-aged women in different ethnic groups. A higher level of female status in the family and family support may be protective factors of menopause-related symptoms in middle-aged women. (shrink)

This study focusses on discourses on menopause through a critical reading of a selection of nine self-help books on the topic in the context of Dutch-speaking Belgium and the Netherlands. The aim is to explore whether self-help books constrain or facilitate the development of emancipatory discourses on menopause. We combine feminist critiques that identify the experience of menopause as a site of potential for revolt with insights from queer and critical new-materialist theorisation to probe the books’ emancipatory capacity. Our analysis (...) identifies three prominent discursive repertoires: a medical, psycho-therapeutic and spiritual repertoire. Anger and erotic power emerge as important themes, albeit differently framed dependent on the discursive repertoires that the books employ. We conclude that none of the books succeed in disrupting prevailing oppressive discourses that devalue ageing women. There are two important constraints, notably the books’ individualistic and depoliticised stance and their reductionist view on the biological body. As a way out, we propose a gaga feminist reading of menopause that looks at anger and erotic power as sites of ‘biopossibilities’ that may open space for overthrowing oppressive models of gender, sexuality and desire. (shrink)

Recent feminist research suggests that individual women find menopause an inconsequential or positive experience overall. While recent aging scholarship also documents that contemporary individuals often define aging neutrally or positively, menopause may not resemble other aging processes in meaning and experience. The author argues that menopause, or reproductive aging, may be unique because of its reproductive and aging contexts. Data in this article are based on interviews with 45 middle-class, heterosexual, menopausal women in a midwestern state in 2001. Interviewees propose (...) that, upon menopause, they do not feel old. They explain these feelings by describing their widespread use of contraceptive technologies, greater enjoyment of sexual activity upon menopause, and parallels between menopause and menarche. As women in this sample place menopause within the context of previous reproductive experiences and compare it to other aging processes, they suggest that reproductive aging represents a “good old.”. (shrink)

Past research finds that after menopause some women experience negative changes such as vaginal dryness, decreased libido, and decreased orgasm quality; very little research inquires about positive changes. In contrast, this study shifts the research focus from whether women experience menopausal changes to how women view any changes in sex life. Based on 30 in-depth interviews with heterosexual and lesbian women, the author finds that most women emphasize cultural and social issues, such as relationship status and quality, health, and sexual (...) history, rather than menopausal changes when they describe sex after menopause. However, she finds a difference by sexual orientation in how women handle problems in sex. The author concludes by discussing the implication of this research for future menopause and sex research; most important, she emphasizes studying sex in the context of women's lives rather than as a result of the biological changes of menopause. (shrink)

Menopause, with its physical and emotional changes, appears to be an inevitable road for women to travel. The moment of choice for women at menopause involves not only whether they will embrace the new self or try to cling to identities from earlier life but also how the society in which they live views women after menopause. Amongst other things, many African marriages face difficulties when the moment of menopause arrives. This situation is often characterised by a second marriage or (...) a situation where husband and wife no longer share a room. Whenever this happens, it testifies to the idea that the sole purpose of marriage amongst African people is procreation - hence, when the period for that is passed, the bedroom setup changes. This is one of the ways in which senior women are deemed unfit for sexual encounters, a gender-equality concern. This article aims to unveil and discuss how some Africans use menopause as an excuse to exclude women from sexual intercourse, and how pastoral caregivers can help in such situations. (shrink)

L’invention de la ménopause au xixe siècle puis celle de l’andropause dans la seconde moitié du xxe siècle ont eu pour effet d’accroître la surveillance des médecins sur les corps féminins et masculins vieillissants et, plus spécialement, sur la sexualité de cette période de la vie. Or, si ce coup d’état médical a si bien réussi, c’est qu’il a tout autant bénéficié du soutien très actif des femmes que de l’incapacité des hommes à lui résister. C’est aussi qu’il s’inscrivait (...) dans le prolongement de très anciennes pratiques sociales qu’il légitimait. Et qu’on ne s’y trompe pas. Loin de se desserrer, l’étau s’est définitivement refermé. En effet, les hommes, qui ont longtemps tenté d’échapper maladroitement à cette surveillance, ont, aujourd’hui, fini par s’y soumettre, acceptant, de fait, tout le discours silencieux sur les défaillances de leur puissance virile qu’elle suppose. (shrink)

L’invention de la ménopause au xixe siècle puis celle de l’andropause dans la seconde moitié du xxe siècle ont eu pour effet d’accroître la surveillance des médecins sur les corps féminins et masculins vieillissants et, plus spécialement, sur la sexualité de cette période de la vie. Or, si ce coup d’état médical a si bien réussi, c’est qu’il a tout autant bénéficié du soutien très actif des femmes que de l’incapacité des hommes à lui résister. C’est aussi qu’il s’inscrivait (...) dans le prolongement de très anciennes pratiques sociales qu’il légitimait. Et qu’on ne s’y trompe pas. Loin de se desserrer, l’étau s’est définitivement refermé. En effet, les hommes, qui ont longtemps tenté d’échapper maladroitement à cette surveillance, ont, aujourd’hui, fini par s’y soumettre, acceptant, de fait, tout le discours silencieux sur les défaillances de leur puissance virile qu’elle suppose. (shrink)

Si l’on possède peu de témoignages sur la manière dont les femmes du XIXe siècle ont vécu le vieillissement, les discours des médecins sur cette question abondent. La ménopause est décrite par eux comme une période particulièrement dangereuse qui, à l’instar de la puberté, bouleverse toute l’économie de la femme. Au nombre des maladies qui sont susceptibles de l’assaillir lorsque s’interrompt le mécanisme régulateur que représentait la menstruation s’ajoute la blessure narcissique que provoque la perte de sa féminité et (...) l’entrée dans l’âge de décrépitude. Plus encore, la femme perdant avec la faculté d’engendrer sa vocation sociale (la maternité), cette période, souvent qualifiée d’âge critique ou d’âge dangereux, s’annonce comme une véritable mort sociale. Privée de sa capacité de séduction, fragilisée par la révolution physiologique qui s’opère en elle, la femme, encouragée à se retirer d’un monde où elle ne peut plus briller, est plus que jamais assignée à la sphère privée. (shrink)

Literature on the subject of the menopause, primarily from the past three decades, is selectively reviewed in the form of an annotated bibliography. In order to highlight particular methodological problems, the review is presented in three sections, each preceded by a brief discussion, as follows: the general report of clinical observation or experience, the survey, and the clinical trial. Several recommendations are also made for further research in this field.

Reproductive senescence in human females takes place long before other body functions senesce. This fact presents an evolutionary dilemma since continued reproduction should generally be favored by natural selection. Two commonly proposed hypotheses to account for human menopause are (a) a recent increase in the human lifespan and (b) a switch to investment in close kin rather than direct reproduction. No support is found for the proposition that human lifespans have only recently increased. Data from Ache hunter-gatherers are used to (...) test the kin selection hypothesis. Ache data do not support the proposition that females can gain greater fitness benefits in old age by helping kin rather than continuing to reproduce. Nevertheless, one crucial parameter in the model, when adjusted to the highest value within the measured 95% confidence interval, would lead to the evolution of reproductive senescence at about 53 years of age. Further investigation is necessary to determine whether the kin selection hypothesis of menopause can account for its current maintenance in most populations. (shrink)

Culver and Gert define ‘malady’ in their book Philosophy in Medicine. It is shown that this definition is sexist in its implication in that it either indirectly contributes to women's oppression or indirectly supports a policy that discriminates against women. This is because, on Culver and Gert's definition of ‘malady’, menopause, menstruation, and pregnancy become maladies. It is also argued that malady claims are normative in a way not recognized by Culver and Gert. Keywords: malady and/or disease, menopause, sexism, definition, (...) menstruation, pregnancy CiteULike Connotea Del.icio.us What's this? (shrink)

As a nexus of fertility’s finitude and female midlife, menopause is a physical and cultural phenomenon through which the relation between the medicalization of the female reproductive cycle and normative attitudes toward aging become expressed. Age, like other systems of separation, can function as an “instrument of regulatory regimes” and shows similarities to gender in its body-bound, surface-focused, and morally coded position in the sociomedical sphere. However, although age is an influential social category, its reliance on historical and epistemic constructions (...) of the body has not been politicized to a degree comparable to other categories like gender, race, and sexuality. As Kathleen. (shrink)

Although there are many possible ways of understanding menopause, it is the notion of menopause as hormone deficiency that currently dominates. How is it that this account remains prevalent rather than some alternative understanding of menopause? This question is explored through the employment of a framework informed by both actor network theory and symbolic interactionist studies. The author exploits the common ground shared by these two conceptual approaches to analyze how practices generate and reify particular kinds of knowledge about menopause. (...) The analysis is situated within Australian menopause clinics and explores several key contemporary practices of these clinics to show how the particular understanding of menopause as hormone deficiency is generated and stabilized. The study stresses the knowledge/practice nexus and emphasizes that meanings are not given in advance but are generated through practices. In particular, the focus is on the interactions of the social and the material entities of menopause clinics and how through these interactions the understanding of menopause as hormone deficiency is produced. (shrink)

The menopause transition is associated with an increased risk of depressed mood. Preliminary evidence suggests that increased sensitivity to psychosocial stress, triggered by exaggerated perimenopausal estradiol fluctuation, may play a role. However, accurately quantifying estradiol fluctuation while minimizing participant burden has posed a methodological challenge in the field. The current pilot project aimed to test the feasibility of capturing perimenopausal estradiol fluctuation via 12 weekly measurements of estrone-3-glucuronide (E1G), a urinary metabolite of estradiol, using participant-collected urine samples in 15 euthymic (...) perimenopausal women ages 45-55 years. Furthermore, it aimed to correlate E1G fluctuation (standard deviation across the 12 E1G measurements) with weekly mood and cardiovascular, salivary cortisol, and subjective emotional responses to the Trier Social Stress Test (TSST) at weeks 4, 8 and 12. Protocol acceptability and adherence was high; furthermore, E1G fluctuation was positively associated with anhedonic depressive symptoms and weekly negative affect. E1G fluctuation was also associated with increased heart rate throughout the TSST as well as higher levels of rejection, anger, and sadness. E1G fluctuation was not significantly associated with TSST blood pressure or cortisol levels. This study suggests a feasible method of assessing estradiol fluctuation in the menopause transition and provides support for the hypothesis that perimenopausal estradiol fluctuation increases sensitivity to psychosocial stress and vulnerability to depressed mood. (shrink)

The terms ‘menopause’ and ‘mid‐life women’ have become the subjects of both the medical gaze and a billion‐dollar industry built by pharmaceutical companies to manage the ‘problems’ of menopause. Menopause is a discursive construction, a label that has become endowed with a large number of taken‐for‐granted assumptions about physical and psychological symptoms, self‐image and health status. These assumptions are based on the medical interests, social preoccupations, research and subsequent drug‐marketing strategies conducted in western societies. Thai society is structured around a (...) different philosophy, which has created different meanings for the mid‐life woman. This paper explores the Western discourses of menopause and the colonizing effect when the assumptions underpinning these are imposed on Thai women. (shrink)

Ce travail traite des effets psychiques de la ménopause chez certaines femmes. L’auteur stipule que, bien qu’il engage principalement le corps, ce phénomène constitue une période propice à l’éclosion de diverses formes d’expression psychopathologique. Le sujet, abordé à partir d’une réflexion théorique soutenue par deux vignettes cliniques, a pour ambition de faire saisir que l’entrée de certaines femmes dans la ménopause peut induire un effondrement dépressif sous-tendu par une plainte singulière, celle de « ne plus pouvoir faire le (...) ménage comme avant ». Cette plainte renverrait ces femmes à la question du désir dans leur ménage, entendons « dans leur couple », et interrogerait les figures du narcissisme, du maternel, du féminin, etc. Ainsi, la ménopause dévoile les enjeux inconscients à l’œuvre dans la relation conjugale qui nécessitent d’être élaborés dans le transfert afin d’être sublimés. (shrink)

Ce travail traite des effets psychiques de la ménopause chez certaines femmes. L’auteur stipule que, bien qu’il engage principalement le corps, ce phénomène constitue une période propice à l’éclosion de diverses formes d’expression psychopathologique. Le sujet, abordé à partir d’une réflexion théorique soutenue par deux vignettes cliniques, a pour ambition de faire saisir que l’entrée de certaines femmes dans la ménopause peut induire un effondrement dépressif sous-tendu par une plainte singulière, celle de « ne plus pouvoir faire le (...) ménage comme avant ». Cette plainte renverrait ces femmes à la question du désir dans leur ménage, entendons « dans leur couple », et interrogerait les figures du narcissisme, du maternel, du féminin, etc. Ainsi, la ménopause dévoile les enjeux inconscients à l’œuvre dans la relation conjugale qui nécessitent d’être élaborés dans le transfert afin d’être sublimés. (shrink)

‘The regulation of gender in menopause theory’ offers a critical commentary on some key theories of menopause experience. It aims to show that the theorisation of menopause keeps to the same epistemic and ideological lines as hegemonic understandings of gender identity. Narratives of menopause has become one of the means by which one can learn to cite women’s gender correctly. In reverse, relating menopause experience against the grain of established narratives is becoming the means by which one may resist epistemic (...) bias and dominant ideology of gender. Moreover, I am proposing that while menopause experience is an important aspect of gender identity formation and its resistance, it is also becoming a new area for identity politics in general, and more particularly the site of dissident narratives. (shrink)

A Foucauldian discourse analysis is employed to identify how our current understandings of menopause are culturally and historically determined by medical discourse. The polarity of the normal and the abnormal (pathological) became the crux of medical deliberation, where deviation from norms becomes the reason for intervention. Through manifold relations of power and the ‘struggle of knowledges’ medicine derives social authority, influencing social orthodoxies thus normalising menopausal women via discursive constructs. The course of nature in ageing women has been re‐categorised as (...) unnatural. In using the case of hormone therapy (HT) and the emergence of bio‐identical or natural hormones, while deconstructing the premises used in marketing both types of hormone therapy, the tenuousness of scientific claims about these hormones is revealed. Discourses on bio‐identical hormones (BHT) display a reliance on seemingly opposing naturalist and scientific arguments. Menopause, having been constructed as a deficiency disease, required initially chemical hormone replacement and now bio‐identical hormones replacing the mainstream medical solution. The idea of the postmenopausal state as diseased is perpetuated as the basis to suggest therapies to women. This paper suggests that although therapeutic in a few cases, hormone preparations are in fact potentially dangerous lifestyle drugs. (shrink)

Contemporary hormonal therapy for the menopause has its conceptual origins in the ancient tradition of organotherapy. The popular but pharmacologically inactive precursors of hormonal therapy were developed as part of a resurgence of interest in organotherapy in the 19th century, which coincided with increasing medicalization of the menopause and the view that the ovaries were responsible for the ‘feminine’ identity and wellbeing of women. The subsequent chemical identification of oestrogens allowed the development of pharmacologically active hormonal therapy for the menopause, (...) which was probably first used clinically in the late 1920s. Around this time, emphasis shifted from the ovaries to oestrogen as being responsible for femininity and health, with the menopause and ageing increasingly defined as oestrogen deficiency diseases. Hormonal therapy for the menopause was first used predominantly for women who had a premature menopause. In the 1960s, universal prescription was increasingly promoted as a way of preventing diseases of later life and the perceived ‘defeminization’ of women by menopause. Scientific evidence regarding the risks and benefits of hormonal therapy for the menopause has been accruing over the last 70 years; its interpretation has been affected by background beliefs regarding the effects of oestrogen and the menopause on women. (shrink)

Theorizing interconnections of sexual and racial differences remains a core problematic within feminist theory. In this article the author argues that these connections might in some cases usefully be understood as constituting a chiasmas. The term ‘chiasmas’ is taken from MichËle Le Doeuff’s analysis of the writings of 18th-century physiologist Pierre Roussel. Le Doeuff argues that Roussel’s understanding of sexual difference is chiastic. An examination of contemporary medical and scientific discourses around the menopause and its treatment through hormone replacement therapy (...) takes the argument onto new ground. The author argues here that menopause-related discourses rely on a chiastic logic that connects sexual difference with racial differences. Identification of such logics may prove useful to feminist analyses of specific entanglements of the logics of sexual and racial differences, in contemporary and historical instances. (shrink)

With the ever‐increasing lifespan along with societal changes, women can marry and procreate later than in previous centuries. However, pathogenic genetic variants segregating in the population can lead to female subfertility or infertility well before the average age of normal menopause, leading to counter‐selection of such deleterious alleles. In reviewing this field, we speculate that a logical consequence would be the later occurrence of menopause and the extension of women's reproductive lifespan. We illustrate this point with a simple model that (...) applies to other variants that contribute to female infertility, including epigenetic variation. We also consider the effect of medical interventions and lifestyle. (shrink)

Using mostly prospective menstrual data from mothers and daughters in the Tremin Trust Menstrual Reproductive History Program, this study produces the first estimates of the genetic correlation between the ages of menarche and menopause. I carried out two separate analyses. Standard regression analysis of 21 mother/daughter dyads with natural menopause yielded a nonsignificant negative mean genetic correlation of r A =−0.139±1.268. Survival analysis/maximum likelihood estimation on a dataset which included an additional 85 dyads with censored observations on daughters yielded a (...) nonsignificant positive genetic correlation of r A =0.613±0.587. Although a substantial non-zero correlation cannot be ruled out, these estimates suggest there is no genetic correlation between menarche and menopause, in agreement with previous phenotypic findings. As inconclusive as they may be, these estimates also contribute to our understanding of the nature of selection working on the reproductive life span of human females. (shrink)

With the example of treatment of menopause-related vegetative and emotional disturbances, the author verifies the effectiveness of the use of Ignatia amara containing complex homeopathic remedies (IACCHR) as an alternative to placebo. Substantial improvement in psychological and psychosomatic symptoms was observed. Climacteric complaints diminished or disappeared completely in the majority of women (95.7% by patient evaluation and 96.2% by physician evaluation). Compared to standard pharmaceuticals, IACCHR treatment was tolerated better and lower risk of side effects was observed. The results obtained (...) in this work indicate the significant therapeutic potential of this group of treatments, which is in line with the therapeutic effect of the placebo. Nevertheless, the showing of specific effects in pharmacological tests disqualifies the investigated treatments from use in a clinical trial in place of a placebo. (shrink)

Nonfeminist accounts of post-menopausal IVF reject the practice on four main grounds: I) scarcity of resources; 2) fairness; 3) the “inappropriateness” of post-menopausal motherhood; and 4) concerns for orphaned children. I argue that these grounds are insufficient for denying post-menopausal women IVF access. I then suggest that a feminist evaluation of the practice is more compelling; ultimately, however, we have no strong grounds for a policy denying post-menopausal women access to this technology.

: Nonfeminist accounts of post-menopausal IVF reject the practice on four main grounds: 1) scarcity of resources; 2) fairness; 3) the "inappropriateness" of post-menopausal motherhood; and 4) concerns for orphaned children. I argue that these grounds are insufficient for denying post-menopausal women IVF access. I then suggest that a feminist evaluation of the practice is more compelling; ultimately, however, we have no strong grounds for a policy denying post-menopausal women access to this technology.

To explain the menstrual cycle and menopause, human biologists during the past several decades have developed new models of the evolutionary origins and maintenance of female reproductive patterns that address both ultimate and proximate causation. Hypotheses proposed for these processes generally offer explanations for menstruation or for menopause, but not for both; ultimately, these explanations must be integrated. Reviewing current explanations, this paper offers an energetics-based evolutionary rationale compatible with past adaptations of Homo sapiens and with ecological patterns in small-scale, (...) preindustrial social systems in which food resources vary and sometimes are scarce. (shrink)

This article discusses the moment in which normative ideas about aging and reproductive embodiment became conceptually linked in the mid-nineteenthcentury medicalization of menopause. The reading centers on the first English book-length publication on menopause, written by E. J. Tilt in 1857, and Foucault’s concept of the medical gaze. I analyze mechanisms of observing, conceptualizing, and treating the body in relation to time and discuss their function in affirming and reworking social norms of age and gender. In doing so, I highlight (...) the political work implicit in contesting conceptualizations of female reproductive bodies, their age-specific pathologies, and directives of surveillance employed in discourses surrounding women’s reproductive health. (shrink)

The effects of grandparental investment in relatives are apparent in human groups, suggesting that a postreproductive period in humans is selective. Although investment of relatives in kin produces obvious benefits for kin groups, selection for a postreproductive period in humans is not supported by evidence from chimpanzees. Instead, grandparental investment is likely a recent phenomenon of longevity, rather than an evolved feature.

La genèse de la construction médicale de la ménopause est ici appréhendée en croisant des approches empruntées à l’histoire sociale des savoirs. Cela conduit en premier lieu à revenir sur la variété des termes employés pour désigner la « cessation des règles ». Ces évolutions doivent être examinées en regard des nouvelles échelles de la vie humaine élaborées au cours de la période. Est-ce qu’une sexuation des âges de la vie, absente jusque-là, y transparaît? L’expression « âge de retour (...) » désigne-t-elle un âge propre aux femmes comme le laissent penser certains auteurs? La médicalisation de la ménopause peut ainsi être remise en perspective, avant d’étudier de plus près les temps forts de sa construction au cours de la période considérée (1770-1836). Enfin, un dernier volet questionne l’existence d’un discours sur l’âge de retour au masculin et analyse la fabrique des asymétries sexuées dans les dispositifs hygiénistes destinés aux quarantenaires et aux cinquantenaires des deux sexes. (shrink)