c0d3f564f1bf454491c4370d04130b33

“Menopause in a Blink: When the First Glance Erases You"

Wed, 04 Jun 2025 07:50:27 GMT

“Menopause in a Blink: When the First Glance Erases You"

Inspired by M.Gladwell’s Blink, where he explores the power of rapid cognition, those split-second decisions our brains make before we’re even conscious of them. Snap judgments. Thin-slicing. Blink.

Gladwell shows how we make instinctive decisions in seconds, often shaped by unconscious bias. It got me thinking about menopause, and how many of us, especially those on the margins, experience it the same way:

In a blink, it’s upon us.

In a blink, it’s dismissed.

In a blink, we’re misdiagnosed.

In a blink, we become invisible.

For many, the menopausal journey to isn’t just hormonal, it's social erasure. The medical gaze rarely rests gently on our bodies. It scans us through a distorted lens of bias. Gladwell says judgments form before words are spoken, and for Black and marginalised people in healthcare, this rings painfully true.

We walk into GP offices, describe symptoms, night sweats, mood swings, brain fog and instead of empathy, we’re handed antidepressants, told to manage stress, or worse, ignored.

Not because the data doesn’t exist.

Not because the science isn’t there.

But because in that blink of a diagnostic moment, assumptions are made.

We’re too young.

Too strong.

Too emotional.

Too Black.

Gladwell discusses thin-slicing, spotting patterns from thin slices of experience. But what happens when ours are always misread? When our patterns, shaped by different cultural, genetic and historical contexts, don’t fit the dominant model?

Menopause in a blink for Black and marginalised people is not just biological. It’s biopsychosocial. It’s racialised.

You blink, and the GP assumes you’re exaggerating.

You blink, and your night sweats are mistaken for type 2 diabetes.

You blink, and your hair loss is blamed on “Black hair practices.”

You blink, and someone says, “We didn’t include you in the trial, you’re hard to reach.”

This isn’t just about medical oversight. It’s structural bias, baked into the assumptions clinicians make in those first two seconds. And it doesn’t stop at the clinic. It follows us into the workplace, into research, into policy.

But blink again.

And we’re still here.

We’re building communities, creating safe spaces, demanding culturally sensitive care and holding the system accountable for every biased blink that caused pain, confusion, or delay.

Blink reminds us first impressions carry weight. But for those of us whose health has been shaped by being misread, we’re taking back the narrative.

Slowing the blink.

Speaking up when a doctor’s eyes skim over us.

Gladwell was right: the blink holds power. But we’ve learned to stretch that second into a rebellion, to plant our feet and say:

“Look again.”

Because menopause is not invisible.

And neither are we.

If you’re a clinician, pause and listen.

If you’re a patient, know you’re not alone.

If you’re an ally, amplify our stories.

Together, we can make every blink count, for empathy, for equity, for visibility.

The analogy of a “picture in a frame” is about how we perceive and address menopause in society.

Thu, 28 Nov 2024 11:47:32 GMT

The analogy of a “picture in a frame” is about how we perceive and address menopause in society. The frame represents the surface-level or dominant narratives - often shaped by limited perspectives, like those of the majority population, particularly white middle class women in this case. , and identities.

The Frame: The Dominant Narrative on Menopause

Currently, the mainstream menopause conversation often centres on the experiences of white, middle-class women in Western societies. This focus influences media representation, research priorities, and healthcare policies. For example:

• Media representation: TV shows, books, and public discussions about menopause often feature white women, with little mention of the challenges faced by Black, Asian, or LGBTQ+ individuals.

• Medical research: A study published in the Journal of Women’s Health found that clinical trials on menopause hormone therapy overwhelmingly included white participants, making it difficult to generalise findings to other racial or ethnic groups.

• Healthcare disparities: Black women often face higher rates of medical dismissal or misdiagnosis of menopause-related symptoms. For instance, studies show that Black women are more likely to experience severe menopausal symptoms like hot flashes and night sweats but are less likely to be offered hormone replacement therapy (HRT).

The Picture Details: Diverse Experiences of Menopause

When we move beyond the frame and look at the details within the picture, we uncover the rich, varied experiences of menopause, shaped by cultural, social, and biological factors:

1. Cultural perspectives:

• South Asian women may view menopause differently due to cultural taboos or religious beliefs that discourage open discussion about aging and reproductive health.

• In some African cultures, menopause can be seen as a rite of passage, but stigma around seeking medical help persists.

2. Healthcare barriers:

• LGBTQ+ individuals often face unique challenges during menopause. For example, trans men undergoing menopause might not feel comfortable seeking care due to discrimination or lack of provider knowledge.

• Socioeconomic factors also play a role - women from low-income backgrounds may struggle to access menopause care due to cost or limited healthcare availability.

3. Intersectionality of symptoms and misdiagnoses:

• Night sweats, fatigue, and mood swings are often misattributed to conditions like diabetes or depression, especially in women of colour, who are more likely to face diagnostic bias.

• Black women and South Asian women are more likely to enter menopause earlier and experience more severe symptoms, yet they often lack the same access to treatments as their white counterparts.

The Call to Action: Moving Beyond the Frame

The goal is to move beyond the narrow “frame” of menopause discussions and include the diverse “details in the picture” by:

• Improving representation: Sharing stories of menopause from women of colour, LGBTQ+ individuals, and other marginalised groups in the media and public discourse.

• Advocating for inclusive research: Demanding clinical trials and studies that reflect the true diversity of the population. For instance, ensuring that HRT research includes Black and Asian women to understand its efficacy across different groups.

• Equitable healthcare: Training healthcare providers to recognise and address the unique barriers faced by marginalised communities and provide culturally competent care.

By broadening the lens, we create a fuller, richer understanding of menopause -one that serves everyone, not just those within the narrow confines of the frame. This leads to better support, treatment, and outcomes for all.

#blackwomeninmenopause #myblackmenopause

I am menopausal - I am not incompetent or Menopausal is not my competence?

Wed, 13 Mar 2024 13:56:36 GMT

I am menopausal - I am not incompetent or Menopausal is not my competence?

In the tapestry of life, menopause is merely a new thread, not the unraveling of the whole fabric. Consider me, an accomplished professional who finds themselves navigating the intricate roads of menopause. It's a journey marked by hormonal shifts, but it doesn't dim the brilliance of my capabilities. Like many others, it is a testament to the misconception that menopause equates to incompetence.

In the fabric of life, this stage resembles a tapestry where seasoned individuals are like skilled weavers or knitters approaching the next stitch. Instead of frayed-ends, these moments offer opportunities for reflection and redirection. Our experiences and skills, honed through dedication, are like intricate threads. Yet, society often fails to appreciate these accomplished professionals. Losing them due to age-related biases is a setback to progress and innovation. Valuable tapestry is also recognised by the unique threads and variation in stitching. It sometimes may have frayed edges, but this adds to the beauty of the whole and tells an individual story.

Just as diverse threads enrich a tapestry, embracing individuals experiencing menopause and acknowledging their ongoing competence weaves a culture that cherishes every stage of life. Companies that champion diversity and inclusion benefit from a rich array of perspectives, experiences, and skills, creating a workforce that is more resilient and dynamic, like a finely stitched tapestry.

Varied threads interwoven in a tapestry, is crucial to challenge stereotypes and cultivate an inclusive environment where age is celebrated rather than perceived as a limitation. By acknowledging the proficiency of individuals navigating menopause, we not only preserve valuable expertise but also nurture a workplace that thrives on the diversity of experiences. The stitching may change, but the sewing journey endures, with each phase offering its unique perspectives and contributions to the beautiful fabric of our collective narrative.

Just as threads intertwine to create a tapestry, inclusive menopause conversations stitch diverse perspectives together,

fostering understanding and support. Let's mend societal taboos with open dialogue, weaving threads of empathy, education, and advocacy. Together, let's craft a tapestry where every persons’ menopause experience is acknowledged and respected.

THREADS approach:

T: Trigger dialogue by initiating discussions in diverse settings.

H: Honour diverse experiences by listening actively and without judgment.

R: Raise awareness through education about menopause and its impacts.

E: Empower individuals to share their stories and advocate for their needs.

A: Advocate for policies that support menopausal individuals in workplaces and communities.

D: Drive change by fostering empathy, understanding, and inclusivity.

S: Supportive environments where everyone’s experiences are acknowledged and respected.

The 'Menopause' Trojan Horse(s) Concept

Fri, 22 Dec 2023 12:06:11 GMT

The 'Menopause' Trojan Horse(s) Concept

2024 will soon be upon us, so I have decided to write and share this concept.

In the realm of menopause information and misinformation, we share the 'Menopause' Trojan Horse concept. This is a metaphorical depiction of the subtle infiltration of biased or inaccurate content into sources that people trust for reliable information.

Originating from the ancient Greek tale where the Greeks used a deceptive wooden horse to enter the city of Troy. This concept symbolises the unsuspecting dissemination of misinformation within seemingly trustworthy channels.

In the context of menopause, this effect occurs when reputable platforms/ groups, resources, or well intentioned healthcare professionals inadvertently propagate misinformation.

Information sources that people typically turn to for guidance which may unknowingly carry biases, stereotypes, or inaccuracies, leading to a distorted understanding of menopause.

Cultural biases also play a significant role in the Trojan Horse effect in the menopause information sphere. If sources of information inadvertently perpetuate cultural stigmas or fail to consider the diverse experiences of people from various backgrounds, it further contributes to misinformation. The effect becomes more pronounced when societal expectations and norms shape the narrative around menopause, influencing how individuals perceive and discuss this life stage.

Menopause coaches/ experts/ influencers/ groups can be a valuable source of support and knowledge. Though, they can mistakenly contribute to the 'Menopause' Trojan Horse effect.

If coaches/ experts/ influencers are not well versed in evidence based information or lack a nuanced understanding of diverse cultural contexts or if their guidance carries inherent biases, the advice they dispense may unintentionally perpetuate misinformation.

Social media platforms can be a great source of information. However, with their algorithms and echo chambers, can exacerbate the 'Menopause' Trojan Horse effect further. The way it shows content can make this problem worse. Biased or wrong information, once it's on these platforms, quickly travels to many people. And because social media tends to show us things we already agree with, wrong ideas can keep spreading.

To mitigate this effect requires multifaceted strategies. For example implementing robust fact checking mechanisms. It could also be a collaborative effort between healthcare professionals, expert/ coaches, and digital platforms in helping ensure that those seeking information about menopause, especially on social media, are met with accurate, culturally sensitive, and empowering content.

Question

Is menopause becoming more of a degenerate platform due to peoples’ great branding?

Menootropics - the brand of the future?

Tue, 19 Dec 2023 09:55:50 GMT

This is a subtitle for your new post

Menootropics - the brand of the future?

How long before the nootropics industry tap into or dress up for the meno sphere/ matrix and bring out a menootropics drink/ powder/ pill to prey on those not able to focus.

Nootropics are a category of substances and supplements that are sometimes used to enhance cognitive function, memory, and focus.

Unlock your menopause potential with the most powerful (men)nootropic blend. It has been designed to make you feel less stressed, less fatigued and more focused. Increase your productivity and focus drinking menootropics brought to you by Black women in menopause (tongue in cheek). We only use research/ evidence backed ingredients.

It’s essential to remember that individual responses to nootropics can and will vary, and not all of them are well studied or regulated. Consulting with a healthcare provider/ professional is crucial to determine whether nootropics are appropriate and safe for addressing specific menopausal symptoms. Lifestyle changes, dietary adjustments, holistic therapies, traditional medicine and hormone replacement therapy for example are other options that should be explored in consultation with a healthcare provider/ professional.

The commercial aspect of menopause should not overshadow the importance of addressing the medical, emotional, mental, physical, and psychological aspects of this life stage.

The practice of “dressing up” products to prey on menopausal individuals is unethical and exploitative. It involves using marketing tactics that take advantage of the challenges and vulnerabilities menopausal people may experience. This can manifest in various ways, such as exaggerating the effectiveness of a product, promoting unproven treatments, or manipulating emotional responses to drive sales.

It’s essential for any consumers, particularly menopausal individuals, to be critical and discerning when evaluating products and services marketed for menopause related concerns. They should seek reliable information, consult with healthcare professionals/ providers and be cautious of products that make unrealistic promises or rely on fear based marketing.

Menopause Map System

Tue, 19 Dec 2023 09:51:55 GMT

Menopause Map System

Do we need a menopause map similar to the obesity map?

A "menopause system map" would be a visual representation of the complex and interconnected factors that influence the experience of menopause. It could include also those that it indirectly affects too. It would recognise that menopause is not solely a biological event but a multifaceted process that is shaped by various factors. Those such as biological, psychological, social, environmental, economic influences, language and communication, health disparities, intersectionalities, media, and cultural factors are some examples. Here's our take of what such a map might entail with a little more context to them:

1. The biological factors, could be at the core of the menopause system map involve the physiological changes individuals undergo during this life stage. This would include the decline in estrogen production, leading to various physical and psychological symptoms such as hot flashes, mood swings, and changes in bone density as an example. These biological aspects are essential to understanding the menopausal transition.

2. Cultural and societal factors, these would acknowledge the diversity in cultural beliefs, societal attitudes, and the role of support networks. Cultural norms can influence how menopause is perceived, discussed, and experienced by individuals.

3. Language and communication, this could highlight language barriers that can impede access to healthcare and information about menopause. Inadequate communication can be a significant issue for some groups.

4. Health disparities by race and ethnicity. this would highlight the varying rates of menopause related health conditions, such as osteoporosis, heart disease, and mental health issues. This could help identify areas with the greatest need for intervention.

5. Global and policy factors, would emphasise the role of international organisations, governments, and policies in shaping the menopause experience. Regulations, research funding, and public health initiatives all have a bearing on the support and resources available to individuals during this life stage.

The menopause system map could be a tool for policymakers, healthcare professionals, and researchers to understand the multifaceted nature of menopause. It may recognise that addressing individuals health during this life stage requires a holistic approach, taking into account the intersection of these factors. By considering this ‘comprehensive’ image, we may be able to better develop strategies and interventions that support individuals as they navigate the menopausal transition.

Note - It’s essential to remember that maps should be interpreted with caution. The menopause map would have multiple contributing factors that may not align precisely on a map.

Menopause Centric Medicine

Fri, 03 Nov 2023 11:38:46 GMT

Menopause Centric Medicine

Menopause centric medicine (MCM) - thought process for calling it this and what it could be.

Menopause centric medicine would be healthcare that focusses on addressing the health needs and challenges faced by individuals during the menopausal transition.

It would address the physical, psychological, emotional and spiritual changes that individuals go through during #perimenopause #menopause and beyond.

‘Menopause centric medicine’ may include hormone replacement therapy (HRT/ HT), lifestyle modifications, holistic therapies and other therapies to manage symptoms such as hot flashes, mood swings, and osteoporosis, sarcopenia, among others.

Lifestyle modifications may include dietary changes, regular exercise/ movement, sleep quality and stress management techniques and many more to help people maintain their physical health and psychological wellbeing during menopause.

Another essential aspect of menopause centric medicine would be to address the mental and emotional aspects of this life stage.

The importance of menopause centric medicine would lie in its recognition of the distinct health concerns and quality of life issues that individuals experience during this phase.

It would also include cultural understanding of menopause because it would recognise that the experience of menopause is not universal and can be influenced by cultural beliefs, practices, and social norms.

In summary, menopause centric medicine would be essential because it could address the specific health challenges and symptoms that people face during menopause. Let us deconstruct our thinking for what is often portrayed in the media.

Menopausal 'Outliers'

Mon, 27 Mar 2023 12:40:26 GMT

Menopausal 'Outliers'

I have been contemplating this subject for some time.

Over the last few years, splashes of colour have been slowly added to the menopause narrative canvas.

Is the #perimenopause #menopause diversity really happening? The twisting of data may have you think it is, and the increase of images and stories in the press, may also lead you to that conclusion - but is it?

Outliers are a part of the group, but are far away from the other members of the group.

This is so true in the menopausal sphere/ matrix.

Black people and other marginalised people/ groups 'Outliers' in menopause and beyond.

We need more diversity of thought in the menopause.

HRT and My Black Menopause

183:913682919 (Nina Kuypers) — Fri, 09 Dec 2022 12:03:20 GMT

HRT and My Black Menopause

HRT and #myblackmenopause

I was excited to be asked to participate in a clinical trial for new HRT medication. My GP had sent me details. I was rejected on medical grounds due to blood conditions which are common in Black people and are a safety concern when testing experimental drugs. The other concern is the result of marketed medicines that may not accurately treat a marginalised groups/ populations. These companies may also be leaving people with unmet medical needs behind. It casts doubt about their efficacy for others as we are not all the same physiologically.

What an interesting process is followed when trials take place! Do you know how new drugs are made available?

New drugs have to complete a series of clinical trials. The trial I was going to be involved in was stage 3 which is the last stage before licensing.

Clinical trial recruitment is often based on a study's local demographics or the national population.

I am sharing this information because once these medicines have been approved (licensed), then I can be prescribed them.

I am not a medical professional or somebody who understands the intricacies of medical research, but I do suspect that this is unethical and/ or unfair -#healthinequalities

I advocate that we must all be involved - not only Black people, yet those with power and wealth are building obstacles that we are not able to climb. Cultural transformation is needed.

This matters. It matters from a moral and ethical standpoint. This is why representation of people with diverse backgrounds on clinical trials is absolutely critical. How do we know it works if we are not included? We are being excluded.

What you don’t track you can not measure, so why exclude for duty of care in the beginning but neglect duty of care in the long term.

Am I surprised? No - why? Because the evidence of racial inequalities in the healthcare system continues. I also question whether this is structural racism in #perimenopause #menopause and, beyond. The inequalities in clinical research, treatment and beyond have a dark reputation around the world. For those unaware there is also a history of why Black people mistrust the medical profession.

#menopausehealthinequalities #menopausehealth #menopauseawareness

Menopausal Shoes

183:913682919 (Nina Kuypers) — Wed, 07 Sep 2022 17:05:36 GMT

Menopausal Shoes

It’s not about only walking in my shoes, and tying the shoe laces (what if they don’t have laces or have velcro) on my #perimenopause #menopause journey as a black woman. It is also being judged on the brand, style and colour. Just as each shoe type serves a different purpose, think how each menopause is different too. The narratives of over 50% of the worlds population is ignored, yet if we then think about the different shoe types, think how a black woman’s narrative or any marginalised group is not catered for, seen and/or heard.

We need to change the #perimenopause #menopause default. If we don’t then those with the power and wealth will continue to make the decisions, write policies, and guidelines, that don’t reflect marginalised groups.

If you, I, we do nothing, then our narratives will not be recorded or heard. Our experiences will not be validated, and our needs will not be met.

#diversifymenopause #blackwomeninmenopause #blackwomenmenopause #blackmenopause #menopausalandblack #myblackmenopause #menopausewhilstblack #blackwomenshealth #menopauserevolution #makemenopausediverse #healthinequalities

Menopause and Black History Month

183:913682919 (Nina Kuypers) — Mon, 29 Aug 2022 17:32:27 GMT

Menopause and Black History Month

Black History Month is not far off, and it also coincides with World #Menopause #Perimenopause Day (Month) too.

FYI I’m black and menopausal 24/7/365

As you start to think what can we do to mark the month? I would like you to reflect on what actions related to changing the diversity and inclusiveness of menopause have been achieved by you or an organisation? After all, it’s nearly a year ago, no need to scramble around surely - the campaigning/ championing that you are doing is for better health, not a public relations activity.

Mentions of menopause is growing, and people are more aware. The reports and imagery of the menopause is still one sided, although the menospace is starting to add a bit of colour.

My concern is that those championing forget that there are many marginalised populations that are not included. Why? Is it conscious or sub conscious bias?

As the big month looms, what actions could be taken in the longer term, in order to grow and nourish the menopause space with colour. It is a time to celebrate diversity and inclusivity in menopause, whilst also taking time to reflect on the current challenges faced by society. Our collective voices are what makes us a menoster community.

The meno world isn’t what you think it is, it is how you see it.

#menopause #perimenopause #menopauseintheworkplace #menopauseatwork #blackhealthmatters #blackhistorymonth #menopauseawareness

Menopause and Bread Making

183:913682919 (Nina Kuypers) — Mon, 20 Jun 2022 13:54:15 GMT

Menopause Bakery

Menopause and Bread Making

Before you think I’ve lost my meno marbles which is possible - let’s think about the ingredients of yeast bread. To make a loaf of bread you need four ‘basic’ ingredients. These are:

Flour
Yeast
Salt
Water

These are the main ingredients to ensure that the bread will be bread. Before some of you annoying finicky people jump on, this is an analogy, not a baking session.

So we have the basics needed for a nice loaf of bread. Anything else that you add to the recipe is either to add flavour, nutrition, texture and/or colour. How does this even relate to menopause? The basics for menopause management is similar to that of the ‘basic’ ingredients needed for bread. The menopause management bread ‘basics’ are:

Diet (Hydration included)
Activity
Sleep
Stress management

Anything else that you add to your menopause recipe may benefit you or not. Some of you may even be non responders to the additional ingredients that you see flying around in the meno meta-verse. There’s an array of additional ingredients out there that many people think bypassing the ‘basics’ and using these will enhance their bread making. It is a bakery overload, as there is so much misinformation. It’s no wonder some of the loaves will be, overcooked, undercooked or tasteless.

Bread making aside noooo I ‘loaf’ this - giggle. Sometimes we need to rethink the whys over the whats and hows, and recalibrate the ‘basic, ingredients before even thinking about the ‘additional’ ingredients. Think of your body physically, mentally, emotionally and spiritually, as the oven. As the oven gets more wear and tear it ages, think about how you’ve treated it. As in time you’ll need a new oven. Unfortunately we can’t go out and buy a new body so take a little time to care for your #perimenopause and #menopause bread maker.

Menopause management is like making a loaf of bread, because it has several ingredients that all need to come together, all according to the right recipe. Though the quantity of ingredients can be altered based on preference(s). If you go wild on either the quantities or miss a vital ingredient out all together, then the final loaf will be unpalatable.

Perfecting this menopause mix is a big task and ask, so remember take this one bite at a time.