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

Nina Kuypers • 4 June 2025

“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.
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