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Oct. 20, 2006

New ideas about aging

Menopause doesn't have to mean that life ends.
SHARON MELNICER

Menopause is not a chronic illness," I tell myself in a too-loud voice. It's usually late at night when I'm cooling off after another hot flash. My last period occurred in September of 1995, the 14th to be precise. That was the day I had a total hysterectomy and experienced instantaneous, surgical menopause.

My doctor likened surgical menopause to "driving a car 100 kilometres an hour and suddenly slamming on the brakes. That's what it's like for your body." Until then, I never fully understood that hormones, or the lack of them, could so strongly impact my mind ... my thoughts, my reactions, my interpretation of the most mundane things.

Nor did I anticipate the subsequent "brain fog" that descended upon me like a storm cloud. I wondered if I was succumbing to early Alzheimer's or just plain losing my mind. I fell out with my boss for the first time in a decade. I had a loud and embarrassing argument with a bus driver on my way to work. God only knows why my husband did not divorce me, and I even shouted at my adult daughter, which is very rare. I felt like everyone was against me, and did not feel as though I fitted in anywhere anymore. I was an alien in my own skin.

This is my 11th year of menopause. The perk is that I'll never have to worry about another menstrual period again and that I have enjoyed decade-long holiday from eye-crossing cramps and hemorrhage-like flows. Instead, I contemplate the hot flashes that never stopped, despite my 0.625 milligrams of Premarin daily, osteoporosis, a diminished libido, heart disease, cancer and the other maladies that come with age – there are several. I try to avert these seemingly inevitable maladies with a handful of vitamins every morning and a mind-numbing workout three times a week.

It's more than the physical self that suffers through menopause, however. We've all heard the story about someone's knife-wielding aunt, twice removed, who went off the deep end and became a serial killer because she was taking the wrong hormones. But there's much more to it. Menopause is a reminder that wrinkles, incontinence and feebleness, as well as dependency upon others, doctors and medicines, are becoming reality. For me, it means I'm winding down. I'm getting old. And it scares me.

The problem with this morbid, half-true perspective is that it is more feeling than thought. Yes, I've stepped through the door to mid-life and heard it click shut behind me, but I don't feel aged. I feel young – youthful even. I look in the mirror every morning and don't see the wise, old crone I'm supposed to have become. Instead, a young, vibrant 40-year-old, who is still trying to figure it all out, looks back at me with a 60-year-old face. Wisdom hasn't come with age and I'm at the tail end of a generation that wants it all and who, mostly, have gotten it.

Baby boomers succeeded in bringing in a new paradigm for aging. Attitudes are changing about the process and we're also living longer. Some folks in their late 40s and 50s are starting over; taking on the responsibilities of new families and, in some cases, having children for the first time. Middle age is no longer middle age. It's taken on new dimensions that are sometimes hard to define. The metaphorical line between youth and age has been pushed up a notch and, personally, I like that.

Recently, I came across an article that suggested the symptoms of menopause in Western culture might be a result of perspective, that hot flashes, moodiness and hormonal imbalances may be caused by our perception of the female aging process. The study, conducted by Yewoubdar Beyene, which was described in From Menarche to Menopause, was of the Mayan culture. According to Beyene, Mayan women experience no menopausal symptoms, besides the obvious, cessation of the menses. In fact, Mayan women seem to welcome the onset of menopause, and associate this stage with being young and free.

Even if I don't fully buy it, I can appreciate Beyene's observations. My children are grown and married, planning families of their own, and no longer need me to care for them. Sure, I provide maternal advice occasionally and love always, but mostly, I'm on my own and have the opportunity to do what I want, when I want to do it. So, maybe getting older isn't so bad. Maybe being menopausal isn't the formidable, mind-blowing crisis I've been led to believe it is. Maybe I would do well to embrace some new ideas about aging.

Sharon Melnicer is a Winnipeg freelance writer.

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