There will be blood: women on the shocking truth about periods and perimenopause

The menopause brings an end to menstruation – but in the lead-up, many women experience periods that can disrupt their lives and careers

If Emma Pickett needs to make a long journey, she checks her calendar very carefully. She will often take an emergency change of clothes when she goes out, and if giving a lecture for work, has to ensure it is no longer than half an hour. Yet she rarely hears anyone talk about the reason so many older women secretly go to all this trouble; why they’ve started to stick to black trousers, give up the sports they loved, or plan days out – especially with children – meticulously.

“If you have a bunch of 12-year-olds in the car, you can’t say: ‘Sorry chaps, I’m just bleeding heavily today,’” says Pickett, a 48-year-old breastfeeding counsellor and author of The Breast Book, who also happens to be among the one in five British women who suffer from heavy periods in the run-up to menopause (or perimenopause). “You can talk about hot flushes, make a joke about it. But because menstrual blood is gross in our society, there’s no conversation about it. There must be women round the world just pretending they need to dash off for some other reason.”

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Mission menopause: ‘My hormones went off a cliff – and I’m not going to be ashamed’

An estimated 13 million women in the UK are living with the menopause. So why are so many enduring the turmoil of its symptoms without help and support? It’s about time that changed. Portrait by Suki Dhanda. Illustration by Anna Kiosse

We are witnessing a tipping point: the rise of Menopause Power: a growing activist movement which will change the Change in the same way that Period Power fought period poverty and stigma. On social media, on podcasts and in newspapers, there’s a huge menopause conversation, as confrontational as it is celebratory. I’ve just produced a Channel 4 documentary, Davina McCall: Sex, Myths and the Menopause, and there’s nowhere we don’t go: losing jobs to hot flushes, vaginal dryness, memory loss, orgasms after menopause, and the shocking misinformation we’ve been fed on hormone replacement therapy.

But above all, we give the menopausal taboo the kicking it has long deserved. As Davina McCall, who’s presented everything from Big Brother to Long Lost Family and had her first hot flush at 44, says: “I was advised not to talk about it, that it was ageing and a bit unsavoury, but clearly that didn’t work out very well, because I’m sitting here talking to you… I’m not going to be ashamed about a transition that half the population goes through.”

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The menopause is ruining my sex life. How can I stop feeling so numb?

Losing your libido is a symptom, not a life sentence

The dilemma I am a 52-year-old woman who has had a difficult perimenopause. I have read extensively on the subject and tried various supplements to ease this transition. My experience has included hot flushes, night sweats, depression, anxiety, insomnia and heavy periods. I was suffering the most debilitating anxiety to the point where I could barely function. I am on bio-identical HRT (Oestragel and Utrogestan), but these had little effect in easing the symptoms. I had no choice but to take antidepressants even though my symptoms were due to hormone fluctuations.

As a side effect my libido fell drastically (a healthy sex life had been maintained until this point and I have always found it easy to orgasm). What I did not expect was that my clitoris physically shrunk and orgasms become almost impossible to achieve.

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Calls to investigate possible link between menopause and Covid risk

Some evidence suggests falling oestrogen levels could make older women more vulnerable

A possible link between the menopause and Covid-19 needs to be investigated, researchers have said, with some evidence suggesting that falling oestrogen levels could leave older women at increased risk from the disease.

Men are at greater risk of severe Covid, and dying of the disease, than women but recent research has suggested that in women, infections and long-lasting symptoms might be more common among those who have gone through the menopause.

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Teeth reveal past stresses such as menopause and imprisonment

Dental tissue is revealing in same way annual tree rings can tell much about environment tree grew in

Telltale signs of stressful life events can be found in our teeth, say researchers who have found that birth, menopause and even imprisonment appear to leave their mark in tissue that is laid down throughout life.

The phenomenon is similar to the way the thickness of annual tree rings can tell us about the climate and environment in which the tree grew – however in teeth it is changes to the way the tissue interacts with light that offers the clues.

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Having more sex makes early menopause less likely, research finds

Study of nearly 3,000 women suggests body may ‘choose’ not to invest in ovulation

Women who have sex more often are less likely to have an early menopause, according to research that raises the intriguing possibility that lifestyle factors could play a more significant role than previously thought in determining when the menopause occurs.

The study, based on data collected from nearly 3,000 women who were followed for 10 years, found that those who reported engaging in sexual activity weekly were 28% less likely to have experienced menopause at any given age than women who engaged in sexual activity less than monthly.

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Breast cancer risk from using HRT is ‘twice what was thought’

Study prompts medicines regulator to advise all women using HRT to remain vigilant

The risk of breast cancer from using hormone replacement therapy is double what was previously thought, according to a major piece of research, which confirms that HRT is a direct cause of the cancer.

The findings of the definitive study will cause concern among the 1 million women in the UK and millions more around the world who are using HRT. It finds that the longer women take it, the greater their risk, with the possibility that just one year is risk-free. It also finds that the risk does not go away as soon as women stop taking it, as had been previously assumed.

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New medical procedure could delay menopause by 20 years

Operation could benefit thousands of women who experience serious health issues

A medical procedure that aims to allow women to delay the menopause for up to 20 years has been launched by IVF specialists in Britain.

Doctors claim the operation could benefit thousands of women who experience serious health problems, such as heart conditions and bone-weakening osteoporosis, that are brought on by the menopause.

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