14/10/2026
š WORLD MENOPAUSE DAY | PART 3 š
⨠HOW CAN YOU RECOGNISE WHAT NOBODY EVER TAUGHT YOU? āØ
Imagine your body changing in ways you cannot explain, whilst nobody can tell you why.
Imagine being exhausted beyond belief, unable to sleep, struggling to think clearly and wondering where the woman you once knew has gone.
Imagine your joints aching, your heart racing, your confidence disappearing and your skin feeling as though insects are crawling beneath it.
And imagine having absolutely NO idea that perimenopause might be involved.
Because for generations, menopause meant three things.
Your childbearing years were ending.
Youād have hot flushes.
And youād probably become a little moody!
And that was pretty much the extent of our education.
Nobody explained that perimenopause could begin years before periods stopped.
Nobody prepared us for the sheer range of symptoms, or how debilitating some could become.
š THE PHYSICAL SYMPTOMS
Crushing fatigue. Insomnia. Night sweats. Palpitations. Migraines. Joint and muscle pain. Stiffness. Dizziness. Skin changes. Hair loss. Changes in weight and body composition.
Burning, tingling, prickling and electric-shock-like sensations.
And formication, that deeply unsettling feeling of insects crawling across or beneath your skin.
Iāve experienced many of these symptoms myself, although certainly not all of them.
And I know how frightening it can be when your body begins changing in ways you cannot explain, particularly when nobody has prepared you for what perimenopause might involve.
š THE COGNITIVE AND EMOTIONAL SYMPTOMS
Brain fog. Memory problems. Difficulty finding words. Anxiety. Panic attacks. Low mood. Irritability. Loss of confidence.
Sometimes a frightening feeling that you no longer recognise yourself.
š THE INTIMATE AND LONG-TERM HEALTH CHANGES
Vaginal and vulval dryness. Burning. Painful intimacy. Urinary urgency and recurrent urinary symptoms.
Changes in sexual desire, muscle mass, bone density and longer-term cardiovascular and metabolic health.
And even that isnāt the whole picture.
š THEN THEREāS INFLAMMATION, HORMONES AND AUTOIMMUNE DISEASE.
And this is a conversation we desperately need to have.
Because reproductive hormones donāt just influence fertility. They also interact with our immune system.
Research has identified important links between hormonal transitions, including pregnancy and menopause, and the development or progression of certain autoimmune diseases.
For some women, these hormonal changes may influence inflammatory activity or coincide with the onset or worsening of autoimmune conditions.
Conditions such as Hashimotoās thyroiditis, Sjƶgrenās syndrome, lupus-related disorders, inflammatory arthritis and vitiligo.
And this is something that resonates profoundly with my own experience.
My history of autoimmune illness began during my reproductive years, when I developed antiphospholipid antibodies associated with devastating pregnancy losses.
Then, during perimenopause, my health deteriorated dramatically.
It felt as though something had been triggered all over again.
One autoimmune diagnosis seemed to follow another, until I was living with eight.
And nobody had explained that hormonal changes and immune function could be connected.
Research doesnāt establish that menopause directly causes every autoimmune disease.
But it does show that hormonal transitions can influence immune regulation and that the relationship deserves far greater attention.
Imagine living through that, without even knowing there might be a connection worth investigating.
And imagine how different the experience might be if women and their healthcare professionals understood these possibilities from the outset.
š AND THEREāS ONE CONDITION I PARTICULARLY WANT WOMEN TO KNOW ABOUT.
LICHEN SCLEROSUS.
Imagine relentless vulval itching, burning, painful splitting of the skin and, sometimes, scarring and changes to the vulval anatomy.
Imagine the impact on your comfort, sleep, confidence, intimacy and everyday life.
And imagine being told itās simply part of getting older.
Lichen sclerosus is a chronic inflammatory skin condition, not simply menopausal dryness.
It can occur at any age, although itās more commonly diagnosed after menopause, and requires proper diagnosis, treatment and ongoing monitoring.
So how does a woman know what to question when sheās never been told what might happen?
How does she know whether sheās experiencing perimenopause, an autoimmune flare, a neurological problem or something else entirely?
How does she know when symptoms need investigation rather than reassurance that itās just ageing?
She cannot be expected to know what nobody has ever explained.
Some women experience relatively few symptoms.
Others find their health, relationships, careers and everyday lives profoundly affected.
This isnāt about frightening women.
Itās about refusing to leave them frightened by symptoms they donāt understand.
Because genuine menopause education isnāt simply knowing the word.
Itās understanding the possibilities, recognising when something isnāt right and knowing that symptoms deserve to be taken seriously.
THE WHOLE WOMAN. NOT JUST HER HORMONES.
š Tomorrow, weāre going somewhere even deeper.
Because sometimes the most devastating challenges of perimenopause arenāt only about whatās happening to a womanās body.
Theyāre about what happened to her long before perimenopause began.
The trauma. The losses. The childhood wounds. The experiences buried for decades.
And what can happen when the past begins to feel painfully present again.
MIND ⢠MOVE ⢠THRIVE
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