“African American women experience distinct differences
in physical, psychological, social,
and quality of life measures during menopause”.1

Umbrella
What may the Black Women’s Menopause Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Change of Life
  • Early Menopause
  • Going Through the Menopause
  • Induced Menopause
  • Menopausal/Menopause Transition
  • Menopause
  • Natural Menopause
  • Perimenopause
  • Perimenopause, Menopause and Postmenopause
  • Postmenopause
  • Premature Menopause
  • Second Half of Your Life
  • Surgical Menopause
  • The Change
  • The Change of Life
  • The Menopause Years
  • The Menopause-Related Years
  • The Three Stages of Menopause
  • Turning St Catherine’s Corner

Definition

What is menopause?

DotS the definition of menopause may vary. The North American Menopause Society’s (NAMS) definition is:

“Menopause is a normal, natural event—defined as the final menstrual period and usually confirmed when a woman has missed her periods for 12 consecutive months (in the absence of other obvious causes)”.2

The (Australian) Jean Hailes for Women’s Health’s (JH) definition is:

“Menopause is your final menstrual period. If you haven’t had a period for 12 months, you’ve reached menopause”.3

Menopause Experience

What is known about black women’s experiences in menopause?

In A Review of African American Women’s Experiences In Menopause: Importance and Objective, published November 2022, the authors explain:

“Little is known and reported about the experiences of African American women as they transition to and experience menopause. Accepted norms are based on the experience of a predominantly White population”.4

Different Differences

Do black women have unique experiences in menopause?

In A Review of African American Women’s Experiences In Menopause: Discussion and Conclusion the authors also note:

Black Women’s Menopause“African American women experience distinct differences in physical, psychological, social, and quality of life measures during menopause. Increasing awareness about the unique menopause experiences of African American women is critically important to improve the health of this underserved population”.5

Menopause Age

Is there an association between Black women and menopause age?

In Menopause Is Different for Women of Color the author elaborates on:

“In the US, the median age for reaching menopause (the point at which a person has gone for 12 consecutive months without a period) is 51. The research in SWAN shows that Black women reach menopause at 49, two years earlier than the national median age”.6

Vasomotor Symptoms

Is there an association between Black women and vasomotor symptoms defined as hot flashes and night sweats?

In The Menopause Transition and Women’s Health At Midlife: A Progress Report From the Study of Women’s Health Across the Nation (SWAN): Symptoms and Mental Health – Vasomotor Symptoms: Box 2 – Take-Home Messages: Symptoms and Mental Health the authors include:

Vasomotor Symptoms

  • Black women have the highest prevalence, longest duration, and are most bothered by their vasomotor symptoms, whereas Asian women have the lowest vasomotor symptoms prevalence”.7

On page 22 in Black Women Vote: National Health Policy Agenda 2020 – 2021: E. Reproductive Health, Rights, and Justice – Menopause the BWHI elaborate on:Black Women National Health Policy Agenda 2020-2021

“After menopause, for example, one of the most common discomforts is hot flashes, characterized by sudden feelings of warmth that spread over the upper body, often with blushing and sweating. Even there, the differences are stark. White women experience hot flashes for around 6.5 years after their final period, while for Latinas it’s 8.9 years, and for Black women it’s 10 years”.8

Same or Not

Do all women experience the same menopause?

No. Menopause is not one-size-fits-all. Although all women have a FMP, different women experience different symptoms, at different times, in different ways, for different lengths of time, before and after their FMP.

In Menopause: Diagnosis and Management – Information for the Public: Menopause – Symptoms the (British) National Institute for Health and Care Excellence’s (NICE) guideline, the NICE elaborate on:

“Menopause affects every woman differently. You may have no symptoms at all, or they might be brief and short lived. For some women they are severe and distressing.

You can still get menopause symptoms if you have had a hysterectomy (an operation to remove your womb).

Other natural changes as you age can be intensified by menopause. For example, you may lose some muscle strength and have a higher risk of conditions such as osteoporosis and heart disease”.9

SWAN Study

What was included in the Conclusion in Disparities In Reproductive Aging and Midlife Health Between Black and White Women: The Study of Women’s Health Across the Nation (SWAN), published 08 February 2022?

Included in the Conclusion Disparities In Reproductive Aging and Midlife Health Between Black and White Women: The Study of Women’s Health Across the Nation (SWAN): Conclusion the authors elaborate on:

“As summarized in this review, SWAN has documented that Black women’s experience of reproductive aging differs from that of White women and that Black women enter midlife with a more adverse cardio-metabolic profile and more physical limitations. Consequently, early interventions on blood pressure, LDL, and waist circumference in midlife may be key to reducing Black women’s CVD risk, as would reductions in the disparities in treatment for hypertension. Increased attention to the role of structural factors and discrimination on midlife health is also warranted”.10

Perimenopause

How may Black women transition through perimenopause?

In Menopause Is Different for Women of Color: What Does This Mean for Women of Color? the author explains:

“You may be experiencing perimenopause symptoms sooner than you expected to. Now is a good time to find a gynecologist who specializes in menopause who can help you through this transition. For many women, perimenopause is a critical opportunity to make some lifestyle changes to support your health through the latter half of your life. It’s time to start putting yourself first, so you can serve as the elder your community needs”.11

Health Care ProviderBlack Women’s Menopause

What if I would like help with my menopause?

If you would like help with your menopause, it may be in your best interest to choose to talk to your health care provider about this.

In About Menopause: When To See Your Doctor the JH explain:

“Talk to your doctor if you are worried about:

  • Irregular periods
  • Heavy bleeding
  • Bleeding after menopause
  • Increased premenstrual syndrome (PMS) symptoms
  • Menopausal symptoms, such as hot flushes, that interfere with your daily life”.12

The (United States) Mayo Clinic encourage us to seek help:

“Before deciding on any form of treatment, talk with your doctor about your options and the risks and benefits involved with each. Review your options yearly, as your needs and treatment options may change”.13

Health Topics A-Z

Where may I find Health Topics A-Z related to Black Women’s Menopause?

In Health Topics A-Z you may find:

Links

Where may I find Links related to Black Women’s Menopause?

Your Country may have Links similar to:

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Williams, M.; Richard-Davis, G., Williams, P. L.; Christensen, L.; Ward, E.; Schrager, S. A Review of African American Women’s Experiences In Menopause: Importance and Objective. November 2022. https://journals.lww.com/menopausejournal/Abstract/2022/11000/A_review_of_African_American_women_s_experiences.16.aspx Accessed: 02 February 2024
  2. Menopause FAQs: An Introduction To Menopause – Q. What Is Menopause? North American Menopause Society https://www.menopause.org/for-women/menopause-faqs-an-introduction-to-menopause Accessed: 02 February 2024
  3. What Is Menopause? Perimenopause, Menopause and Postmenopause: Menopause. Last Updated: 18 January 2024 | Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/about-menopause Accessed: 02 February 2024
  4. Williams, M.; Richard-Davis, G., Williams, P. L.; Christensen, L.; Ward, E.; Schrager, S. A Review of African American Women’s Experiences In Menopause: Discussion and Conclusion. November 2022. https://journals.lww.com/menopausejournal/Abstract/2022/11000/A_review_of_African_American_women_s_experiences.16.aspx Accessed: 02 February 2024
  5. Williams, M.; Richard-Davis, G., Williams, P. L.; Christensen, L.; Ward, E.; Schrager, S. A Review of African American Women’s Experiences In Menopause: Importance and Objective. November 2022. https://journals.lww.com/menopausejournal/Abstract/2022/11000/A_review_of_African_American_women_s_experiences.16.aspx Accessed: 02 February 2024
  6. Velez, A. Menopause Is Different for Women of Color. 10 March 2021. https://www.endocrineweb.com/menopause-different-women-color Accessed: 02 February 2024
  7. El Khoudary, S. R. et al. The Menopause Transition and Women’s Health At Midlife: A Progress Report From the Study of Women’s Health Across the Nation (SWAN): Symptoms and Mental Health – Vasomotor Symptoms: Box 2 – Take-Home Messages: Symptoms and Mental Health. Published Online: 26 October 2019 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6784846/ Accessed: 02 February 2024
  8. Black Women Vote: National Health Policy Agenda 2020 – 2021: E. Reproductive Health, Rights, and Justice – Menopause, 2020:22. Black Women’s Health Initiative https://bwhi.org/2020/10/27/black-womens-health-imperative-releases-national-health-policy-agenda/ Accessed: 02 February 2024
  9. Menopause: Diagnosis and Management – Information for the Public: Menopause – Symptoms. Published Date: 12 November 2015. Last Updated: 05 December 2019. National Institute for Health and Care Excellence https://www.nice.org.uk/guidance/ng23/ifp/chapter/Menopause Accessed: 02 February 2024
  10. Harlow, S.D., Burnett-Bowie, SA.M., Greendale, G.A. et al. Disparities In Reproductive Aging and Midlife Health Between Black and White women: The Study of Women’s Health Across the Nation (SWAN). Women’s Midlife Health 8, 3 (2022) https://womensmidlifehealthjournal.biomedcentral.com/articles/10.1186/s40695-022-00073-y Accessed: 02 February 2024
  11. Velez, A. Menopause Is Different for Women of Color. 10 March 2021. https://www.endocrineweb.com/menopause-different-women-color Accessed: 07 October 2023
  12. What Is Menopause? When To See Your Doctor. Last Updated: 18 January 2024 | Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/about-menopause Accessed: 02 February 2024
  13. Menopause: Diagnosis & Treatment – Treatment. 25 May 2023. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/menopause/diagnosis-treatment/drc-20353401 Accessed: 02 February 2024
Last Updated: 05 March 2024 – Last Revised: 02 February 2024

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