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Comprehending and Addressing the Menopausal Journey of Black Women

Written by on 22/08/2023

GOOD TO TALK: The fact the menopause hits Black women hard needs to be addressed    (Photo by Sora Shimazaki:

At the intersection of wellness and culture, Black women navigate the distinctive terrain of menopause, an odyssey frequently misunderstood due to racial variables, ultimately culminating in erroneous diagnoses. Menopause, a natural chapter of existence, generally unfolds between the ages of 45 and 55, ushering forth a realm of indications that encompass anxiety, mood fluctuations, and the infamous hot flashes. These manifestations, impactful in their own right, possess the capacity to significantly disrupt day-to-day life and professional routines. Nonetheless, the undercurrent of misconstruction stemming from the “ethnicity gap in menopause” within the medical community merely serves to amplify the hurdles confronted by Black women during this pivotal juncture.

Traversing Misunderstandings: Bridging the Menopausal Ethnicity Gap

A pivotal impediment to efficacious healthcare provisioning for Black women embarking on the menopausal journey rests in the scarcity of awareness and grasp concerning the menopausal ethnicity gap. Exhaustive investigations undertaken by YouGov and Holland and Barrett have unveiled a disquieting verity – 51% of non-Caucasian women perceive menopause counsel as unjustly skewed towards Caucasian experiences. This, in turn, leaves 26% of these women grappling with hindrances in accessing pertinent and fitting support. The intricate interplay between cultural foundations and menopausal symptomatology further confounds matters.

Unveiling Disparities in Symptoms: A Glimpse into the Reality of Black Women

A comprehensive study in the year 2022, known as the SWAN study, plumbed the depths of menopausal experiences in women of diverse origins. This exploration unveiled glaring disparities in the intensity of symptoms between Black women and their Caucasian counterparts. The vexing hot flashes, known for their discomfort, were disclosed to be more pronounced for 46% of Black women compared to 37% of Caucasian women. Moreover, depressive indications were communicated by 27% of Black women in contrast to 22% of Caucasian women. The glaring discrepancies illumined by this study stand as a testament to the acute necessity for individualized medical approaches.

PAINFUL: Adelay Codner was left in agony over misdiagnosis


Championing Inclusive Narratives of Menopause

The narrative of Dr. Adelay Codner resonates poignantly with the experiences encountered by numerous Black women navigating the terrain of menopause. Misdiagnoses may emerge as an unfortunate by-product of the dearth of comprehension surrounding the diversity within menopausal journeys.




CULTURE: Dr Yansie Rolston called for more research


Dr. Yansie Rolston, a trailblazer in comprehending the intricacies of diverse menopausal experiences, has lent her voice to the cause through the medium of the cinematic production “Our Menopause.” Within this cinematic creation, she plumbs the concealed menopausal realities encountered by Black women. Dr. Rolston fervently advocates for medical practitioners to acknowledge the profound influence of culture and environment on the trajectory of menopause.




Fibroids and Their Reverberations: A Tale of Disparity

The stark divergence in health outcomes within the Black community is vividly illuminated by the prevalence of fibroids, particularly amongst African-Caribbean women. Astoundingly, a projected 80% of African-Caribbean women are destined to develop fibroids by the age of 50, in contradistinction to 70% of their Caucasian counterparts. Dr. Rolston accentuates the gravity of this health chasm, illuminating the fact that fibroids often culminate in surgical menopause, frequently in the form of a hysterectomy. This correlation between fibroids and menopause necessitates rigorous inquiry and an all-encompassing medical approach that accommodates such disparities.

Hormone Replacement Therapy and the Complexities of Structural Racism

Hormone Replacement Therapy (HRT), a prevalent approach to alleviating menopausal symptoms, can inadvertently exacerbate fibroids and impinge upon cervical health. This accentuates the significance of a nuanced comprehension of the intersections between medical interventions and the unique physiological attributes of Black women. It is imperative to acknowledge the presence of structural racism within the healthcare framework of the United Kingdom, which further marginalizes the health concerns of Black women.

Towards Equitable Healthcare: Bridging the Divide

Dr. Kumar, a prominent luminary in the realm of women’s health, has underscored the variability in menopausal experiences based on ethnicity. In a revelatory disclosure, menopause frequently transpires amongst Black women around the age of 49, a notable departure from the national average of 51. The Women’s Health Strategy emerges as a beacon of optimism, striving to bridge these evident disparities in healthcare provisioning. Dr. Rolston’s entreaty for forthright conversations surrounding menopause aims to dismantle cultural taboos, fostering open dialogues that pave the path for all-encompassing medical care.

A Clarion Call for Awareness and Education

As the tapestry of this discourse unfurls, the words of Dr. Adelay Codner reverberate. She underscores the urgent need for awareness and education as potent instruments to counteract the veil of shame frequently associated with menopause. The expedition through menopause, particularly for Black women, is multi-faceted, shaped by genetics, culture, and surroundings. The pursuit of comprehensive comprehension and individualized care stands as the hallmark of a healthcare system that esteems the multifarious experiences of women as they navigate the uncharted waters of menopause.