Maggie – Interview 10
For Maggie, increasingly severe premenstrual tension (PMT) led to a missed period 18 months ago and the onset of hot flushes. Symptoms have now eased but she continues to suffer from insomnia. She feels a sense of loss at not having had children.
Maggie first noticed menopausal changes about 18 months ago at age 47 when she missed a period. She has since had two further light periods. She noticed that premenstrual tension (PMT) had increased in severity in her 40s, with sore breasts, bloating and mood swings for two weeks before her period. These symptoms had a negative impact on relationships. Hot flushes coincided with the loss of periods, taking place during the day and at night. However, they have now subsided as have the mood swings.
One of the main problems, however, has been ongoing insomnia; originally caused by the hot flushes but continuing beyond this. Maggie has used a range of herbal products, including valerian and melatonin to help her sleep, and has also been prescribed temazapam by her GP. She uses these sparingly, with 30 tablets lasting 5 months. She also had problems with cystitis in the 9 months leading up to missing her first period though is uncertain whether this is related to the menopause. Maggie has experienced vaginal dryness since beginning a new relationship in the past 18 months but uses a lubricant to relieve this. She uses condoms for contraception. She has also noticed an increased tendency towards thrush.
Maggie has not considered going on HRT as her symptoms have not been too problematic. She has not discussed aspects of the menopause with her male GP who she feels would be ill-equipped to deal with the issues other than prescribing HRT. Time constraints would also limit what could be discussed. She believes that there needs to be more specialist services available at the level of primary care for women going through menopause; perhaps a support group where women could get advice and share their experiences.
Maggie has no children, but has suffered 3 miscarriages in the past. Although not obsessed with having children, she has experienced a period of grieving since reaching the menopause, with the realization that she will never have children. She discusses aspects of the menopause with friends, one of whom has experienced intense grief at her childlessness.
Despite this Maggie sees the menopause as a positive transition and feels a sense of freedom at not having periods and PMT anymore. She feels lucky to have good skin and relatively few wrinkles and has not needed to dye her hair. She keeps fit and does yoga which she feels has helped her through the menopausal transition. She highlights the ways in which she and her friends are pushing aside the stereotype of the frumpy middle aged woman as they seek new challenges.
Maggie was interviewed for Healthtalkonline in January 2009.