Lately I’ve been feeling like The Mother of Dragons, and not in the sexy “Daenerys of the House Targaryen, the First of Her Name, The Unburnt, Queen of the Andals, the Rhoynar and the First Men, Queen of Meereen, Khaleesi of the Great Grass Sea, Protector of the Realm, Lady Regent of the Seven Kingdoms, Breaker of Chains and Mother of Dragons”, kind of way…(#RIPGoT#RIPGoT). NO, this is more like Godzilla gone mad, indiscriminately bounding around the city, crashing into people’s feelings, setting them ablaze with a fiery tongue and ZERO EFFS TO GIVE. Aside from the fact that people really do have too many feelings, not so deep down I know that it’s not OK to be mean and hurtful. But sometimes it’s JUST SO HARD to be kind and considerate. I mean, the compulsion to “go for the jugular” at any given time may not be rational, but everything about it is PRIMAL.

I appreciated validation of my recent insight as I was reading an excerpt from Darcy Steinke’s relatively new book, Flash Count Diary: Menopause and the Vindication of Natural Life. “Menopause brings the sense of being animal,” she writes. Um, you think? No crap lady, but do go on… Seriously though, I’m half way through the book and for the most part, I’m down with what Darcy’s preaching. We need more voices like hers, so I hope she can help spread the menopause gospel and sell a lot of books.

October 18th is World Menopause Day and it got me wondering, “What does that mean and what is the purpose? Is the purpose to start conversations in communities around the world to de-stigmatize and drive awareness? If so, who’s behind this global day of recognition and what are the messages and Calls to Action we should sharing? Before I started blogging, I’d never even heard of it. Do women around world observe this day? If so, how? Do they take to the streets or gather quietly in their homes or local coffee shops to commiserate about their symptoms and share tips and tricks for mastering menopause madness?

Well, it turns out that there’s an International Menopause Society (IMS) that sanctions this day and it has a clear purpose, to raise awareness on the menopause and support options for improving health and wellbeing. The 2019 campaign theme is “Testosterone for Women at Midlife” and is supported by a White Paper that examines (and I’m paraphrasing) the risks and benefits of testosterone therapy in menopausal women. Developed “by global consensus between the participating organizations,” (which are largely medical research bodies from around the world) the paper is only about six pages. So, despite the less than inspired title, and in my earnest attempt to better understand the issue, I read it.

While I only understood about every tenth word (or so), my basic takeaways are,

1) testosterone therapy has shown limited benefit in response to a very specific set of menopausal symptoms for some women; 2) current testosterone therapies are formulated for men, not women; 3) there’s not enough research to determine the full spectrum of the benefits or risks of testosterone therapy to menopausal women – whether pre, during, or post; and 4) more research is needed.

Even though I didn’t necessarily know any more about the issue after reading what was obviously, and intently written for the global medical community, I did know that I could and should ask my doctor about it on my next visit. And not because I’m personally experiencing any of the symptoms for which testosterone therapy might be described. Really, it’s more about starting a deliberate discussion with someone (i.e., a medical professional) who might lend their voice, time, knowledge or expertise, to the call for more research on what could potentially be a life altering therapy – whether good or bad – for the millions of women around the world suffering through menopause.

To help us with this, the IMS website provides basic campaign materials, including a patient brochure that includes a list of questions you can ask your doctor if you have symptoms that might benefit from testosterone therapy. There’s also a poster for health and medical offices and if you’re into medical speak, you can also download the White Paper. All of these pieces are available in multiple languages, although the range of languages, and why some languages are available and not others is a bit unclear. For example, the position paper is available in Arabic, French and German, however, the brochure and poster are not; but they are available in Croatian, Czech and Hungarian… Why Chinese, but not Taiwanese or Japanese?

Anyway, despite this seemingly random series of translations, the effort and actionable guidance are appreciated. If you’d like to support the cause, IMS encourages people to participate by:

- printing and sharing their campaign materials,

- organizing a community engagement event, and/or

- engaging in social media using #WorldMenopauseDay

I'm clear that one of the benefits of living with my mother through her change, is that it’s made me more open and direct with others in my life about my own experience with perimenopause.

At this stage in my life, I honestly don’t recall when or why I became familiar with the word “menopause,” or when exactly, I developed a basic understanding of what it was. I don’t know if it’s because I’ve worked in the aging services field for well over a decade, or because I have a clear and distinct recollection of being a young adult woman living in my parent’s home while my mother was going through “the CHANGE…”

Did I read about it in a book or magazine? Or could it have been something that I’ve picked up on over the years, amongst the various family, work and community circles of “women of a certain age?” Observing them with mild curiosity and lacking in empathy about something that wasn’t my experience…yet. Whenever or whatever the exact place or point and time, I’m pretty familiar with the word now (and a lot of what comes with it).

My first experience of being aware of intense feelings that I felt unable to manage – from anxiety to weepiness to hostility – was not surprisingly, during puberty. I’m deliberate in not saying “intense hormonal feelings” because I would have no real firsthand sense of what that meant until years later (but we’ll get to that)… Throughout my adolescence, my mother was pretty good in responding to my emotional fits (for the most part), giving little attention to what were frequent occurrences, and promptly sending me to my room “until I could be civilized.” With the wide berth of latitude in self-directed civility, let’s just say that between the ages of 14 and 17, I spent a lot of time in my room. Eventually, I reached a relative level of emotional stability and would not encounter the dreaded hormones until a decade later – though they would not be my own.

Not unlike many adult children in their earliest years of ‘adulting,’ in my mid-twenties, I returned home to live with my parents after a few years of living independently, to pay down some debt and “save some money.” It was during this two-year time frame that I watched and experienced my normally, reasonable and even-keeled mother turn into an erratic, irrational shrew – frequently launching into fifteen minute tangents about broken coffee mugs (it was an accident, for Pete’s sake!) or running the dishwater too long (“I guess if you paid the water bill you’d be more considerate!”) or some other seemingly inane thing. While I knew it wasn’t her, and that something was going on, it was nonetheless, painfully uncomfortable and often frustrating, to encounter or be the target of her unsubstantiated and disproportionate rage. It’s actually what drove me out of my parent’s house, accelerating my savings timeline and motivating me to get back to my own adulting (which was, admittedly, a good thing to do anyway).

My mother and I haven’t spoken much about that time period – not because she won’t or is embarrassed to talk about it – but, mostly because she mentally purges most things she deems “irrelevant” every three to five years (seriously), and now doesn’t remember a lot about her own experience with perimenopause. She does remember struggling with bouts of extreme hostility and taking a prescription of low-dose anti-depressants for “a year or two”. This, apparently, gave her some relief, until having a uterine hysterectomy for fibroids that were causing an egregiously heavy flow, not long after. Although it’s been just shy of twenty years since she had her uterus removed (her ovaries remain intact), she doesn’t remember having much of a problem with perimenopausal symptoms afterward and she’s never regretted having the hysterectomy…”best decision I could’ve made!”

Through my own experience, I really do understand what a unique and deeply personal experience perimenopause is. Even so, I find myself wanting to know every detail about my mother’s experience as a reference for preparing me for my own – now and into the ambiguous years ahead. But her perimenopause story ends with a hysterectomy at 45, the age that I am now… And for some reason of deep significance to me, and for reasons which I’m not even sure I’m fully clear about, a uterine hysterectomy is the absolute last resort (even though my uterus is riddled with fibroids). So, with that, even though she is my closest living genetic female tie, our stories, like most women’s, are distinctly different and I find myself at a fork in the road, unsure of which healing path to take.

I am clear that one of the benefits of living with my mother through her change, is that it’s made me more open and direct with others in my life about my own experience with perimenopause, as I’m living it. I committed to this about a year ago, after I was eerily transported back to one of my mother’s kitchen rants -- only this time I was her and my fourteen-year old son was looking back at me like I had two heads. It was his earnest look of horror and confusion that stopped me mid-rant and brought me the clarity of mind to apologize for yelling at him without cause.

But more important than the apology, I explained to him that I am going through menopause and that sometimes I feel really angry for no reason at all. I went on to say that while many times my anger feels almost impossible to manage, I still have to try and it’s not okay for me to be abusive to others. It seemed to resonate with him most when I likened my feelings to the times when he’s mean to me and doesn’t want to be, but can’t help it… ”These are called hormones, son. You’re going through puberty and I’m going through menopause. And sometimes they’re going to get the better of us, but in those moments when we can help it, we have to be really good to each other, ok?” Being the thoughtful and considerate kid that he is, he responded, “It’s okay, Mom. I understand.”

Of course, he’ll never truly understand the hell that is menopause, but he does understand that mom’s bad moods are not his fault, and that he is not (always) the reason for my wrath. Now, on the worst of days, I’m able to let him know that I’m feeling “hormonal” and that it’s not him. This usually results in him being unusually helpful with chores around the house or disappearing to his room until my mood has settled. Either way, we have an understanding that works.

I continue to talk to him openly about my symptoms related to perimenopause because it’s my hope that one day he’ll be able to sympathize with, if not support, the women in his life who may be experiencing it.