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When I give talks I often start by saying men and women experience the world differently. This is simply a fact I am unwilling to debate (though some men want to!). One of the many, many, some might say countless ways we ladies experience the world differently is through our bodies. That’s right. Ladies' bodies are different. They are different and do things completely out of our control (and apparently science’s control as well) and we are going to talk about it.
Dear Men,
If you are squeamish about this you need to grow up. If we have to see a shit-ton of Nugenix commercials with Doug Flutie (Flutie Flakes, never forget!) because we opted to watch a football game I think you can handle some basic science. Besides, knowing this stuff can make you a better partner and a generally more informed human being. Those are both good things.
You can do it,
Tara
For years no one talked about periods, or menopause, and we didn’t even know that perimenopause was a thing. Please stop to think about that. We did not (and in Florida some still can’t) talk about completely natural, totally unavoidable things that happen to ONE HALF OF THE POPULATION. These pesky periods that DeSantis wants to pretend don’t exist are the same things that offer him the pregnant bodies he and his fellow ass hats so love to legislate. And consider the flip side of this. What if no one ever talked about erections or their impacts (#bantheboners)? This would be weird, would it not? But no one is telling young boys that the things their penises are doing that are outside of their control are dirty. In fact, boners are treated as hilarious and deserving of high-fives! Yet that’s the message sent to girls and women; what your body is doing is not ok. We can’t help it. They can’t help it. But the rules are simply not the same.
I remember the lengths girls would go to hide the tampon or pad they were taking to the bathroom at school because god forbid a boy saw! You would be mercilessly tormented. And it didn’t get better once you made it to the bathroom; the bathroom you only shared with only other women who also got their periods. The fake coughs to cover up the rustling of the wrapping. Trying to hurry up so no one would know. It was all such a ridiculous performance and waste of time. Sounds like we were all taught to tightrope menstruation too. Luckily, things are changing. Young women are talking about their periods. Probably because they are being raised by women forced to feel shame about them. That’s progress. Hooray! But there is way more work to do. Consider that women spend on average $13+/month on menstrual supplies.* Here’s a breakdown of the cost of period-related expenses over a lifetime. I did just learn that, if you are fortunate enough to have a health savings account or flexible spending accounts, these products are covered. But you are still paying for them!
Please enjoy this amazing piece by Gloria Steinem on what would happen if men were the ones menstruating instead of us. Executive summary: Everything would be free and we would do nothing but talk about our cramps!
All these fertile Myrtle’s out there with their regular cycles (which, according to the White House, you definitely should not be tracking on your phone) are in phase one of womanhood. It’s a long phase. It lasts several decades and costs us a lot of of money, pain, and suffering. That is only phase ONE! And that’s the good phase! Up next is some form of menopause. Which one? Who knows! Not your doctor!! You can just guess what’s happening:
Menopause (the OG): Ovaries stop producing eggs. No more periods. Can happen anytime after 45 but typically around age 52. Symptoms include but at not limited to:
Irregular periods
Vaginal dryness
Hot flashes
Chills
Night sweats
Sleep problems
Mood changes
Weight gain and slowed metabolism
Thinning hair and dry skin
Loss of breast fullness
Some evidence suggests that certain factors may make it more likely that you start menopause at an earlier age, including:
Smoking. The onset of menopause occurs 1 to 2 years earlier in women who smoke than in women who don't smoke. Just don’t smoke. It’s gross.
Family history. Women with a family history of early menopause may experience early menopause themselves.
Cancer treatment. Treatment for cancer with chemotherapy or pelvic radiation therapy has been linked to early menopause. That’s some real BS.
Hysterectomy. A hysterectomy that removes your uterus, but not your ovaries, usually doesn't cause menopause. Although you no longer have periods, your ovaries still produce estrogen. But such surgery may cause menopause to occur earlier than average. Also, if you have one ovary removed, the remaining ovary might stop working sooner than expected.
Perimenopause (the new kid on the block): Literally translates to: around menopause. If you haven’t heard of perimenopause that’s ok. It’s only recently that the medical community has acknowledged that it is a thing and not just all “in our heads.” Perimenopause is basically purgatory for the female reproductive system. Our lady parts sometimes have a hard time deciding if they are ready to retire and get the reproductive version of a second-wind. While all this is happening we face (up to several years of) vague but annoying symptoms that make us feel like we are slowly losing our minds.
VERY IMPORTANT NOTE: A gynecologist once told me that it is not uncommon for women in their mid-forties to come in to get checked out for what they think are perimenopausal symptoms only to find out they are pregnant! Their periods have become irregular so they stop using birth control and SURPRISE. The more you know!
I believe all these crappy side effects to womanhood are called adding insult to injury so please enjoy your perimenopausal horoscope to at least laugh about it.
It was clear to me that a Golden Girls reference would be a good thing here. Please note that in the show, Blanche Devereaux was supposed to be 47. I am 45. Does this mean I am two years away from beginning my life of drinks on the lanai?
Early Menopause: Same shit as menopause but before 45. Additionally, if your period stops for at least three months when you’re under 45 (and not pregnant), this is a sign of early menopause: go to the doctor!
Premature menopause: Your period stops before you are 40. If you are not pregnant or on birth control go to the doctor because this can have other impacts on your health.
Recently, Drew Barrymore had a hot flash on live tv (that sounds almost as fun as when Dan Harris had a panic attack on live tv) and it led to a bit more discussion of the fact that these things happen (even to famous ladies!). I love opening a dialogue about this stuff but I also know that Drew (along with Gwyneth and Cameron Diaz) just invested in a menopause startup. So actual hot flash or acting? Whatever the case we need to talk about it all more and find ways to support women going through these phases of life.
We were getting inundated with ads on our streaming services about treating something called Peyronie’s disease (bent 🥕) and couldn’t figure out why. Then we realized that my husband had recently taken a liking to Peroni beer. Him telling me that he liked this light, Italian lager had translated to penis commercials because our devices are always listening. Always. Peyronie’s is a penis-related issue that impacts 4-13% of men (not HALF of the population, not even half of the men). This “disease” causes your penis to be curved or have bumps. That’s it. That’s the disease. But don’t worry! It will all be ok because we have a cure for it! Never mind that Peyronie’s does not lead to cancer or have side effects that lower your bone density or even cause pain. In fact, these are the actual side-effects of Peyronie’s from the Mayo Clinic: Inability to have sexual intercourse. Difficulty achieving or maintaining an erection (erectile dysfunction). Anxiety or stress about sexual abilities or the appearance of your penis. To summarize: 4-13% of the male population may feel sad because their penis looks funny.** Thank goodness we have found a cure for this debilitating condition. The fact that this has a cure and doctors are still shrugging at women about the laundry list of medical issues related to menopause is a real testament to what I said earlier: Men and women experience the world differently.
But Tara you are a business professor not a gynecologist! Why are you talking about this? First, I keep sweating through my clothes at night and it’s really freaking annoying. Second, this has a lot to do with business! There are business opportunities wrapped up in this that need to be explored. This is a bottom line issue and a corporate culture issue. Women coping with menopause have missed out on $1.8 BILLION (with a B) worth of productivity. These missed days and other symptoms are impacting their performance and mental health at work. Think about the difference that could be made for these women if your culture was inclusive and (at least pretended to be) caring. The benefits could be huge. Not only would these (currently frustrated) women see that they are being supported, their wiliness to jump back after they feel better (I think) would be notable. Menopause and all of her friends are hitting us at our prime in terms of business success and that sucks. If these issues are forcing us to opt out of employment we are also opting out of the leadership development pipeline. Menopause could be one of the unrecognized reasons for the paucity of women in senior leadership positions. Thankfully there are opportunities for organizations to do better for their female employees. Here is an actual checklist your company can utilize as a way to improve your menopause support and here are some other suggestions:
Talk about it. Provide education to help address the stigma. It’s not the cooties.
Offer access to treatment via health companies dealing specifically with menopause and its symptoms.
Allow flexible work arrangements to accommodate employee needs.
I’m a big fan of treating employees like they are human beings. I think it’s important to acknowledge that work isn’t the only thing in people’s lives. So, if your senior VP just spent her night wide-awake in a pool of her own sweat while feeling murderous perhaps insisting she be in person for a meeting isn’t a great call for her or your organization. Think about how you can humanize your organization. Maybe put pads and tampons in the bathroom for free; stuff like this goes a long way. I also think it’s important to remember that you hired us and our reproductive system is part of the package. We are going to have cramps, and periods, and babies, and menopause. If we have to mange it all the least our organizations (and partners) can do is support us. They can also consider giving us gift cards to buy the comfortable and forgiving uniform of women of a certain age: tunics.
*If you want to get super fired up please read about the pink tax. If a product has “men’s” and “women’s” version (shave cream for example) the “women’s” versions costs more. It adds up to THOUSANDS of dollars a year.
**Side note: most people don’t even want to look at your penis (Peyronie’s or not).