What most women do not understand is that although the early effects of low oestrogen levels such as hot flushes and brain fog are usually of relatively short duration and are only experienced by some women those are NOT the major effects of menopause. It takes often 10 to 15 years before the really debilitating effects, those that hugely affect the rest of your life, start manifesting themselves.
Once your ovaries stop producing oestrogen there is a slow but insidious deterioration in your body. Your bones thin, your vagina atrophies, your urinary tract becomes prone to infection, arthritis kicks in, sleep becomes a problem. etc.
Whether or not you “sail through” the early stage there is a time-bomb in each and every one of us as the lack of oestrogen weakens your bones, causes prolapse, vaginal atrophy, loss of libido, osteoarthritis, urinary infections, stress incontinence to full incontinence, sleep problems etc.
No, we won’t all suffer these issues but few older women escape without at least one of these conditions impacting their quality of later life. I am in my 70s and among my peers almost everyone not on HRT complains about preventable health problems.
Simply women were designed to live to about their 50s. Our egg supply lasts roughly that long. Nowadays, thanks to huge advances in medical science living to 80 and way beyond is not unusual but a high proportion of elderly women suffer from lack of oestrogen. It impacts their quality of life in a major way. Thankfully modern medicine provides a solution. Once your body stops producing oestrogen it can be replaced by identical oestrogen in the same way that diabetics can replace their missing hormone insulin. It is not a drug. Both menopausal women and diabetics can now choose to go without or replace the hormone their body is not manufacturing.
What is needed is for women to become informed about their bodies and to understand that they do have a choice. It may be that for medical reasons hormone replacement is not suitable but for those for whom it has overriding positive advantages it can give them a healthier happier future.