Perimenopause, often misunderstood as a sudden transition late in a woman’s life, can begin as early as one’s 30s, introducing a myriad of surprising symptoms. This transitional phase, preceding menopause, is gaining attention for the range of unexpected experiences it presents to women. It’s vital for Thai women to understand these developments to accurately interpret their health changes and seek appropriate care.
For many Thai women, the notion of menopause has always been associated with an abrupt cessation of menstruation typically happening in their 50s, but recent insights highlight that perimenopause can commence much earlier. Dr. Natalia Llarena, an OBGYN specializing in reproductive endocrinology, emphasizes that perimenopause can start before the age of 40 and persist for several years. Importantly, it carries distinctive symptoms like irregular menstrual cycles, hot flashes, and mood swings which are frequently overlooked.
Dr. Llarena explains the phenomenon of “menopause flooding,” a term describing unpredictable and heavy bleeding due to irregular ovulation during perimenopause. This condition can be particularly distressing, but it’s crucial for women to recognize these signs as part of the natural aging process. Such insights are particularly relevant to Thai women, who may often dismiss these symptoms due to cultural perceptions of menopause.
Alongside these more recognized symptoms are lesser-known effects such as joint pain, sometimes termed the “frozen shoulder,” as explained by Dr. Llarena. This pain results from dropping estrogen levels which affect lubrication within the body, making joints feel “creakier.” Other unexpected symptoms include tinnitus, itchy ears, and even burning sensations in the mouth, which Thai women might attribute to unrelated conditions.
A common expression in Thai regarding unexplained aches and sensations is “เจ็บจังสงสัยแก่มาเยือน,” which translates to “pain is a sign of aging.” However, understanding that these are associated with hormonal changes can encourage women to consult healthcare professionals instead of enduring discomfort in silence.
Perimenopause also brings psychological and physiological shifts such as mood changes and sleep disturbances, significantly impacting daily life and well-being. Dr. Llarena points out that low estrogen levels are largely responsible, affecting not only physical comfort but mental health, a crucial area often surrounded by stigmatization in Thai society.
The cultural silence around menopause and its symptoms often results in many Thai women forgoing medical advice. Culturally, phrases like “ไม่แก่ไม่หาหมอ” (don’t see a doctor unless you’re really old) deter timely intervention. However, understanding that these symptoms can begin at a much younger age might change attitudes towards seeking help.
Looking ahead, it’s essential for healthcare systems in Thailand to incorporate educational initiatives addressing perimenopause. Providing resources that educate women on these symptoms could aid in reducing the stigma and ensuring women feel empowered to seek care. Dr. Llarena advocates for integrating more discussions on these topics in routine health check-ups, encouraging a proactive rather than reactive approach to women’s health.
To support Thai women during perimenopause, it’s recommended to maintain regular health assessments and embrace lifestyle adjustments such as a balanced diet and exercise, which may alleviate some symptoms. Additionally, increasing public awareness through social media platforms and traditional media is essential for normalizing conversations about perimenopause.
In conclusion, understanding perimenopause as a significant phase in a woman’s life, filled with unique symptoms, highlights the need for open dialogue and accessible healthcare resources. By breaking down these barriers, Thai society can better support women transitioning through perimenopause, enhancing both quality of life and long-term health outcomes.