The Wisdom of Menopause: Creating Physical and Emotional Health and Healing During the Change

The Wisdom of Menopause: Creating Physical and Emotional Health and Healing During the Change

by Christiane Northrup
The Wisdom of Menopause: Creating Physical and Emotional Health and Healing During the Change

The Wisdom of Menopause: Creating Physical and Emotional Health and Healing During the Change

by Christiane Northrup

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Overview

Through her bestselling books, groundbreaking PBS specials, and up-to-the-minute clinical knowledge, Dr. Christiane Northrup has earned a place as one of America’s most trusted medical advisors.

In The Wisdom of Menopause, she once again challenges convention with this inspiring look at one of the most commonly misunderstood female health issues. The “change” is not simply a collection of physical symptoms to be “fixed,” Dr. Northrup claims, but a mind/body revolution that brings the greatest opportunity for growth since adolescence. The choices a woman makes now–from the quality of her relationships to the quality of her diet–have the power to secure her health and well-being for the rest of her life. Through her personal story and many fascinating case histories, Dr. Northrup shows:

• How menopause jump-starts changes in the brain, issuing a dramatic wake-up call to body, mind, and emotions
• How to ensure the long-term health of breasts, bones, and heart
• How the body adjusts naturally to changing hormones
• Why bestselling drugs like Premarin may not be the best choice
• How to deal with metabolism shifts, weight gain, sexual problems, and appearance issues
• How to negotiate the challenges of “the empty nest” and midlife marriage

And much more.

In a book destined to be a classic, Dr. Northrup shows women how they can make menopause a time of personal empowerment and positive energy–emerging wiser, healthier, and stronger in both mind and body than ever before.


Product Details

ISBN-13: 9780553384093
Publisher: Random House Publishing Group
Publication date: 10/31/2006
Edition description: REV
Pages: 656
Product dimensions: 9.30(w) x 6.28(h) x 1.36(d)

About the Author

Christiane Northrup, M.D., trained at Dartmouth Medical School and Tufts New England Medical Center before cofounding the Women to Women health care center in Yarmouth, Maine, which became a model for women's clinics nationwide. Board certified in obstetrics and gynecology, she is past president of the American Holistic Medical Association and an internationally recognized authority on women's health and healing.

From the Hardcover edition.

Read an Excerpt

Chapter One

Menopause Puts Your Life Under a Microscope

It is no secret that relationship crises are a common side effect of menopause. Usually this is attributed to the crazy-making effects of the hormonal shifts occurring in a woman's body at this time of transition. What is rarely acknowledged or understood is that as these hormone-driven changes affect the brain, they give a woman a sharper eye for inequity and injustice, and a voice that insists on speaking up about them. In other words, they give her a kind of wisdom--and the courage to voice it. As the vision-obscuring veil created by the hormones of reproduction begins to lift, a woman's youthful fire and spirit are often rekindled, together with long-sublimated desires and creative drives. Midlife fuels those drives with a volcanic energy that demands an outlet.

If it does not find an outlet--if the woman remains silent for the sake of keeping the peace at home and/or work, or if she holds herself back from pursuing her creative urges--the result is equivalent to plugging the vent on a pressure cooker: Something has to give. Very often what gives is the woman's health, and the result will be one or more of the "big three" diseases of postmenopausal women: heart disease, depression, and breast cancer. On the other hand, for those of us who choose to honor the body's wisdom and to express what lies within us, it's a good idea to get ready for some boat rocking, which may put long-established relationships in upheaval. Marriage is not immune to this effect.

"Not Me, My Marriage Is Fine"

Every marriage, even a very good one, must undergo change in order to keep up with the hormone-driven rewiring of a woman's brain during the years leading up to and including menopause. Not all marriages are able to survive these changes. Mine wasn't, and nobody was more surprised about that than I. If this makes you want to hide your head in the sand, believe me, I do understand. But for the sake of being true to yourself and protecting your emotional and physical health in the second half of your life--likely a full forty years or more--then I submit to you that forging ahead and taking a good hard look at all aspects of your relationship (including some previously untouchable corners of your marriage) may be the only choice that will work in your best interest in the long run, physically, emotionally, and spiritually.

From the standpoint of physical health, for example, there is plenty of evidence to suggest that the increase in life-threatening illnesses after midlife, which cannot be accounted for by aging alone, is partly rooted in the stresses and unresolved relationship problems that simmered beneath the surface during the childbearing years of a woman's life, then bubbled up and boiled over at perimenopause, only to be damped down in the name of maintaining the status quo. The health of your significant other is also at stake. Remaining in a relationship that was tailor-made for a couple of twenty-somethings without making the necessary adjustments for who you both have become at midlife can be just as big a health risk for him as it is for you.

This is not to say that your only options are divorce or heart attack. Rather, in order to bring your relationship into alignment with your rewired brain, you and your significant other must be willing to take the time, and spend the energy, to resolve old issues and set new ground rules for the years that lie ahead. If you can do this, then your relationship will help you to thrive in the second half of your life. If one or both of you cannot or will not, then both health and happiness may be at risk if you stay together.


Preparing for Transformation


At midlife, more psychic energy becomes available to us than at any time since adolescence. If we strive to work in active partnership with that organic energy, trusting it to help us uncover the unconscious and self-destructive beliefs about ourselves that have held us back from what we could become, then we will find that we have access to everything we need to reinvent ourselves as healthier, more resilient women, ready to move joyfully into the second half of our lives.

This process of transformation can only succeed, however, if we become proactive in two ways. First, we must be willing to take full responsibility for our share of the problems in our lives. It takes great courage to admit our own contributions to the things that have gone wrong for us and to stop seeing ourselves simply as victims of someone or something outside of ourselves. After all, the person in the victim role tends to get all the sympathy and to assume the high road morally, which is appealing; none of us wants to feel like the bad guy. But even though taking the victim role may seem a good choice in the short run, this stance is ultimately devoid of any power to help us change, heal, grow, and move on.

The second requirement for transformation is more difficult by far: We must be willing to feel the pain of loss and grieve for those parts of our lives that we are leaving behind. And that includes our fantasies of how our lives could have been different if only. Facing up to such loss is rarely easy, and that is why so many of us resist change in general and at midlife in particular. A part of us rationalizes, "Why rock the boat? I'm halfway finished with my life. Wouldn't it just be easier to accept what I have rather than risk the unknown?"

The end of any significant relationship, or any major phase of our lives, even one that has made us unhappy or held us back from our full growth and fulfillment, feels like a death--pure and simple. To move past it, we have to feel the sadness of that loss and grieve fully for what might have been and now will never be.

And then we must pick ourselves up and move toward the unknown. All our deepest fears are likely to surface as we find ourselves facing the uncertainty of the future. During my own perimenopausal life changes, I would learn this in spades--much to my surprise.

By the time I was approaching menopause, I had worked with scores of women who had gone through midlife "cleansings"; I had guided and counseled them as their children left home, their parents got sick, their marriages ended, their husbands fell ill or died, they themselves became ill, their jobs ended--in short, as they went through all the storms and crises of midlife. But I never thought I would face a crisis in my marriage. I had always felt somewhat smug, secure in my belief that I was married to the man of my dreams, the one with whom I would stay "till death do us part."


Delirious Happiness and Shaking Knees


I will always remember the happiness of meeting and marrying my husband, a decision we made merely three months after we met. He was my surgical intern when I was a medical student at Dartmouth. He looked like a Greek god, and I was deeply flattered by his attention, especially since I wasn't at all sure I had what it took to attract such a handsome man with such an Ivy League, country club background. Something deep within me was moved by him beyond all reason, beyond anything I'd ever felt before with any other boyfriend. For the first five years of our marriage my knees shook whenever I saw him. There wasn't a force on this planet that could have talked me out of marrying him. I remember wanting to shout my love from the tops of tall buildings--an exuberance of feeling that was very uncharacteristic of the quiet, studious valedictorian of the Ellicottville Central School class of 1967.

He, however, was considerably less eager to display his feelings. I couldn't help but notice during the years we were both immersed in our surgical training that my husband seemed uncomfortable relating to me when we were at work, and often appeared cold and distant when I'd try to show affection in that setting. This puzzled and hurt me, since I was always proud to introduce him to my patients when we happened to see each other outside of the operating room. But I told myself that this was because of the way he had been raised, and that with enough love and attention from me, he would become more responsive, more emotionally available.


The Childbearing Years: Balancing Personal and Professional Lives

My husband's life didn't change much when we had our two daughters. Mine, however, became a struggle--one that millions of women will recognize from their own experience--as I tried to find satisfying and effective ways to mother my children, remain the doctor I wanted to be, and at the same time be a good wife to my husband. Nonetheless, these were happy years, for both of us adored our daughters from the beginning and enjoyed the many activities we shared with them--the weekend walks, the family vacations, the simple daily contact with two beautiful, developing young beings.

I did sometimes resent the disparity between what I contributed to the upkeep of our family life and what my husband did. Once, when the children were still young, I asked him if he'd consider working fewer hours so that I wouldn't have to give up delivering babies, an aspect of my practice that I dearly loved. He replied, "You've never seen a part-time orthopedic surgeon, have you?" I admitted that I hadn't, but suggested that this didn't mean it couldn't happen with a little imagination on his part. It was not to be, however. It was I who, like so many other women, became the master shape-shifter, adjusting my own needs to those of everyone else in the family.

In the early years of our family life, I was also becoming increasingly aware that the inequities that bothered me in my marriage were a reflection of inequities that existed in the culture around us. I saw many people like my husband and me--people who had started their marriages on equal grounds financially and educationally, even people who, like us, did the same work--and always, once the children arrived, it was the wife who made the sacrifices in leisure time, professional accomplishment, and personal fulfillment.


Change Yourself, Change the World

During those often exhausting years, I began to put into action some of the ideas I'd been developing about women's health--while always being careful not to say much about those ideas at home, where I knew they would not be welcomed by my husband. Inspired by my own experiences as well as those of my patients, and buoyed by the conviction that my ideas could make a difference in people's lives, in 1985 I joined three other women in the venture of establishing a health care center we called Women to Women. The idea of a health center run by women for women was virtually unheard of at that time. Our central mission was to help women appreciate the unity of mind, body, and spirit, to enable them to see the connection between their emotional health and their physical well-being. I wanted to empower women, to give them a safe place in which to tell their personal stories so that they could discover new, more health-enhancing ways of living their lives.

I knew that sometimes this would involve challenging the status quo, because the inequities of the culture take a terrible toll on women's bodies as well as their spirits. But as I practiced this new, holistic form of medicine, which was quite revolutionary for its day, I realized that the fact that I had a normal, happy family life, as well as a husband with conventional medical ideas who practiced in the same community, provided a kind of cover for me. It made me appear "safe" at a time when my ideas were considered unproven at best, dangerous at worst.

My three partners in Women to Women and I bought an old Victorian house that we could convert into a center for our new practice. We all agreed that we wanted to keep our husbands out of our new venture, lest their participation undermine our enthusiastic but still tender confidence in ourselves as businesswomen.

Of course, in my case, at least, that didn't necessarily mean that I didn't want my husband's support. I clearly remember a day at the beginning of the building and site renovation. Two bulldozers sat on the lawn, workers were everywhere, and the existing building had been torn apart. At that moment the whole project suddenly became real for me, and I realized that my colleagues and I were now responsible for paying for all of this. This was an overwhelming thought. When I came home that evening, I uncharacteristically reached out to my husband for help in calming my fears. "I'm scared," I told him. "I'm not sure I can do this." He replied, "I hate it when you're disempowered like this." I quickly realized that I'd been foolish to expect anything from him.

His response to my uncharacteristic and risky moment of emotional vulnerability simply reinforced the coping style I'd developed in childhood, a stoicism that was a necessity in a household where emotional neediness was frowned upon and we were told to "keep a stiff upper lip." Another favorite saying in my family was "Don't ask for a lighter pack, ask for a stronger back." So, as usual, I pulled myself up by my own bootstraps, dug into my inner resources, and pretended that I wasn't afraid.

As it turned out, Women to Women became a great success. Our work struck a resonant chord with our patients, and the center grew steadily by word of mouth. As excited as I was about what I was doing, I could never interest my husband in any of the ideas about alternative medicine that were at the core of my new clinical practice. We did, however, have enough other areas of mutual interest that I didn't think his attitude toward my work mattered. In fact, I was rather proud of myself for being able to sustain a loving relationship with a card-carrying member of the American Medical Association.


Marrying My Mother


Looking back, I see that in marrying my husband I had made a secret and mostly unconscious vow that I would do whatever it took to make this marriage work and be the woman I thought he wanted--as long as I could also pursue the work that I loved. Unbeknownst to me, I was re-creating with my husband many aspects of the unfinished business I had carried over from my relationship with my mother, a fact that would only begin to dawn on me some twenty-two years later, as I entered perimenopause.

Table of Contents

List of Figuresxiii
Acknowledgmentsxv
Introduction: The Journey Begins1
Midlife: Redefining Creativity and Home3
Why I'm Writing a Menopause Book Now5
Blazing a New Trail6
Chapter 1Menopause Puts Your Life Under a Microscope9
"Not Me, My Marriage Is Fine"10
The Childbearing Years: Balancing Personal and Professional Lives12
Why Marriages Must Change at Midlife16
My Personal Fibroid Story: The Final Chapter20
Feeling the Joy of Co-creative Partnership23
The Forces That Change the Goose Also Change the Gander26
Real Menopause Hits27
My Marriage Goes Bankrupt28
Armadillo Medicine: The Power of Vulnerability31
Celebrating the Past While Creating a New Future33
Chapter 2The Brain Catches Fire at Menopause36
Our Cultural Inheritance36
Our Brains Catch Fire at Menopause38
Learning to Recognize and Heed Our Wake-up Calls39
Is It Me or Is It My Hormones? Debunking the Myth of Raging Hormones42
The Multiple Roles of Your "Reproductive" Hormones48
Embracing the Message Behind Our Menopausal Anger53
Emotions, Hormones, and Your Health57
How Our Midlife Brains and Bodies Are Set Up to Heal Our Past66
Finding a Larger Meaning71
Chapter 3Coming Home to Yourself: From Dependence to Healthy Autonomy76
The Empty-Nest Syndrome76
Boomerang Babies80
Powerful Feelings, Powerful Healing82
Caring for Ourselves, Caring for Others: Finding the Balance84
Hitting Pay Dirt: Getting Clear About Money at Midlife90
Coming Home to Yourself97
Vocational Awakening at Midlife99
A Road Map for Navigating Unknown Territory102
Chapter 4This Can't Be Menopause, Can It? The Physical Foundation of the Change105
What Is Happening in Your Body: Hormonal Changes106
Perimenopause Is a Normal Process, Not a Disease107
The Three Types of Menopause110
Perimenopause and Hormonal Levels112
Is There a Test I Can Take?114
Menopause and Thyroid Function118
Menopause and Adrenal Function119
What to Expect in Your Transition124
Chapter 5Hormone Replacement: An Individual Choice134
A Brief History of Hormone Replacement134
Bioidentical Hormones: Nature's Ideal Design138
A Hormone Primer: Essential Information Every Woman Should Know142
How to Decide Whether or Not to Take Hormones154
A Dusting of Hormones169
How Long Should You Stay on Hormones?170
Chapter 6Foods and Supplements to Support the Change172
Basic Principles of Herbal Therapy at Menopause174
Menopausal Healing Foods178
Traditional Chinese Medicine and Acupuncture for Menopause187
Start Somewhere190
Chapter 7The Menopause Food Plan: A Program to Balance Your Hormones and Prevent Middle-Age Spread191
Making Peace (Once Again) with My Weight192
Five Steps to Midlife Weight Control194
The Elements of Imbalance199
The Hormone-Balancing Food Plan205
Optimizing Midlife Digestion219
The Final Frontier: Accepting Our Bodies225
Chapter 8Creating Pelvic Health and Power227
What Is Yours, What Is Mine, What Is Ours? Reclaiming Our Boundaries228
Hormonal Imbalance: Fuel to the Fire231
Menstrual Cramps and Pelvic Pain231
Heavy Bleeding235
Fibroids240
An Empowered Approach to Surgery or Invasive Procedures247
Strengthen Your Urinary Health and Pelvic Floor Muscles254
Chapter 9Sex and Menopause: Myths and Reality264
The Anatomy of Desire265
Sexuality at Menopause: Our Cultural Inheritance267
Menopause Is a Time to Redefine and Update Our Relationships274
Hormone Levels Are Only One Part of Libido277
Secondary Libidinal Support: Estrogen and Progesterone279
Testosterone: The Hormone of Desire?281
Aids to Lubrication283
Telling the Truth287
Nine Steps to Rekindling Libido289
Chapter 10Nurturing Your Brain: Sleep, Depression, and Memory292
Enhancing Midlife Sleep296
Depression: An Opportunity for Growth304
Memory Loss at Menopause: Is This Alzheimer's?314
Estrogen and Alzheimer's316
Non-hormonal Ways to Protect Your Brain319
Maximizing Midlife Wisdom323
Chapter 11From Rosebud to Rose Hip: Cultivating Midlife Beauty328
Making Peace with Your Changing Skin330
Preventing or Treating Wrinkles336
Midlife Acne347
Rosacea351
Hair in the Wrong Places354
When Good Skin Care Isn't Enough: Deciding on Cosmetic Procedures360
Varicose Veins364
Chapter 12Standing Tall for Life: Building Healthy Bones369
Osteoporosis: The Scope of the Problem370
We're Designed for Lifetime Sturdiness371
How Healthy Bone Is Made372
Are You at Risk for Osteoporosis?377
Measuring Bone Density381
Bone-Building Program385
What About Bone-Building Drugs?393
Get Strong394
The Sunlight-Bone Health Connection403
Shore Up Your Earth Connection with Plant Medicine408
Chapter 13Creating Breast Health409
Our Cultural Inheritance: Nurturing and Self-Sacrifice410
The Emotional Anatomy of Breast Cancer412
Lifestyle and Breast Health417
Eating for Breast Health420
Breast Cancer Screening423
Putting Breast Cancer Risk in Perspective431
The Breast Cancer Gene: Should You Be Tested?433
The Effect of HRT on Breast Health434
Bioidentical Hormones and Cancer Risk437
The Tamoxifen Dilemma444
Chapter 14Living with Heart, Passion, and Joy: How to Listen to and Love Your Midlife Heart449
The Heart Has Its Say at Menopause: My Personal Story450
Cardiovascular Disease: When the Flow of Life Is Blocked454
Palpitations: Your Heart's Wake-up Call456
Gender Bias and Heart Disease: Our Cultural Inheritance459
Arteriosclerosis: Reducing Your Risk462
Carbohydrates, Sugar, and Heart Health: What Every Woman Should Know472
Cardioprotective Supplements475
Foods for Heart Health480
What About Aspirin?482
Get Moving!483
Is Estrogen Replacement Necessary to Prevent Heart Disease?487
How to Love and Respect Your Midlife Heart492
The Heart-Opening Effect of Pets493
Epilogue: The Calm After the Storm495
Notes499
Resources538
Index567
About the Author591

What People are Saying About This

Deepak Chopra, M.D.

"Feminine wisdom is the intelligence at the heart of creation. It is holistic, intuitive, contextual, and functions as a field of infinite correlation. Dr. Northrup's book is an expression of this wisdom."
--author of Ageless Body, Timeless Mind

Caroline Myss, Ph.D.

"A masterpiece for every woman who has an interest in her body, her mind and her soul."
-- author of Anatomy of the Spirit

Bernie Siegel, M.D.

"Dr. Chris Northrup's book is an outstanding collection of information and case histories that will benefit everyone who reads it. It lives up to the title and I certainly intend to share it with my wife and daughter. I could go on extolling its virtues, but it will do more good if everyone just takes my advice and reads it."
-- author of Love, Medicine, and Miracles

Larry Dossey, M.D.

"While most male physicians seem hesitant even to use the word 'healing,' many women doctors--epitomized by Dr. Christiane Northrup--are demonstrating what genuine healing has always been about: the integration of the physical and the spiritual, psyche and soma, into a harmonious whole. This book demonstrates the reemergence of the feminine in healing, a force that has kept the inner pulse of healing beating for centuries. If you can't have Dr. Northrup for your doctor, read her book."
-- author of Healing Words, Meaning & Medicine, and Recovering the Soul

Joan Borysenko, Ph.D.

"Women's Bodies, Women's Wisdom is a gateway to the deepest understanding of health and well-being. Women have an innate sense of spirituality, an ability to attune to the wisdom within themselves and the larger whole that has been systematically ignored in medicine. Dr. Northrup restores the spiritual to the medical, facilitating the understanding and confidence that every woman needs in order to create a healthy body and a fulfilled life."
-- author of Minding the Body, Mending the Mind and A Woman's Book of Life

Interviews

Rosacea: Get the Red Out

It is estimated that nearly 14 million Americans have rosacea, a common but little-known inflammatory skin condition characterized by dilation of the blood vessels in the face. Rosacea is often misdiagnosed as acne or discoid or systemic lupus erythematosus (SLE). It usually occurs on the cheeks, nose, central forehead and chin, and can also occur on the upper back and upper chest. If you were to look at the skin of someone with rosacea under a microscope, it would show swelling, dilated blood vessels, and, where red bumps known as papules are present, you would see collections of white blood cells.

People with rosacea often experience periods of remission and exacerbation. As with acne, rosacea flare-ups often occur the week before a woman’s period, perhaps because the body is working to rid itself of impurities at that time.

Because of its acne-like effects on personal appearance, rosacea can cause significant psychological and social problems in people who do not know what to do about it. Surveys performed by the National Rosacea Society showed that nearly 70 percent of people with rosacea have lower self-confidence and self-esteem, and 41 percent reported that it had caused them to avoid public contact or cancel social engagements. Among those with severe symptoms, nearly 70 percent said the disorder had adversely affected their professional interactions, and nearly 30 percent said they had even missed work because of their condition. (Source: www.rosacea.org.)

Who Gets Rosacea and Why?

Rosacea affects both men and women, but occurs more often in women after the age of thirty and is most commonlydiagnosed in women in their forties and fifties. Rosacea almost always worsens when women are under significant emotional stress. Given our culture, it is not surprising that more women than men get rosacea at mid-life. It is most common in women with fair skin, because fair skin is often more reactive, but rosacea has also been diagnosed in Asian and African American women.

There are several theories behind the cause of rosacea. One theory is that the disease may be a subcomponent of a more generalized vascular disease, as indicated by the tendency of rosacea sufferers to flush. Another theory suggests that changes in normal skin bacteria or infection of the stomach by Helicobacter pylori may be involved. Various other unproven theories indicate that microscopic skin mites (Demodex spp.), fungi, malfunction of the connective tissue under the skin, and emotions could all be potential causes. Allergies may also play a role, as allergies can cause flushing, which frequently triggers rosacea symptoms.

Signs and Symptoms of Rosacea

The diagnostic criteria indicative of rosacea include the presence of one or more of the following:

1. Flushing (transient erythema), redness on the cheeks, nose, chin or forehead. This may appear similar to a blush or sunburn. One potential cause is flushing due to the large amount of blood rushing through the vessels quickly. Redness tends to become worse over time and can be accompanied by stinging or burning sensations as well as swelling. Persistent redness (non-transient erythema) occurs later.

2. Telangiectasia, or small, visible blood vessels on the face. These enlarged blood vessels look like thin red lines. They usually appear on the cheeks and nose. They can be hidden by redness, but are visible when the redness disappears.

3. Papules, which look like bumps, and pustules, if they are filled with pus. These are not like the bumps you get from acne, in that they do not contain the blackheads or whiteheads.

4. Watery or irritated eyes. Sometimes rosacea patients report feeling like something is in their eyes. They may feel dry or swollen. People with rosacea tend to get styes. In severe cases, some vision loss can occur. Another quite common symptom is redness of eyelids, often misdiagnosed as an infection and mistakenly treated thus.

5. Rhinophyma, or enlarged nose. Severe cases of rhinophyma cause the nose to swell from excess tissue and knobby bumps. It is more common in men, probably because men do not seek treatment early for their other symptoms. This is what W. C. Fields had. Former president Bill Clinton also suffers from it.

Controlling Rosacea

While the causes are unknown, rosacea can be controlled. Many experts believe that early diagnosis and conventional treatment are key to managing rosacea. While I have seen people with rosacea who fare much better with self-treatments and a holistic approach that includes behavior modification, it is usually a good idea to know what you are dealing with first. That way you can avoid irritating products and other triggers.

For more information about this condition, visit Dr. Christiane Northrup’s

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