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

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Overview

“Menopause is every woman’s awakening — a stage that holds enormous promise for healing our bodies, minds, and spirits on the deepest levels.”

Dr. Christiane Northrup destroys myths and challenges convention. Now in her groundbreaking new book, The Wisdom of Menopause, she will forever change your views on menopause. Filled with remarkable new health choices, research, and Dr. Northrup’s own candid personal experience, The Wisdom of Menopause is the ultimate guide for every woman ready to come into her own.

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What People Are Saying

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

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

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

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

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

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Editorial Reviews

From Barnes & Noble

Dr. Christiane Northrup exposes the unsettling correlation between menopause, relationship tumult, and physical illnesses in The Wisdom of Menopause. In this eye-opening read, Northrup -- the esteemed author of Women's Bodies, Women's Wisdom -- describes how hormonal changes that accompany menopause contribute to a woman's heightened awareness of the satisfaction or dissatisfaction she experiences in her personal relationships. A woman's reaction to these new feelings can determine both her emotional and physical well-being as she enters the postmenopausal years. If feelings of discontent are smothered and locked away, they may eventually manifest themselves in the form of physical illnesses including heart disease and breast cancer. But if the newfound feelings are examined, and relationships reassessed, there is the chance that the effects can be quite devastating. Northrup herself went through such a "midlife crisis" and in offering up her own very personal account, the author affirms that armed with courage and wisdom, women can indeed come out on the other side of The Change happier and healthier. Far from a cautionary tale about the uncontrollable havoc menopause can wreak in women's lives and marriages, The Wisdom of Menopause is an empowering look at the ways in which women can embrace their own self-knowledge and better their lives.

Publishers Weekly - Publisher's Weekly

Northrup (Women's Bodies, Women's Wisdom), cofounder of the Women to Women health-care center in Maine, offers a celebratory, "psychospiritual" approach in her comprehensive guide to menopausal health and well-being. Beginning with the premise that, though difficult, the "hormone-driven changes that affect the brain... give a woman a sharper eye for inequity... and a voice that insists on speaking up," Northrup details hormonal imbalances, mood swings, serious illnesses, treatment options and all the other symptoms, side effects and decisions women face in midlife. Middle-aged herself, Northrup writes from experience and, more important, from her professional expertise as a physician who has treated many women and researched menopause. While much of the health-care material here is available in other sources, Northrup's approach a description of symptoms, followed by both traditional and alternative treatment options along with some anecdotes is particularly useful. Occasionally she veers off into New Age jargon, but she is a firm believer in the relevance of tangential influences on physical health, including emotional and financial well-being. The specific medical advice on sleep, diet, breast health and the empowerment motif will bring insight, comfort and confidence to women embarked on "the change." Copyright 2001 Cahners Business Information.

Library Journal

Author of Women's Bodies, Women's Wisdom, a million-copy best seller, Oprah regular Northrup helps women prepare for menopause, both physically and emotionally. Copyright 2000 Cahners Business Information.

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Product Details

ISBN-13: 9780553801217
Publisher: Bantam Books
Publication date: 3/6/2001
Pages: 589
Product dimensions: 6.48 (w) x 9.50 (h) x 1.49 (d)

Meet 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.

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Read an Excerpt

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."

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	List of Figures	xiii
	Acknowledgments	xv
	Introduction: The Journey Begins	1
	Midlife: Redefining Creativity and Home	3
	Why I'm Writing a Menopause Book Now	5
	Blazing a New Trail	6
Chapter 1	Menopause Puts Your Life Under a Microscope	9
	"Not Me, My Marriage Is Fine"	10
	The Childbearing Years: Balancing Personal and Professional Lives	12
	Why Marriages Must Change at Midlife	16
	My Personal Fibroid Story: The Final Chapter	20
	Feeling the Joy of Co-creative Partnership	23
	The Forces That Change the Goose Also Change the Gander	26
	Real Menopause Hits	27
	My Marriage Goes Bankrupt	28
	Armadillo Medicine: The Power of Vulnerability	31
	Celebrating the Past While Creating a New Future	33
Chapter 2	The Brain Catches Fire at Menopause	36
	Our Cultural Inheritance	36
	Our Brains Catch Fire at Menopause	38
	Learning to Recognize and Heed Our Wake-up Calls	39
	Is It Me or Is It My Hormones? Debunking the Myth of Raging Hormones	42
	The Multiple Roles of Your "Reproductive" Hormones	48
	Embracing the Message Behind Our Menopausal Anger	53
	Emotions, Hormones, and Your Health	57
	How Our Midlife Brains and Bodies Are Set Up to Heal Our Past	66
	Finding a Larger Meaning	71
Chapter 3	Coming Home to Yourself: From Dependence to Healthy Autonomy	76
	The Empty-Nest Syndrome	76
	Boomerang Babies	80
	Powerful Feelings, Powerful Healing	82
	Caring for Ourselves, Caring for Others: Finding the Balance	84
	Hitting Pay Dirt: Getting Clear About Money at Midlife	90
	Coming Home to Yourself	97
	Vocational Awakening at Midlife	99
	A Road Map for Navigating Unknown Territory	102
Chapter 4	This Can't Be Menopause, Can It? The Physical Foundation of the Change	105
	What Is Happening in Your Body: Hormonal Changes	106
	Perimenopause Is a Normal Process, Not a Disease	107
	The Three Types of Menopause	110
	Perimenopause and Hormonal Levels	112
	Is There a Test I Can Take?	114
	Menopause and Thyroid Function	118
	Menopause and Adrenal Function	119
	What to Expect in Your Transition	124
Chapter 5	Hormone Replacement: An Individual Choice	134
	A Brief History of Hormone Replacement	134
	Bioidentical Hormones: Nature's Ideal Design	138
	A Hormone Primer: Essential Information Every Woman Should Know	142
	How to Decide Whether or Not to Take Hormones	154
	A Dusting of Hormones	169
	How Long Should You Stay on Hormones?	170
Chapter 6	Foods and Supplements to Support the Change	172
	Basic Principles of Herbal Therapy at Menopause	174
	Menopausal Healing Foods	178
	Traditional Chinese Medicine and Acupuncture for Menopause	187
	Start Somewhere	190
Chapter 7	The Menopause Food Plan: A Program to Balance Your Hormones and Prevent Middle-Age Spread	191
	Making Peace (Once Again) with My Weight	192
	Five Steps to Midlife Weight Control	194
	The Elements of Imbalance	199
	The Hormone-Balancing Food Plan	205
	Optimizing Midlife Digestion	219
	The Final Frontier: Accepting Our Bodies	225
Chapter 8	Creating Pelvic Health and Power	227
	What Is Yours, What Is Mine, What Is Ours? Reclaiming Our Boundaries	228
	Hormonal Imbalance: Fuel to the Fire	231
	Menstrual Cramps and Pelvic Pain	231
	Heavy Bleeding	235
	Fibroids	240
	An Empowered Approach to Surgery or Invasive Procedures	247
	Strengthen Your Urinary Health and Pelvic Floor Muscles	254
Chapter 9	Sex and Menopause: Myths and Reality	264
	The Anatomy of Desire	265
	Sexuality at Menopause: Our Cultural Inheritance	267
	Menopause Is a Time to Redefine and Update Our Relationships	274
	Hormone Levels Are Only One Part of Libido	277
	Secondary Libidinal Support: Estrogen and Progesterone	279
	Testosterone: The Hormone of Desire?	281
	Aids to Lubrication	283
	Telling the Truth	287
	Nine Steps to Rekindling Libido	289
Chapter 10	Nurturing Your Brain: Sleep, Depression, and Memory	292
	Enhancing Midlife Sleep	296
	Depression: An Opportunity for Growth	304
	Memory Loss at Menopause: Is This Alzheimer's?	314
	Estrogen and Alzheimer's	316
	Non-hormonal Ways to Protect Your Brain	319
	Maximizing Midlife Wisdom	323
Chapter 11	From Rosebud to Rose Hip: Cultivating Midlife Beauty	328
	Making Peace with Your Changing Skin	330
	Preventing or Treating Wrinkles	336
	Midlife Acne	347
	Rosacea	351
	Hair in the Wrong Places	354
	When Good Skin Care Isn't Enough: Deciding on Cosmetic Procedures	360
	Varicose Veins	364
Chapter 12	Standing Tall for Life: Building Healthy Bones	369
	Osteoporosis: The Scope of the Problem	370
	We're Designed for Lifetime Sturdiness	371
	How Healthy Bone Is Made	372
	Are You at Risk for Osteoporosis?	377
	Measuring Bone Density	381
	Bone-Building Program	385
	What About Bone-Building Drugs?	393
	Get Strong	394
	The Sunlight-Bone Health Connection	403
	Shore Up Your Earth Connection with Plant Medicine	408
Chapter 13	Creating Breast Health	409
	Our Cultural Inheritance: Nurturing and Self-Sacrifice	410
	The Emotional Anatomy of Breast Cancer	412
	Lifestyle and Breast Health	417
	Eating for Breast Health	420
	Breast Cancer Screening	423
	Putting Breast Cancer Risk in Perspective	431
	The Breast Cancer Gene: Should You Be Tested?	433
	The Effect of HRT on Breast Health	434
	Bioidentical Hormones and Cancer Risk	437
	The Tamoxifen Dilemma	444
Chapter 14	Living with Heart, Passion, and Joy: How to Listen to and Love Your Midlife Heart	449
	The Heart Has Its Say at Menopause: My Personal Story	450
	Cardiovascular Disease: When the Flow of Life Is Blocked	454
	Palpitations: Your Heart's Wake-up Call	456
	Gender Bias and Heart Disease: Our Cultural Inheritance	459
	Arteriosclerosis: Reducing Your Risk	462
	Carbohydrates, Sugar, and Heart Health: What Every Woman Should Know	472
	Cardioprotective Supplements	475
	Foods for Heart Health	480
	What About Aspirin?	482
	Get Moving!	483
	Is Estrogen Replacement Necessary to Prevent Heart Disease?	487
	How to Love and Respect Your Midlife Heart	492
	The Heart-Opening Effect of Pets	493
	Epilogue: The Calm After the Storm	495
	Notes	499
	Resources	538
	Index	567
	About the Author	591

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Interviews & Essays

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

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2 Extraordinary Books for Mid-Lifers

Five Stars For Taking Care Of Ourselves

Full of knowledge and wisdom

The Wisdom of Menopause is a don't miss book to read.

Educational

AWESOME BOOK!

Divorce during menopause IS relevant!!!

Christiane Northrup Rocks!

The Wisdom of Menopause

Poorly Written and Unorganized

Mind-Body Approach to Menopause

Great info about menopause

I love this book!

INFORMATIVE!!

A wonderful resource!!!

Advocated on the Perfect 10 Diet

the key to understanding your body and mind

If you are a woman age 27 & above, don't go to your doctor before reading this book & being well-informed as to what questions to ask & more importantly what questions your doctor should ask!

Too Much Personal Information

great

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