Menopause is an inevitable stage of life for every woman with ovaries, yet it often arrives surrounded by confusion and misinformation. Sarah Block, DNP, a women’s health provider at SSM Health, is determined to change that narrative. As a Menopause Society Certified Practitioner (MSCP), Block brings advanced education and evidence-based expertise to support women through this critical phase.
It Starts Earlier Than You Think
Many people associate menopause with women in their 50s, but Block explains that symptoms often begin much earlier. “Perimenopause—the transition period before menopause—can start as early as age 35,” she said. This phase is characterized by hormonal fluctuations that may affect nearly every system in the body.
Officially, menopause is diagnosed after 12 consecutive months without menstruation. However, this can be challenging to determine in women using hormonal birth control or those who have undergone a hysterectomy. In such cases, recognizing the symptoms becomes essential for accurate understanding and care.
The Symptoms: More Than Just Hot Flashes
Hot flashes and night sweats are the hallmark symptoms, but Block emphasizes that the effects of declining estrogen, progesterone, and testosterone extend far beyond that. “We see everything from mood swings and anxiety to fatigue, joint pain, and even symptoms that mimic ADHD,” she explained. Women might also face hair thinning, dry skin, midsection weight gain, and sleep disruptions—especially frequent waking between 2 and 4 a.m.
These symptoms can deeply impact personal relationships, work performance, and mental well-being. “Irritability, rage, and emotional sensitivity can be distressing,” Block noted. “It’s vital for partners and families to understand what’s happening and provide empathy and support.”
Real Women, Real Stories
Lisa Peterson, 52, began experiencing intense hot flashes, fatigue, and emotional changes a few years after receiving an IUD. “I felt irrational at times and didn’t recognize myself,” she recalled. Hormone therapy brought a dramatic improvement. “It’s been life-changing—I finally feel like myself again.”
Tessa Karls, a 42-year-old mother of four, also experienced mood and energy fluctuations after her last pregnancy. “Some days, I didn’t even know who I was anymore,” she said. After consulting with Block and starting an estrogen patch along with lifestyle adjustments, Tessa found relief. “For the first time in a while, I felt normal again.”
Treatment Options and What to Ask
Block encourages women to seek help early, noting that menopause care should be individualized. “There’s no single approach,” she said. “We tailor treatment to each woman’s symptoms and goals.” While hormone therapy remains the most effective intervention, lifestyle choices such as balanced nutrition, regular exercise, and stress management also play key roles.
She advises women to prepare for their appointments by bringing:
- A detailed list of symptoms
- Family history of menopause
- Questions about available treatment options
- Concerns about emotional and mental health
- Willingness to discuss physical and emotional changes openly
Breaking the Silence Around Menopause
For decades, menopause was a rarely discussed topic—even in medical settings. Fortunately, awareness is growing. “Hormone therapy is now understood to be safer than once believed,” Block said. “Women deserve to feel good in their own skin and to thrive—not merely survive—this transition.”
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