German Lawmakers Aim to Shatter a Taboo – DW – 10/24/2024

Breaking the Silence on Menopause: A Call for Awareness and Action

Menopause, often referred to euphemistically as "the change," continues to be shrouded in silence and stigma, affecting millions of women worldwide. In Germany alone, approximately nine million women are navigating this life phase, yet discussions around menopause remain largely taboo. The advocacy group We Are 9 Million highlights this stark reality, emphasizing that menopause not only impacts women directly but also has repercussions for society as a whole, including the other half of the population—men who interact with and support those experiencing this natural transition.

The Medical Oversight of Menopause

The limited focus on women’s health issues, particularly menopause, can be traced back to a broader historical trend within the medical field. For decades, medical studies predominantly featured male subjects, leaving a significant gap in the understanding of women’s unique health experiences. This has significantly contributed to the misconceptions surrounding menopause, which typically occurs between the ages of 45 and 55. Many of its symptoms—ranging from hot flashes and insomnia to more severe conditions like cardiovascular disease and depression—remain poorly understood in both medical and social contexts. We Are 9 Million stresses that at least one-third of women suffer from extreme symptoms, which can severely disrupt their personal and professional lives.

Menopause has unfortunately been relegated to "the stepchild of gynecology." With minimal training and attention given to this phase of life, healthcare providers often lack the knowledge necessary to adequately support their patients. The financial model surrounding menopause care does not incentivize thorough consultations either; doctors receive only €16 (about $17.30) for menopause-related consultations, inhibiting comprehensive patient care.

Breaking the Taboo: A New Initiative

In response to the persistent silence surrounding menopause, a new proposal from Germany’s center-right CDU/CSU bloc is emerging. It seeks to elevate menopause in medical research and corporate health management, advocating for a much-needed cultural shift in how this issue is perceived. Emmi Zeulner, a CSU lawmaker and trained nurse, emphasizes the importance of addressing menopause within the context of women’s lives during their "prime time," when they often manage careers, family concerns, and social responsibilities.

Zeulner’s proposal has been met with interest from other political parties. Members of Germany’s governing coalition, including the SPD and the Greens, have expressed their support, recognizing that awareness initiatives surrounding menopause can challenge societal norms and encourage open conversations. As Green party member Saskia Weishaupt mentions, many women don’t even realize their symptoms are linked to menopause due to its lack of visibility in both medical and social conversations.

Political Dynamics and Gendered Health Care

However, the CDU/CSU proposal faces skepticism and criticism, notably from the SPD’s Heike Engelhardt, who accused the conservative bloc of seeking election gains ahead of next year’s federal vote. Engelhardt questions the urgency of these discussions after 16 years of leadership under former Chancellor Angela Merkel, during which she claims the issue was neglected. The CDU’s recent attempts to win back female voters have been further complicated by a drop in female support since Merkel’s departure, prompting urgent calls for party reform and engagement.

The political discourse around menopause highlights a broader struggle for women’s issues within the public realm. Despite the challenges, Zeulner remains optimistic about building cross-party support for her proposal, indicating a potential pathway toward greater awareness and resources for menopause-related health care.

The Path Forward: Learning from Global Initiatives

For those advocating greater awareness of menopause, there is hope in looking abroad. Nations such as the United States and the United Kingdom have initiated cross-party collaborative efforts aimed at breaking the silence surrounding menopause, showcasing the possibility of change. These international examples serve as a guiding light for German lawmakers eager to facilitate discussions and broaden understanding of menopause beyond the tragic confines of stigma.

As the discourse begins to shift and the importance of women’s health issues, particularly during menopause, is acknowledged, it is crucial for all members of society to engage in these conversations. Menopause is not merely a women’s issue; its implications extend to families, workplaces, and economies, demanding an inclusive and informed dialogue.

Conclusion: Embracing Change Together

To truly address the complexities of menopause, a cultural shift is necessary. It requires dismantling the stigma and opening pathways for knowledge sharing and supportive practices. Advocates like We Are 9 Million and lawmakers like Emmi Zeulner are making strides towards this goal, but broad societal engagement is essential. By lifting the veil of silence on menopause, we empower not only women but entire communities to understand and support one another through this pivotal life stage. Acknowledging, discussing, and celebrating this change is a collective responsibility that can lead to improved health outcomes and quality of life for millions.

As we carry forward this discourse, it’s vital to recognize that menopause is not just an individual journey but a shared experience that deserves to be understood and normalized across all facets of society.

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