But what about those assigned female at birth who do not conform to gender or sexuality norms? How does this transitional period affect gay, lesbian, or bisexual women and non-binary folks? Is the experience any different for this population?
In short, the answer is yes! Here are a few of the ways these differences can show up:
1.) The end of menstruation can cause mixed emotions including sadness, grief, relief, and/or a sense of freedom.
The queer community often faces stigma within the healthcare system and this can translate to difficulty receiving the mental health care needed during this time of transition. Finding trusted and safe providers is of utmost importance when seeking support to navigate the emotional ramifications of menopause.
2.) Non-binary folks are known to experience higher levels of body dissatisfaction and gender dysphoria.
The physical changes associated with menopause may trigger some of these feelings for some, but can also be affirming for others. Research is very limited on this population though, so individualized care is key.
3.) Transgender individuals using hormone replacement therapy (HRT) also experience menopausal symptoms due to hormonal fluctuations.
It is often assumed that because these folks are on HRT, they do not experience the transition in the same way. But that is not the case.
This lack of understanding around the trans experience leaves this population in the dark when it comes to education around the hormonal changes they are likely to experience as they age. It is crucial that this population has access to providers who understand the intricacies of the trans experience and how HRT can contribute to their lived experience and symptoms.
More Inclusive Menopause
For the queer community, more inclusive menopause care is very much needed. Seeking providers who are culturally competent and/or work from an own-voices perspective can help LGBTQIA+ folks navigate perimenopause and menopause in non-harming and affirming ways!
Finding a provider you feel comfortable talking about menopause with is one of the most important pieces of this conversation. Talking about menopause can be challenging and dysphoric, so planning what you would like to discuss with your provider ahead of time can be quite helpful.
Local institutions like LGBTQIA+ centers and groups can often be an invaluable resource for finding referrals and support in how to approach these conversations. As with most queer issues, leaning on your community can be the best way to meet your needs!
If you’re looking for someone who understands these issues, reach out and we can connect you with our LGBTQ and Gender-Affirming Nutrition Care nutritionists.
References:
- Sobel T, Derakshani D, Vencill JA. Menopause experiences in sexual minority women and non-binary people. Maturitas. 2024 Jul;185:108007. doi: 10.1016/j.maturitas.2024.108007. Epub 2024 Apr 24. PMID: 38677174.
- https://www.healthline.com/health/menopause/ask-the-expert-menopause-in-trans-men-and-nonbinary-people
