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<!DOCTYPE html><html lang="en-GB"><head><meta charset="utf-8"/><meta name="viewport" content="width=device-width, initial-scale=1.0"/><link rel="canonical" href="https://www.goodhousekeeping.com/uk/health/a35227597/lgbtq-menopause-experience/"/><meta name="X-UA-Compatible" http-equiv="X-UA-Compatible" content="IE=edge,chrom=1"/><meta name="msapplication-tap-highlight" content="no"/><title>We need to talk about the LGBTQ+ menopause experience</title><meta name="title" content="We need to talk about the LGBTQ+ menopause experience"/><meta name="description" content="Good Housekeeping investigates the menopause experiences of the LGBTQ+ community and explores what needs to be done to make healthcare more inclusive."/><meta name="keywords" content/><meta name="theme-color" content="#000000"/><link href="/_assets/design-tokens/goodhousekeeping_en-gb/static/images/favicon.3b8d3f8.ico" rel="icon"/><meta property="og:site_name" content="Good Housekeeping"/><meta name="fb:app_id" content="172525162793917" property="fb:app_id"/><meta name="article:publisher" content="http://www.facebook.com/goodhousekeepinguk/" property="article:publisher"/><meta name="twitter:site" content="@ghmagazine"/><meta name="google-site-verification" content="Cyrrih2f3Dh884Dysa4Fuafe2UewzpbR6gnQipgICss"/><meta property="og:title" content="We need to talk about the LGBTQ+ menopause experience"/><meta property="og:description" content="Members of the LGBTQ+ community and healthcare experts explain the importance of inclusivity."/><meta name="parsely-metadata" content="{"socialHeadline":"We need to talk about the LGBTQ+ menopause experience"}"/><meta name="robots" content="noarchive,noai,noimageai,max-image-preview:large,max-snippet:-1,max-video-preview:30"/><link rel="apple-touch-icon" href="/_assets/design-tokens/goodhousekeeping/static/images/apple-touch-icon.da59c7c.png"/><link rel="alternate" type="application/rss+xml" title="Good Housekeeping - Health" href="/uk/rss/health.xml"/><link rel="alternate" type="application/rss+xml" title="Good Housekeeping" href="/uk/rss/all.xml"/><meta property="og:image" content="https://hips.hearstapps.com/hmg-prod/images/lbtqia-header-1613142945.png?crop=1xw:1xh;center,top&resize=1200:*"/><meta property="og:image:width" content="1200"/><meta property="og:image:height" content="600"/><meta name="thumbnail" content="https://hips.hearstapps.com/hmg-prod/images/lbtqia-header-1613142945.png?crop=0.502xw:1.00xh;0.250xw,0&resize=320:*"/><meta name="sailthru.image.full" content="https://hips.hearstapps.com/hmg-prod/images/lbtqia-header-1613142945.png?crop=1xw:1xh;center,top&resize=320:*"/><meta name="sailthru.image.thumb" content="https://hips.hearstapps.com/hmg-prod/images/lbtqia-header-1613142945.png?crop=0.502xw:1.00xh;0.250xw,0"/><meta name="twitter:image" content="https://hips.hearstapps.com/hmg-prod/images/lbtqia-header-1613142945.png?crop=1xw:1xh;center,top&resize=640:*"/><meta content="https://www.goodhousekeeping.com/uk/health/a35227597/lgbtq-menopause-experience/" property="og:url"/><meta name="auto-publish" content="never"/><meta property="og:type" content="article"/><meta name="twitter:card" content="summary_large_image"/><meta name="article:opinion" property="article:opinion" content="false"/><meta content="Health" property="article:section"/><meta content="2021-02-16T08:41:00Z" property="article:modified_time"/><meta content="2021-02-16T08:41:00Z" property="article:published_time"/><meta name="sailthru.excerpt" content="Going through perimenopause and menopause can be a difficult time for many people, with debilitating symptoms and stubborn stigma attached. There’s lots to be done to improve menopause care, including making it accessible for people of all genders and sexualities. It’s vitally important as the number of people who identify"/><meta name="sailthru.tags" content="health,Health,features,Features,Good Housekeeping-GB"/><meta name="sailthru.date" content="2021-02-16 08:41:00"/><meta name="sailthru.socialtitle" content="We need to talk about the LGBTQ+ menopause experience"/><meta name="sailthru.contenttype" content="standard-article"/><meta id="m1" name="m1" itemprop="cssSelector " content=".content-hed"/><meta id="m2" name="m2" itemprop="cssSelector" content=".content-dek p"/><link href="/" itemscope itemtype="http://schema.org/SpeakableSpecification" itemref="m1 m2"/><meta name="next-head-count" content="46"/><script id="settings" 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type="application/ld+json">{"@type":"NewsArticle","thumbnailUrl":"https://hips.hearstapps.com/hmg-prod/images/lbtqia-header-1613142945.png?crop=0.502xw:1.00xh;0.250xw,0&resize=100:*","datePublished":"2021-02-16T08:41:04.892706Z","headline":"We need to talk about the LGBTQ+ menopause experience","articleBody":"Going through perimenopause and menopause can be a difficult time for many people, with debilitating symptoms and stubborn stigma attached. There’s lots to be done to improve menopause care, including making it accessible for people of all genders and sexualities. It’s vitally important as the number of people who identify as LGBTQ+ is increasing. For clarity, LGBTQ+ is shorthand for people who identify as lesbian, gay, bisexual, transgender, queer and more minority gender identities and sexualities.The government estimates there are currently 200,000 to 500,000 trans people in the UK. In 2016, The Guardian found the number of people undertaking gender confirmation treatment had risen dramatically in recent years with some clinics experiencing case increases of several hundred per cent. More people are also identifying as lesbian, gay or bisexual, rising from 1.6% in 2014 to 2.2% in 2018. These figures suggest that in the future, there will be more people who identify as LGBTQ+ experiencing menopause. Menopause conversations are often had in a way that’s heteronormative – assuming that being straight is default. When symptoms can directly impact relationships and intimacy, this can exclude those in same-sex relationships from receiving support that’s right for them. Jane, 52, started experiencing a change in her periods when she was 49 and since then, has been accessing menopause treatment. Jane’s libido hasn’t changed and she and her wife have maintained a regular sex life, however, she feels that if she did need to access advice about that, she wouldn’t turn to her GP.“[Mainstream advice] is more about penetrative sex, and obviously lesbian sex isn’t just around that at all,” she said.“If we were having any problems with sexual stuff, I’d be more inclined to see a therapist and access my own information online. I can’t see me sitting [and talking to a GP] – and I am quite confident and assertive.”Jane has noticed that healthcare posters and leaflets she’s accessed don’t seem to openly recognise diversity in sexuality.“I've not had anything that’s said: ‘We appreciate all women are different’ or ‘All women will have different relationships.’ There isn't an acknowledgement. [It feels like they’re saying]: ‘You’re a woman, in her late 40s or early 50s who’s going through the menopause. Never mind sexuality or whatever, there are no variations,’” she said. Despite menopause usually being talked about as something that only affects women, it happens to people of differing genders, including trans men, who were assigned the female gender at birth, and non-binary people, who identify as neither male nor female. Some of these people experience a severe unease, known as dysphoria, when something – like menopause - happens to their bodies, acting as a reminder of the reproductive system they were born with and the gender they don’t identify with. They might avoid medical help altogether because it’s just too difficult to talk about. Sam*, is a 36-year-old trans man who’s currently waiting for a hysterectomy that was delayed due to the pandemic. As well as taking testosterone, Sam receives injections to block the oestrogen production in his body. If his testosterone supply were to be paused (something that’s become a real threat due to Brexit import changes) he wouldn’t have any sex hormones and would begin experiencing menopause symptoms like hot flushes, describing this an “anxiety-inducing”.Sam says the dysphoria he feels when accessing healthcare related to issues typically deemed ‘women’s health’ is “awful”. “I’m forced to confront the fact that my body doesn’t naturally produce testosterone, but it does produce oestrogen. I experience a lot of dysphoria about that,” he said. According to Tania Glyde, a psychotherapist and counsellor whose research has explored LGBTQ+ people’s experiences of menopause, a lack of training for GPs means they’re not able to deliver the right advice and support.“People may simply avoid going to the doctor because it is not worth the bother. This means they may miss out on medical treatment and support that would greatly improve their lives,” she said.Dr Kamilla Kamaruddin is a GP, trans woman and advocate for improved LGBTQ+ healthcare who agrees there is a lack of trans awareness and education that needs to be worked on. As a patient, Dr Kamaruddin has issues accessing healthcare herself.“I’m a GP myself and there’s a GP I just don’t want to see… I will only call my surgery on a Thursday because there’s a GP who understands me [working that day]. Sometimes I will delay going to my GP for two to three weeks because the quality I’m comfortable with comes on Thursday. I think it’s quite unfortunate that even as a GP, I feel this way,” she said. A way to make sure everyone feels seen and heard when discussing menopause in healthcare settings and more generally is inclusive language. This includes using correct pronouns for individuals (e.g he and him; they and them) and the word ‘people’ rather than ‘women’ when talking about the overarching group who can experience menopause.“GPs surgeries are sometimes the first point of call for trans people and it’s very important that GPs have necessary training about trans awareness and using the right pronouns,” Dr Kamaruddin said.Tania explained that inclusive language is about “showing the public that all people are equally prioritised rather than just the majority. By using the word 'people', we are inviting in, rather than excluding.”When people don’t use inclusive language, it can have a damaging impact.”It makes you feel ignored or invalidated. You think ‘I’m going through that’ or ‘I could go through that’ but I’m not a woman,’” Sam said.“I think sometimes people think: ‘He’s saying that no one can ever say women go through the menopause’. No one’s saying that at all, of course you can refer to women going through the menopause. But if you’re taking about a group of individuals, that’s ‘people’ going through the menopause,” Sam added.In a world in which the LGBTQ+ community is growing in visibility, thinking and speaking about menopause in a way that’s inclusive of everyone will only help more people to access the help they need at a difficult time. As open discussion around menopause continues to get louder, let’s make sure everyone’s part of the conversation.You can find more information and support related to the LGBTQ+ menopause experience at Tania's website Queer Menopause. *Name has been changedLike this article? Sign up to our newsletter to get more articles like this delivered straight to your inbox.SIGN UPIn need of some positivity or not able to make it to the shops? Enjoy Good Housekeeping delivered directly to your door every month! Subscribe to Good Housekeeping magazine now.SUBSCRIBE NOW","wordCount":1097,"articleSection":"Health","image":[{"@type":"ImageObject","height":1200,"thumbnail":"https://hips.hearstapps.com/hmg-prod/images/lbtqia-header-1613142945.png?crop=0.502xw:1.00xh;0.250xw,0&resize=100:*","url":"https://hips.hearstapps.com/hmg-prod/images/lbtqia-header-1613142945.png?crop=0.502xw:1.00xh;0.250xw,0&resize=1200:*","width":1200},{"@type":"ImageObject","height":900,"thumbnail":"https://hips.hearstapps.com/hmg-prod/images/lbtqia-header-1613142945.png?crop=0.502xw:1.00xh;0.250xw,0&resize=100:*","url":"https://hips.hearstapps.com/hmg-prod/images/lbtqia-header-1613142945.png?crop=0.6666666666666666xw:1xh;center,top&resize=1200:*","width":1200},{"@type":"ImageObject","height":675,"thumbnail":"https://hips.hearstapps.com/hmg-prod/images/lbtqia-header-1613142945.png?crop=0.502xw:1.00xh;0.250xw,0&resize=100:*","url":"https://hips.hearstapps.com/hmg-prod/images/lbtqia-header-1613142945.png?crop=0.888888888888889xw:1xh;center,top&resize=1200:*","width":1200}],"mainEntityOfPage":{"@id":"https://www.goodhousekeeping.com/uk/health/a35227597/lgbtq-menopause-experience/","@type":"WebPage"},"publisher":{"@type":"NewsMediaOrganization","name":"Good Housekeeping","sameAs":["https://twitter.com/ghmagazine","https://www.youtube.com/channel/UCtShEz_r0c5rALLbDIctFPg","http://www.facebook.com/goodhousekeepinguk/","https://www.instagram.com/goodhousekeepinguk/","http://www.pinterest.com/ghkuk"],"logo":{"@type":"ImageObject","url":"https://www.goodhousekeeping.com/uk/_assets/design-tokens/goodhousekeeping/static/images/logos/logo-jsonld.e7d28d1.png","width":312,"height":60},"parentOrganization":{"@type":"NewsMediaOrganization","name":"Hearst Corporation"}},"keywords":["content-type: News","locale: GB","displayType: standard article"],"url":"https://www.goodhousekeeping.com/uk/health/a35227597/lgbtq-menopause-experience/","isBasedOn":"https://www.goodhousekeeping.com/uk/health/a35227597/lgbtq-menopause-experience/","description":"Good Housekeeping investigates the menopause experiences of the LGBTQ+ community and explores what needs to be done to make healthcare more inclusive.","author":{"name":"Megan Sutton","url":"https://www.goodhousekeeping.com/uk/author/500413/megan-sutton/","@type":"Person","description":"Megan is Cosmopolitan UK's acting senior editor, covering topics like careers, books, health and relationships. 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#E5E5E5;border-color:#D4D4D4;position:relative;outline:none;background:#ffffff;font-size:0.875rem;line-height:1.6;font-family:Archer,Archer-roboto,Archer-local,Georgia,Times,Serif;text-transform:capitalize;background:inherit;border:inherit;display:inherit;outline:inherit;font-size:inherit;text-transform:inherit;font-weight:inherit;font-family:inherit;letter-spacing:inherit;padding:0rem;}.css-12gr4e9:disabled{color:#D4D4D4;border-color:#E5E5E5;cursor:default;}.css-12gr4e9:focus-visible::before{outline:0.125rem dotted #000000;}.css-12gr4e9:before{content:"";position:absolute;min-height:48px;min-width:48px;width:100%;height:100%;top:50%;left:50%;-webkit-transform:translate(-50%, -50%);-moz-transform:translate(-50%, -50%);-ms-transform:translate(-50%, -50%);transform:translate(-50%, 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#E5E5E5;border-color:#D4D4D4;position:relative;outline:none;background:#ffffff;font-size:0.875rem;line-height:1.6;font-family:Archer,Archer-roboto,Archer-local,Georgia,Times,Serif;text-transform:capitalize;background:inherit;border:inherit;display:inherit;outline:inherit;font-size:inherit;text-transform:inherit;font-weight:inherit;font-family:inherit;letter-spacing:inherit;padding:0rem;}.css-mvicou:hover{color:#525252;text-decoration-color:border-link-body-hover;}.css-mvicou:disabled{color:#D4D4D4;border-color:#E5E5E5;cursor:default;}.css-mvicou:focus-visible::before{outline:0.125rem dotted #000000;}.css-mvicou:before{content:"";position:absolute;min-height:48px;min-width:48px;width:100%;height:100%;top:50%;left:50%;-webkit-transform:translate(-50%, -50%);-moz-transform:translate(-50%, -50%);-ms-transform:translate(-50%, -50%);transform:translate(-50%, -50%);}.css-mvicou:focus-visible{outline:unset;}.css-108y4ns{padding-top:0rem;padding-bottom:0rem;}@media(min-width: 40.625rem){.css-108y4ns{max-width:347px;}}.css-108y4ns .e1c1bym13{margin-top:0.625rem;display:inline-block;}.css-1lqhmd4{display:inline-block;text-transform:uppercase;margin-left:0.625rem;color:#525252;}.css-wkpw2c{display:-webkit-box;display:-webkit-flex;display:-ms-flexbox;display:flex;-webkit-flex-direction:column;-ms-flex-direction:column;flex-direction:column;-webkit-box-pack:center;-ms-flex-pack:center;-webkit-justify-content:center;justify-content:center;-webkit-align-items:center;-webkit-box-align:center;-ms-flex-align:center;align-items:center;}.css-18jz25a{gap:5px;display:-webkit-box;display:-webkit-flex;display:-ms-flexbox;display:flex;position:relative;margin-top:0.9375rem;}.css-k008qs{display:-webkit-box;display:-webkit-flex;display:-ms-flexbox;display:flex;}.css-1q1kaac{margin-bottom:0.9375rem;position:relative;}@media(max-width: 64rem){.css-1q1kaac{max-width:calc(100vw - (1rem * 2));margin-left:1rem;margin-right:1rem;}.css-1q1kaac 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strong{font-family:Charter,Charter-weightbold-roboto,Charter-weightbold-local,Georgia,Times,Serif;font-weight:bold;}.css-1m94cws{font-size:1.1875rem;line-height:1.6;font-family:Charter,Charter-roboto,Charter-local,Georgia,Times,Serif;}.css-1m94cws:first-letter{float:left;text-transform:uppercase;font-weight:bold;margin-right:0.9375rem;margin-bottom:-0.625rem;margin-top:0;font-size:6.56249rem;line-height:0.8;font-family:Neutra,Neutra-weightbold-upcase-roboto,Neutra-weightbold-upcase-local,Helvetica,Arial,Sans-serif;}@-moz-document url-prefix(){.css-1m94cws:first-letter{margin-top:0.625rem;}}.css-1m94cws em{font-style:italic;font-family:Charter,Charter-styleitalic-roboto,Charter-styleitalic-local,Georgia,Times,Serif;}.css-1m94cws strong{font-family:Charter,Charter-weightbold-roboto,Charter-weightbold-local,Georgia,Times,Serif;font-weight:bold;}.css-kmu22m{display:-webkit-box;display:-webkit-flex;display:-ms-flexbox;display:flex;--data-embed-display:flex;-webkit-align-items:center;-webkit-box-align:center;-ms-flex-align:center;align-items:center;margin-bottom:0.9375rem;}@media(min-width: 20rem){.css-kmu22m{clear:both;margin-left:auto;margin-right:auto;width:100%;}}@media(min-width: 30rem){.css-kmu22m{clear:both;margin-left:auto;margin-right:auto;width:100%;}}@media(min-width: 40.625rem){.css-kmu22m{width:50%;margin-left:1rem;margin-right:0rem;float:right;clear:right;}}@media(min-width: 48rem){.css-kmu22m{width:50%;margin-left:1rem;margin-right:0rem;float:right;clear:right;}}@media(min-width: 64rem){.css-kmu22m{width:50%;margin-left:1rem;margin-right:0rem;float:right;clear:right;}}@media(min-width: 73.75rem){.css-kmu22m{width:50%;margin-left:1rem;margin-right:0rem;float:right;clear:right;}}@media(min-width: 75rem){.css-kmu22m{width:50%;margin-left:1rem;margin-right:0rem;float:right;clear:right;}}@media(min-width: 90rem){.css-kmu22m{width:50%;margin-left:1rem;margin-right:0rem;float:right;clear:right;}}.css-kmu22m.size-screenheight img{width:auto;height:85vh;}.css-kmu22m img:not([data-dynamic-svg]){display:block;width:100%;height:auto;-webkit-align-self:flex-start;-ms-flex-item-align:flex-start;align-self:flex-start;}.css-kmu22m a{display:-webkit-inline-box;display:-webkit-inline-flex;display:-ms-inline-flexbox;display:inline-flex;position:var(--position, relative);}.css-kmu22m a span{right:1rem;}.css-uwraif{width:100%;display:-webkit-inline-box;display:-webkit-inline-flex;display:-ms-inline-flexbox;display:inline-flex;-webkit-flex-direction:column;-ms-flex-direction:column;flex-direction:column;margin-left:auto;margin-right:auto;-webkit-box-pack:center;-ms-flex-pack:center;-webkit-justify-content:center;justify-content:center;}.css-78jldq{padding-left:0rem;}.css-1nd4gv7{font-size:1.1875rem;line-height:1.6;font-family:Charter,Charter-roboto,Charter-local,Georgia,Times,Serif;}.css-1nd4gv7 em{font-style:italic;font-family:Charter,Charter-styleitalic-roboto,Charter-styleitalic-local,Georgia,Times,Serif;}.css-1nd4gv7 strong{font-family:Charter,Charter-weightbold-roboto,Charter-weightbold-local,Georgia,Times,Serif;font-weight:bold;}.css-1vobaui{display:-webkit-box;display:-webkit-flex;display:-ms-flexbox;display:flex;--data-embed-display:flex;-webkit-align-items:center;-webkit-box-align:center;-ms-flex-align:center;align-items:center;margin-bottom:0.9375rem;}@media(min-width: 20rem){.css-1vobaui{clear:both;margin-left:auto;margin-right:auto;width:100%;}}@media(min-width: 30rem){.css-1vobaui{clear:both;margin-left:auto;margin-right:auto;width:100%;}}@media(min-width: 40.625rem){.css-1vobaui{width:60%;margin-right:1rem;margin-left:0rem;float:left;clear:left;}}@media(min-width: 48rem){.css-1vobaui{width:60%;margin-right:1rem;margin-left:0rem;float:left;clear:left;}}@media(min-width: 64rem){.css-1vobaui{width:50%;margin-right:1rem;margin-left:0rem;float:left;clear:left;}}@media(min-width: 73.75rem){.css-1vobaui{width:50%;margin-right:1rem;margin-left:0rem;float:left;clear:left;}}@media(min-width: 75rem){.css-1vobaui{width:60%;margin-right:1rem;margin-left:0rem;float:left;clear:left;}}@media(min-width: 90rem){.css-1vobaui{width:60%;margin-right:1rem;margin-left:0rem;float:left;clear:left;}}.css-1vobaui.size-screenheight img{width:auto;height:85vh;}.css-1vobaui img:not([data-dynamic-svg]){display:block;width:100%;height:auto;-webkit-align-self:flex-start;-ms-flex-item-align:flex-start;align-self:flex-start;}.css-1vobaui a{display:-webkit-inline-box;display:-webkit-inline-flex;display:-ms-inline-flexbox;display:inline-flex;position:var(--position, relative);}.css-1vobaui a span{right:1rem;}.css-1eiql25{text-align:center;margin:0rem;padding-top:0.9375rem;padding-bottom:0.9375rem;}.css-ouovwr{margin:0rem;font-size:1.625rem;line-height:1.2;font-family:MajestiBanner,MajestiBanner-weightbold-roboto,MajestiBanner-weightbold-local,Georgia,Times,Serif;font-weight:bold;letter-spacing:0.03rem;}@media(max-width: 64rem){.css-ouovwr{font-size:2.5rem;line-height:1;}}@media(min-width: 48rem){.css-ouovwr{font-size:2.8125rem;line-height:1;}}@media(min-width: 64rem){.css-ouovwr{font-size:3.125rem;line-height:1;}}.css-ouovwr em,.css-ouovwr i{font-style:italic;font-family:inherit;}.css-ouovwr b,.css-ouovwr strong{font-family:inherit;font-weight:bold;}.css-mmsx8a{display:-webkit-box;display:-webkit-flex;display:-ms-flexbox;display:flex;--data-embed-display:flex;-webkit-align-items:center;-webkit-box-align:center;-ms-flex-align:center;align-items:center;margin-bottom:0.9375rem;}@media(min-width: 20rem){.css-mmsx8a{clear:both;margin-left:auto;margin-right:auto;width:100%;}}@media(min-width: 30rem){.css-mmsx8a{clear:both;margin-left:auto;margin-right:auto;width:100%;}}@media(min-width: 40.625rem){.css-mmsx8a{width:60%;margin-left:1rem;margin-right:0rem;float:right;clear:right;}}@media(min-width: 48rem){.css-mmsx8a{width:60%;margin-left:1rem;margin-right:0rem;float:right;clear:right;}}@media(min-width: 64rem){.css-mmsx8a{width:50%;margin-left:1rem;margin-right:0rem;float:right;clear:right;}}@media(min-width: 73.75rem){.css-mmsx8a{width:50%;margin-left:1rem;margin-right:0rem;float:right;clear:right;}}@media(min-width: 75rem){.css-mmsx8a{width:60%;margin-left:1rem;margin-right:0rem;float:right;clear:right;}}@media(min-width: 90rem){.css-mmsx8a{width:60%;margin-left:1rem;margin-right:0rem;float:right;clear:right;}}.css-mmsx8a.size-screenheight img{width:auto;height:85vh;}.css-mmsx8a img:not([data-dynamic-svg]){display:block;width:100%;height:auto;-webkit-align-self:flex-start;-ms-flex-item-align:flex-start;align-self:flex-start;}.css-mmsx8a a{display:-webkit-inline-box;display:-webkit-inline-flex;display:-ms-inline-flexbox;display:inline-flex;position:var(--position, relative);}.css-mmsx8a a span{right:1rem;}.css-1eg3mui{-webkit-text-decoration:underline;text-decoration:underline;text-decoration-thickness:0.0625rem;text-decoration-color:#125C68;text-underline-offset:0.25rem;color:#125C68;-webkit-transition:all 0.3s ease-in-out;transition:all 0.3s ease-in-out;word-break:break-word;font-weight:bold;}.css-1eg3mui:hover{color:#525252;text-decoration-color:#525252;}.css-18pb4rg{border:0;border-bottom:thin solid black;margin:1.875rem 0;clear:both;}.css-w0xrsd{-webkit-text-decoration:none;text-decoration:none;text-decoration-thickness:0.0625rem;text-decoration-color:#125C68;text-underline-offset:0.25rem;color:#000000;-webkit-transition:background 0.3s ease-in-out,color 0.3s ease-in-out;transition:background 0.3s ease-in-out,color 0.3s ease-in-out;word-break:break-word;display:inline-block;font-weight:bold;padding:0.6rem 1rem;background-color:#53c2be;width:auto;font-family:NeutraDisplay,NeutraDisplay-upcase-roboto,NeutraDisplay-upcase-local,Helvetica,Arial,sans-serif;text-transform:uppercase;font-size:0.8125rem;line-height:1;border-radius:0.125rem;letter-spacing:0.045rem;}.css-w0xrsd:hover{color:#525252;text-decoration-color:#525252;background-color:#000000;}.css-w0xrsd:focus-visible{outline-color:body-cta-btn-link-focus;}.css-es6uyf{padding:0 0.938rem;margin-top:1.875rem;margin-bottom:1.875rem;}@media(min-width: 40.625rem){.css-es6uyf{padding:0 2.5rem;}}.css-14vh9p{text-align:center;margin:0 auto;max-width:60rem;}.css-1sowyjy{margin-bottom:1.25rem;}.css-8oopcl{margin:0 auto;font-weight:bold;width:-webkit-fit-content;width:-moz-fit-content;width:fit-content;border-bottom:0.0625rem solid black;margin-bottom:0;font-size:1rem;line-height:1.3;font-family:NeutraDisplay,NeutraDisplay-upcase-roboto,NeutraDisplay-upcase-local,Helvetica,Arial,sans-serif;letter-spacing:0.0225rem;text-transform:uppercase;}.css-1yshdjs{display:-webkit-box;display:-webkit-flex;display:-ms-flexbox;display:flex;-webkit-align-items:center;-webkit-box-align:center;-ms-flex-align:center;align-items:center;-webkit-box-pack:center;-ms-flex-pack:center;-webkit-justify-content:center;justify-content:center;margin:0rem;font-weight:bold;min-height:auto;font-family:Neutra,Neutra-weightbold-roboto,Neutra-weightbold-local,Helvetica,Arial,Sans-serif;}@media(max-width: 64rem){.css-1yshdjs{font-size:1.4375rem;line-height:1.2;}}@media(max-width: 73.75rem){.css-1yshdjs{margin-top:0.625rem;}}@media(min-width: 48rem){.css-1yshdjs{font-size:1.625rem;line-height:1.1;}}@media(min-width: 64rem){.css-1yshdjs{margin-top:0.9375rem;font-size:1.9375rem;line-height:1.1;}}.css-1ui7hop{margin-bottom:0.9375rem;--aspect-ratio:56.25%;}.css-1tfrsvs{margin-bottom:0.9375rem;width:100%;height:100%;}.css-1tfrsvs .glimmerPlayer{z-index:2000000;}.css-1tfrsvs .vjs-wrapper .vjs-filmstrip{z-index:4000000;}.css-1tfrsvs .glimmerPlayer.glimmer-sticky{z-index:4000000;}.css-1tfrsvs .__resp-container{height:auto;}.css-1d3dqod{height:100%;width:100%;position:relative;z-index:2000000;visibility:visible;overflow:hidden;}.css-19szzr8{position:absolute;left:50%;top:50%;-webkit-transform:translate(-50%,-50%);-moz-transform:translate(-50%,-50%);-ms-transform:translate(-50%,-50%);transform:translate(-50%,-50%);z-index:1;stroke:#ffffff;cursor:pointer;height:3.75rem;width:3.75rem;border-radius:50%;background-color:rgba(0, 0, 0, 0.4);color:#fff;border:.1875rem solid white;-webkit-transition:all 0.4s;transition:all 0.4s;}@media(min-width: 48rem){.css-19szzr8{height:5.625rem;width:5.625rem;border:.28125rem solid white;}}.e7hrar04:hover .css-19szzr8{background-color:rgba(33, 150, 245, 0.8);color:#ffffff;}.css-ovd4yx{vertical-align:middle;width:1.45rem;height:1.4rem;margin-right:0rem;}@media(min-width: 48rem){.css-ovd4yx{width:2.3125rem;height:3rem;margin-right:.25rem;}}.css-157wciq{width:100%;height:100%;object-fit:cover;cursor:pointer;}.css-g939jb{width:100%;height:100%;object-fit:cover;cursor:pointer;}.css-izijhn{margin:4rem 0.9375rem 1.4rem;clear:both;color:#000000;text-align:center;position:relative;margin-top:4rem;margin-bottom:1.25rem;display:-webkit-box;display:-webkit-flex;display:-ms-flexbox;display:flex;-webkit-flex-direction:column;-ms-flex-direction:column;flex-direction:column;-webkit-box-pack:start;-ms-flex-pack:start;-webkit-justify-content:start;justify-content:start;padding-bottom:0rem;max-width:none;min-height:523px;}@media(min-width: 48rem){.css-izijhn{margin:4rem 2.5rem 1.4rem;min-height:138px;}}@media(min-width: 73.75rem){.css-izijhn{margin:4rem auto 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itemprop="item" href="/uk/health/a35227597/lgbtq-menopause-experience/" data-vars-ga-ux-element="Breadcrumbs" data-vars-ga-call-to-action="We need to talk about the LGBTQ+ menopause experience" data-vars-ga-outbound-link="https://www.goodhousekeeping.com/uk/health/a35227597/lgbtq-menopause-experience/" class="e3morl60 css-93j5lg e1c1bym14"><span itemprop="name">We need to talk about the LGBTQ+ menopause experience</span></a><meta itemprop="position" content="3"/></li></ol></nav><h1 class="css-14zqg1m e1f1sunr8"><span aria-hidden="true" data-theme-key="title-design-element-before" class="css-0 eagam8p0"></span>We need to talk about the LGBTQ+ menopause experience<span aria-hidden="true" data-theme-key="title-design-element-after" class="css-0 eagam8p1"></span></h1><div class="css-1g9nlz3 e1f1sunr6"><p>Members of the LGBTQ+ community and healthcare experts explain the importance of inclusivity.</p></div><div class="css-1cyer20 e1f1sunr5"><address class="css-1f16hyr e1v8cotw2"><span data-theme-key="by-line-name" class="css-aer7do e1v8cotw1">By <a data-theme-key="popover-trigger" title="Megan Sutton" alt href="/uk/author/500413/megan-sutton/" aria-expanded="false" aria-haspopup="dialog" class="er6ohko0 e1puv02z1 css-mvicou e1c1bym14">Megan Sutton</a></span><time class="css-1lqhmd4 e1f1sunr4">Published: 16 February 2021</time></address></div><div class="no-print css-wkpw2c e1f1sunr11"><div data-journey-blur="true" class="content-header-actions css-18jz25a e1f1sunr10"></div></div></div></div></header><div data-journey-hide="true" class="css-k008qs et2g3wt0"><div class="standard-container content-container article-container css-1q1kaac et2g3wt3"><div data-journey-body="standard-article" class="article-body-content article-body standard-body-content css-4oaay7 et2g3wt6"><p data-journey-content="true" data-node-id="0" class="body-dropcap css-1m94cws emevuu60">Going through perimenopause and menopause can be a difficult time for many people, with debilitating symptoms and stubborn stigma attached. There’s lots to be done to improve menopause care, including making it accessible for people of all genders and sexualities. It’s vitally important as the number of people who identify as LGBTQ+ is increasing. For clarity, LGBTQ+ is shorthand for people who identify as lesbian, gay, bisexual, transgender, queer and more minority gender identities and sexualities.</p><section data-embed="body-image" data-lazy-id="P0-7" data-node-id="1" class="embed"><div size="medium" data-embed="body-image" class="align-right size-medium embed css-kmu22m e1fodxfw4"><div class="css-uwraif e1fodxfw3"><img alt="menopause" loading="lazy" width="867" height="849" decoding="async" data-nimg="1" style="color:transparent;width:100%;height:auto;" sizes="100vw" srcset="https://hips.hearstapps.com/hmg-prod/images/logo-round-sans-1613142388.png?resize=320:* 640w, https://hips.hearstapps.com/hmg-prod/images/logo-round-sans-1613142388.png?resize=480:* 980w, https://hips.hearstapps.com/hmg-prod/images/logo-round-sans-1613142388.png?resize=640:* 1120w" src="https://hips.hearstapps.com/hmg-prod/images/logo-round-sans-1613142388.png?resize=640:*" class="css-0 e193vzwj0"/><div class="css-78jldq e1fodxfw2"></div></div></div></section><p data-journey-content="true" data-node-id="2" class="css-1nd4gv7 emevuu60">The government estimates there are currently 200,000 to 500,000 trans people in the UK. In 2016, <em>The Guardian</em> found the number of people undertaking gender confirmation treatment had risen dramatically in recent years with some clinics experiencing case increases of several hundred per cent. More people are also identifying as lesbian, gay or bisexual, rising from 1.6% in 2014 to 2.2% in 2018. These figures suggest that in the future, there will be more people who identify as LGBTQ+ experiencing menopause. </p><p data-journey-content="true" data-node-id="3" class="css-1nd4gv7 emevuu60">Menopause conversations are often had in a way that’s heteronormative – assuming that being straight is default. When symptoms can directly impact relationships and intimacy, this can exclude those in same-sex relationships from receiving support that’s right for them. </p><section data-embed="watch-next" data-lazy-id="P0-8" data-node-id="4" class="embed"></section><p data-journey-content="true" data-node-id="5" class="css-1nd4gv7 emevuu60">Jane, 52, started experiencing a change in her periods when she was 49 and since then, has been accessing menopause treatment. Jane’s libido hasn’t changed and she and her wife have maintained a regular sex life, however, she feels that if she did need to access advice about that, she wouldn’t turn to her GP.</p><section data-embed="body-image" data-lazy-id="P0-9" data-node-id="6" class="embed"><div size="large" data-embed="body-image" class="align-left size-large embed css-1vobaui e1fodxfw4"><div class="css-uwraif e1fodxfw3"><img alt="menopause" loading="lazy" width="1080" height="1339" decoding="async" data-nimg="1" style="color:transparent;width:100%;height:auto;" sizes="100vw" srcset="https://hips.hearstapps.com/hmg-prod/images/lbtqia-text-1613142215.png?resize=480:* 640w, https://hips.hearstapps.com/hmg-prod/images/lbtqia-text-1613142215.png?resize=980:* 980w, https://hips.hearstapps.com/hmg-prod/images/lbtqia-text-1613142215.png?resize=980:* 1120w" src="https://hips.hearstapps.com/hmg-prod/images/lbtqia-text-1613142215.png?resize=980:*" class="css-0 e193vzwj0"/><div class="css-78jldq e1fodxfw2"></div></div></div></section><p data-journey-content="true" data-node-id="7" class="css-1nd4gv7 emevuu60">“[Mainstream advice] is more about penetrative sex, and obviously lesbian sex isn’t just around that at all,” she said.</p><p data-journey-content="true" data-node-id="8" class="css-1nd4gv7 emevuu60">“If we were having any problems with sexual stuff, I’d be more inclined to see a therapist and access my own information online. I can’t see me sitting [and talking to a GP] – and I am quite confident and assertive.”</p><p data-journey-content="true" data-node-id="9" class="css-1nd4gv7 emevuu60">Jane has noticed that healthcare posters and leaflets she’s accessed don’t seem to openly recognise diversity in sexuality.</p><p data-journey-content="true" data-node-id="10" class="css-1nd4gv7 emevuu60">“I've not had anything that’s said: ‘We appreciate all women are different’ or ‘All women will have different relationships.’ There isn't an acknowledgement. [It feels like they’re saying]: ‘You’re a woman, in her late 40s or early 50s who’s going through the menopause. Never mind sexuality or whatever, there are no variations,’” she said. </p><p data-journey-content="true" data-node-id="11" class="css-1nd4gv7 emevuu60">Despite menopause usually being talked about as something that only affects women, it happens to people of differing genders, including trans men, who were assigned the female gender at birth, and non-binary people, who identify as neither male nor female. </p><section data-embed="pullquote" data-lazy-id="P0-10" data-node-id="12" class="embed"><blockquote data-theme-key="pullquote" class="css-1eiql25 e1pe3zr91"><span aria-hidden="true" data-theme-key="title-design-element-before" class="css-0 eagam8p0"></span><blockquote class="css-ouovwr e1pe3zr90">"When people don’t use inclusive language, it can have a damaging impact."</blockquote><span aria-hidden="true" data-theme-key="title-design-element-after" class="css-0 eagam8p1"></span></blockquote></section><p data-journey-content="true" data-node-id="13" class="css-1nd4gv7 emevuu60">Some of these people experience a severe unease, known as dysphoria, when something – like menopause - happens to their bodies, acting as a reminder of the reproductive system they were born with and the gender they don’t identify with. They might avoid medical help altogether because it’s just too difficult to talk about. </p><p data-journey-content="true" data-node-id="14" class="css-1nd4gv7 emevuu60">Sam*, is a 36-year-old trans man who’s currently waiting for a hysterectomy that was delayed due to the pandemic. As well as taking testosterone, Sam receives injections to block the oestrogen production in his body. If his testosterone supply were to be paused (something that’s become a real threat due to Brexit import changes) he wouldn’t have any sex hormones and would begin experiencing menopause symptoms like hot flushes, describing this an “anxiety-inducing”.</p><p data-journey-content="true" data-node-id="15" class="css-1nd4gv7 emevuu60">Sam says the dysphoria he feels when accessing healthcare related to issues typically deemed ‘women’s health’ is “awful”. </p><p data-journey-content="true" data-node-id="16" class="css-1nd4gv7 emevuu60">“I’m forced to confront the fact that my body doesn’t naturally produce testosterone, but it does produce oestrogen. I experience a lot of dysphoria about that,” he said. </p><p data-journey-content="true" data-node-id="17" class="css-1nd4gv7 emevuu60">According to Tania Glyde, a psychotherapist and counsellor whose research has explored LGBTQ+ people’s experiences of menopause, a lack of training for GPs means they’re not able to deliver the right advice and support.</p><section data-embed="body-image" data-lazy-id="P0-11" data-node-id="18" class="embed"><div size="large" data-embed="body-image" class="align-right size-large embed css-mmsx8a e1fodxfw4"><div class="css-uwraif e1fodxfw3"><img alt="menopause" loading="lazy" width="1080" height="1339" decoding="async" data-nimg="1" style="color:transparent;width:100%;height:auto;" sizes="100vw" srcset="https://hips.hearstapps.com/hmg-prod/images/lbtqia-text-02-1613142452.png?resize=480:* 640w, https://hips.hearstapps.com/hmg-prod/images/lbtqia-text-02-1613142452.png?resize=980:* 980w, https://hips.hearstapps.com/hmg-prod/images/lbtqia-text-02-1613142452.png?resize=980:* 1120w" src="https://hips.hearstapps.com/hmg-prod/images/lbtqia-text-02-1613142452.png?resize=980:*" class="css-0 e193vzwj0"/><div class="css-78jldq e1fodxfw2"></div></div></div></section><p data-journey-content="true" data-node-id="19" class="css-1nd4gv7 emevuu60">“People may simply avoid going to the doctor because it is not worth the bother. This means they may miss out on medical treatment and support that would greatly improve their lives,” she said.</p><p data-journey-content="true" data-node-id="20" class="css-1nd4gv7 emevuu60">Dr Kamilla Kamaruddin is a GP, trans woman and advocate for improved LGBTQ+ healthcare who agrees there is a lack of trans awareness and education that needs to be worked on. As a patient, Dr Kamaruddin has issues accessing healthcare herself.</p><p data-journey-content="true" data-node-id="21" class="css-1nd4gv7 emevuu60">“I’m a GP myself and there’s a GP I just don’t want to see… I will only call my surgery on a Thursday because there’s a GP who understands me [working that day]. Sometimes I will delay going to my GP for two to three weeks because the quality I’m comfortable with comes on Thursday. I think it’s quite unfortunate that even as a GP, I feel this way,” she said. </p><p data-journey-content="true" data-node-id="22" class="css-1nd4gv7 emevuu60">A way to make sure everyone feels seen and heard when discussing menopause in healthcare settings and more generally is inclusive language. This includes using correct pronouns for individuals (e.g he and him; they and them) and the word ‘people’ rather than ‘women’ when talking about the overarching group who can experience menopause.</p><p data-journey-content="true" data-node-id="23" class="css-1nd4gv7 emevuu60">“GPs surgeries are sometimes the first point of call for trans people and it’s very important that GPs have necessary training about trans awareness and using the right pronouns,” Dr Kamaruddin said.</p><section data-embed="pullquote" data-lazy-id="P0-12" data-node-id="24" class="embed"><blockquote data-theme-key="pullquote" class="css-1eiql25 e1pe3zr91"><span aria-hidden="true" data-theme-key="title-design-element-before" class="css-0 eagam8p0"></span><blockquote class="css-ouovwr e1pe3zr90">"By using the word 'people', we are inviting in, rather than excluding."</blockquote><span aria-hidden="true" data-theme-key="title-design-element-after" class="css-0 eagam8p1"></span></blockquote></section><p data-journey-content="true" data-node-id="25" class="css-1nd4gv7 emevuu60">Tania explained that inclusive language is about “showing the public that all people are equally prioritised rather than just the majority. By using the word 'people', we are inviting in, rather than excluding.”</p><p data-journey-content="true" data-node-id="26" class="css-1nd4gv7 emevuu60">When people don’t use inclusive language, it can have a damaging impact.</p><p data-journey-content="true" data-node-id="27" class="css-1nd4gv7 emevuu60">”It makes you feel ignored or invalidated. You think ‘I’m going through that’ or ‘I could go through that’ but I’m not a woman,’” Sam said.</p><p data-journey-content="true" data-node-id="28" class="css-1nd4gv7 emevuu60">“I think sometimes people think: ‘He’s saying that no one can ever say women go through the menopause’. No one’s saying that at all, of course you can refer to women going through the menopause. But if you’re taking about a group of individuals, that’s ‘people’ going through the menopause,” Sam added.</p><p data-journey-content="true" data-node-id="29" class="css-1nd4gv7 emevuu60">In a world in which the LGBTQ+ community is growing in visibility, thinking and speaking about menopause in a way that’s inclusive of everyone will only help more people to access the help they need at a difficult time. As open discussion around menopause continues to get louder, let’s make sure everyone’s part of the conversation.</p><p data-journey-content="true" data-node-id="30" class="css-1nd4gv7 emevuu60">You can find more information and support related to the LGBTQ+ menopause experience at Tania's website <a href="https://www.queermenopause.com/" target="_blank" data-vars-ga-outbound-link="https://www.queermenopause.com/" data-vars-ga-ux-element="Hyperlink" data-vars-ga-call-to-action="Queer Menopause" class="body-link css-1eg3mui emevuu60">Queer Menopause</a>. </p><p data-journey-content="true" data-node-id="31" class="css-1nd4gv7 emevuu60">*Name has been changed</p><hr data-node-id="32" class="css-18pb4rg emevuu60"/><p data-journey-content="true" data-node-id="33" class="css-1nd4gv7 emevuu60"><strong>Like this article? </strong><a href="https://link.goodhousekeeping.co.uk/join/signup-good-housekeeping" target="_blank" data-vars-ga-outbound-link="https://link.goodhousekeeping.co.uk/join/signup-good-housekeeping" data-vars-ga-ux-element="Hyperlink" data-vars-ga-call-to-action="Sign up to our newsletter" class="body-link css-1eg3mui emevuu60"><strong>Sign up to our newsletter</strong></a><strong> to get more articles like this delivered straight to your inbox.</strong></p><p data-journey-content="true" data-node-id="34" class="css-1nd4gv7 emevuu60"><a data-vars-ga-call-to-action="SIGN UP" data-vars-ga-outbound-link="https://link.goodhousekeeping.co.uk/join/signup-good-housekeeping" href="https://link.goodhousekeeping.co.uk/join/signup-good-housekeeping" rel="nofollow" target="_blank" data-vars-ga-ux-element="Hyperlink" class="body-btn-link css-w0xrsd emevuu60">SIGN UP</a></p><p data-journey-content="true" data-node-id="35" class="css-1nd4gv7 emevuu60"><strong>In need of some positivity or not able to make it to the shops? 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There’s lots to be done to improve menopause care, including making it accessible for people of all genders and sexualities. It’s vitally important as the number of people who identify as LGBTQ+ is increasing. For clarity, LGBTQ+ is shorthand for people who identify as lesbian, gay, bisexual, transgender, queer and more minority gender identities and sexualities.","type":"text"}],"name":"p","attribs":{"class":"body-dropcap","data-journey-content":true},"type":"tag"},{"children":[],"name":"image","attribs":{"id":"0d4f75bd-13a9-44b9-aa04-1d81f49b0b88","mediaid":"d975b905-fc84-4cd0-8bcf-b8029c50b1e7","align":"right","size":"medium","share":"false","caption":"","expand":"","crop":"original","first":true},"type":"tag","response":{"props":{}}},{"children":[{"data":"The government estimates there are currently 200,000 to 500,000 trans people in the UK. In 2016, ","type":"text"},{"children":[{"data":"The Guardian","type":"text"}],"name":"em","attribs":{},"type":"tag"},{"data":" found the number of people undertaking gender confirmation treatment had risen dramatically in recent years with some clinics experiencing case increases of several hundred per cent. More people are also identifying as lesbian, gay or bisexual, rising from 1.6% in 2014 to 2.2% in 2018. These figures suggest that in the future, there will be more people who identify as LGBTQ+ experiencing menopause. ","type":"text"}],"name":"p","attribs":{"data-journey-content":true},"type":"tag"},{"children":[{"data":"Menopause conversations are often had in a way that’s heteronormative – assuming that being straight is default. When symptoms can directly impact relationships and intimacy, this can exclude those in same-sex relationships from receiving support that’s right for them. ","type":"text"}],"name":"p","attribs":{"data-journey-content":true},"type":"tag"},{"children":[],"name":"watch-next","attribs":{},"type":"tag"},{"children":[{"data":"Jane, 52, started experiencing a change in her periods when she was 49 and since then, has been accessing menopause treatment. Jane’s libido hasn’t changed and she and her wife have maintained a regular sex life, however, she feels that if she did need to access advice about that, she wouldn’t turn to her GP.","type":"text"}],"name":"p","attribs":{"data-journey-content":true},"type":"tag"},{"children":[],"name":"image","attribs":{"id":"04456b0a-f106-41a4-bfcf-f50d109a00ff","mediaid":"457c38f0-eab4-4c37-a614-0ef69041fc74","align":"left","size":"large","share":"false","caption":"","expand":"","crop":"original"},"type":"tag","response":{"props":{}}},{"children":[{"data":"“[Mainstream advice] is more about penetrative sex, and obviously lesbian sex isn’t just around that at all,” she said.","type":"text"}],"name":"p","attribs":{"data-journey-content":true},"type":"tag"},{"children":[{"data":"“If we were having any problems with sexual stuff, I’d be more inclined to see a therapist and access my own information online. I can’t see me sitting [and talking to a GP] – and I am quite confident and assertive.”","type":"text"}],"name":"p","attribs":{"data-journey-content":true},"type":"tag"},{"children":[{"data":"Jane has noticed that healthcare posters and leaflets she’s accessed don’t seem to openly recognise diversity in sexuality.","type":"text"}],"name":"p","attribs":{"data-journey-content":true},"type":"tag"},{"children":[{"data":"“I've not had anything that’s said: ‘We appreciate all women are different’ or ‘All women will have different relationships.’ There isn't an acknowledgement. [It feels like they’re saying]: ‘You’re a woman, in her late 40s or early 50s who’s going through the menopause. Never mind sexuality or whatever, there are no variations,’” she said. ","type":"text"}],"name":"p","attribs":{"data-journey-content":true},"type":"tag"},{"children":[{"data":"Despite menopause usually being talked about as something that only affects women, it happens to people of differing genders, including trans men, who were assigned the female gender at birth, and non-binary people, who identify as neither male nor female. ","type":"text"}],"name":"p","attribs":{"data-journey-content":true},"type":"tag"},{"children":[{"data":"\"When people don’t use inclusive language, it can have a damaging impact.\"","type":"text"}],"name":"pullquote","attribs":{"align":"center"},"type":"tag"},{"children":[{"data":"Some of these people experience a severe unease, known as dysphoria, when something – like menopause - happens to their bodies, acting as a reminder of the reproductive system they were born with and the gender they don’t identify with. They might avoid medical help altogether because it’s just too difficult to talk about. ","type":"text"}],"name":"p","attribs":{"data-journey-content":true},"type":"tag"},{"children":[{"data":"Sam*, is a 36-year-old trans man who’s currently waiting for a hysterectomy that was delayed due to the pandemic. As well as taking testosterone, Sam receives injections to block the oestrogen production in his body. If his testosterone supply were to be paused (something that’s become a real threat due to Brexit import changes) he wouldn’t have any sex hormones and would begin experiencing menopause symptoms like hot flushes, describing this an “anxiety-inducing”.","type":"text"}],"name":"p","attribs":{"data-journey-content":true},"type":"tag"},{"children":[{"data":"Sam says the dysphoria he feels when accessing healthcare related to issues typically deemed ‘women’s health’ is “awful”. ","type":"text"}],"name":"p","attribs":{"data-journey-content":true},"type":"tag"},{"children":[{"data":"“I’m forced to confront the fact that my body doesn’t naturally produce testosterone, but it does produce oestrogen. I experience a lot of dysphoria about that,” he said. ","type":"text"}],"name":"p","attribs":{"data-journey-content":true},"type":"tag"},{"children":[{"data":"According to Tania Glyde, a psychotherapist and counsellor whose research has explored LGBTQ+ people’s experiences of menopause, a lack of training for GPs means they’re not able to deliver the right advice and support.","type":"text"}],"name":"p","attribs":{"data-journey-content":true},"type":"tag"},{"children":[],"name":"image","attribs":{"id":"a30f900c-e7e4-455b-a1bd-e5afebf835ad","mediaid":"82c8c89e-879c-48a3-9916-0b63ab7c6d9b","align":"right","size":"large","share":"false","caption":"","expand":"","crop":"original"},"type":"tag","response":{"props":{}}},{"children":[{"data":"“People may simply avoid going to the doctor because it is not worth the bother. This means they may miss out on medical treatment and support that would greatly improve their lives,” she said.","type":"text"}],"name":"p","attribs":{"data-journey-content":true},"type":"tag"},{"children":[{"data":"Dr Kamilla Kamaruddin is a GP, trans woman and advocate for improved LGBTQ+ healthcare who agrees there is a lack of trans awareness and education that needs to be worked on. As a patient, Dr Kamaruddin has issues accessing healthcare herself.","type":"text"}],"name":"p","attribs":{"data-journey-content":true},"type":"tag"},{"children":[{"data":"“I’m a GP myself and there’s a GP I just don’t want to see… I will only call my surgery on a Thursday because there’s a GP who understands me [working that day]. Sometimes I will delay going to my GP for two to three weeks because the quality I’m comfortable with comes on Thursday. I think it’s quite unfortunate that even as a GP, I feel this way,” she said. ","type":"text"}],"name":"p","attribs":{"data-journey-content":true},"type":"tag"},{"children":[{"data":"A way to make sure everyone feels seen and heard when discussing menopause in healthcare settings and more generally is inclusive language. This includes using correct pronouns for individuals (e.g he and him; they and them) and the word ‘people’ rather than ‘women’ when talking about the overarching group who can experience menopause.","type":"text"}],"name":"p","attribs":{"data-journey-content":true},"type":"tag"},{"children":[{"data":"“GPs surgeries are sometimes the first point of call for trans people and it’s very important that GPs have necessary training about trans awareness and using the right pronouns,” Dr Kamaruddin said.","type":"text"}],"name":"p","attribs":{"data-journey-content":true},"type":"tag"},{"children":[{"data":"\"By using the word 'people', we are inviting in, rather than excluding.\"","type":"text"}],"name":"pullquote","attribs":{"align":"center"},"type":"tag"},{"children":[{"data":"Tania explained that inclusive language is about “showing the public that all people are equally prioritised rather than just the majority. By using the word 'people', we are inviting in, rather than excluding.”","type":"text"}],"name":"p","attribs":{"data-journey-content":true},"type":"tag"},{"children":[{"data":"When people don’t use inclusive language, it can have a damaging impact.","type":"text"}],"name":"p","attribs":{"data-journey-content":true},"type":"tag"},{"children":[{"data":"”It makes you feel ignored or invalidated. You think ‘I’m going through that’ or ‘I could go through that’ but I’m not a woman,’” Sam said.","type":"text"}],"name":"p","attribs":{"data-journey-content":true},"type":"tag"},{"children":[{"data":"“I think sometimes people think: ‘He’s saying that no one can ever say women go through the menopause’. No one’s saying that at all, of course you can refer to women going through the menopause. But if you’re taking about a group of individuals, that’s ‘people’ going through the menopause,” Sam added.","type":"text"}],"name":"p","attribs":{"data-journey-content":true},"type":"tag"},{"children":[{"data":"In a world in which the LGBTQ+ community is growing in visibility, thinking and speaking about menopause in a way that’s inclusive of everyone will only help more people to access the help they need at a difficult time. As open discussion around menopause continues to get louder, let’s make sure everyone’s part of the conversation.","type":"text"}],"name":"p","attribs":{"data-journey-content":true},"type":"tag"},{"children":[{"data":"You can find more information and support related to the LGBTQ+ menopause experience at Tania's website ","type":"text"},{"children":[{"data":"Queer Menopause","type":"text"}],"name":"a","attribs":{"href":"https://www.queermenopause.com/","target":"_blank","data-vars-ga-outbound-link":"https://www.queermenopause.com/","data-vars-ga-ux-element":"Hyperlink","data-vars-ga-call-to-action":"Queer Menopause","class":"body-link"},"type":"tag","response":{}},{"data":". 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