Redefining Menopause & Black Women: What is Needed to Close the Disparity Gap

The menopause transition can be a challenging time for all women, but research suggests that black women may face unique issues during this stage of life. Studies have found that black women tend to experience more severe menopausal symptoms like hot flashes, night sweats, vaginal dryness, and sleep disturbances compared to other women.

There are a few possible reasons behind these differences. Genetics may play a role – one analysis found that black women carry more genetic variants associated with hot flashes. Socioeconomic factors also impact menopausal experiences; chronic stress has been linked to more intense symptoms. Discrimination over the lifespan can also get under the skin and affect hormonal changes. #blackhistorymonth #menopause #perimenopause

On top of distressing physical symptoms, black women frequently report frustration around finding culturally competent healthcare during midlife. Too often, providers lack knowledge around the issues they face. Black women are less likely than white women to receive hormone therapy for menopause, even when they express interest. Their concerns may be downplayed or dismissed. This erodes trust and prevents black women from getting the support they need.

Instead of receiving empathy and evidence-based treatment options, black women are often told to simply endure this transition. But the narrative is changing. Black women are increasingly speaking out, sharing stories, and demanding better care that meets their needs. As part of this shift, more health professionals are working to deliver race-concordant, culturally sensitive support to menopausal black women.

While the menopause transition poses very real physical and emotional hurdles for many black women, it also represents an opportunity to reject outdated social norms around aging. Midlife can serve as a period of revival, self-discovery, and embracing one’s power. By providing compassionate spaces for open dialogue and healing, we can ensure black women feel seen, heard, and empowered as they navigate this new phase of womanhood on their own terms.

The conversation around black women and menopause must evolve from limiting and marginalizing to uplifting and celebrating their resilience. When black women have access to affirming care and strong communities rallying behind them, they can move through the changes of midlife with agency, wisdom, and grace.

Learn more about black women and gynecology from Dr. Deidre Owens 2nd Annual Health Equity Challenge Series Book Discussion Kickoff Luncheon and her book: Medical Bondage: Race, Gender, and The Origins Of American Gynecology.