It occurred to me recently that Gen X women are the first generation to really talk freely about perimenopause and menopause, just like we were the first generation to talk about the agony and ecstasy of parenting via “mommy blogs.” There were probably some exceptions but it seems to me that our mothers’ generation kept those experiences to themselves. And our grandmothers’ generation? Forget about it. No one wanted to talk about The Change, just like no one wanted to admit that they coloured their hair, IF they coloured their hair. My maternal grandma, at my age, had short steel-grey hair and wore housedresses and no makeup. I feel fairly confident she wasn’t chatting casually about vaginal dryness.
My feeling is that everything is easier when it is shared, and also there is no such thing as too much information. Today I will be talking about my Favourite Things when it comes to managing this sweaty, roller coaster-y stage of life. We are in this together, ladies! I also hope my three male readers enjoy the ride.
Nicole’s Favourite Things: The Perimenopause Edition
HRT for Me
When I was in prenatal class with my first pregnancy, I was assigned a “birth plan” to create. I remember clearly that my “plan,” such as it was, would be to try to avoid an epidural or other drugs, but I wasn’t opposed to them if needed. I had never had a baby before, so I didn’t know if I would want them or not. And indeed, I did have not one but two drug-free births, but during the first one, I started screaming I can’t do it anymore, I need the drugs!, at which point the nurse told me I was nine and half centimetres dilated, it was too late, no drugs for me. The second time around was even faster, and so I never asked for any. Plus I felt like an old pro by that time, as my babies were born less than eighteen months apart, and the vag wasn’t what it once was, if you know what I’m saying.
I have always found it a little distasteful when there is smugness involved in anything birth and parenting related, because the wheel of fortune is undiscerning. My labours were four and two hours long, respectively, but if I was a woman who was in labour for many hours or even days, I would absolutely have had drugs.
I had the same feeling about hormone replacement treatment for perimenopause, namely that I would consider it if I ever felt that I needed to. And for years I didn’t need to; for the longest time, I thought not right now, I can manage without, it’s not so bad, until last April. Last April, things became unmanageable. Suddenly I was unable to get restorative sleep, I was exhausted all the time, my whole body thrummed with fatigue and, oddly, an elevated heartrate. I was having hot flashes and night sweats constantly, and I just could not cope. I didn’t want to cope. My doctor, a brilliant and progressive young woman, immediately prescribed a low dose oral estrogen and progesterone protocol. When I went to the pharmacy to pick it up, the pharmacist explained that the estrogen would help with the hot flashes and the progesterone would help me sleep. Friends, I was so tired that I just burst into relieved tears, right there at the Costco pharmacy. The pharmacist smiled knowingly. The estrogen will help with the mood swings too.
I cannot begin to explain how life-changing this has been for me. In the way that you can’t tell how bad something is until you’re out of it, I realized I was on an energetic downward trajectory for MONTHS, and now I feel like my old self again. I wake up feeling restored and refreshed, my body doesn’t ache, my plantar fasciitis cleared up completely, and I have had not ONE incident of hot flashes or night sweats. My energy is great, I feel good, my cognitive function is such that I’m not wondering if I’m slowly losing my mind. Prior to HRT I was forgetting words like “lunch.” THANK GOD FOR MODERN MEDICINE.
Ritual Stacking
I never forget to take my medication, vitamins, or supplements because I always tie them to something else. I take most things with my breakfast and lunch, but progesterone needs to be taken at night. I keep this mug that my friend Joy gave me (HI JOY) next to my bathroom sink; I tie the progesterone to my nighttime flossing and brushing routine. The mug makes me smile every day, and it feels like a call-out to all us Peri Bitches.
BEAST MODE
I bought you a present! my husband said, and I excitedly bustled over to see what it was.
Some people might not be super excited about a pull-up assist, but I sure was. We are all supposed to be working on strength to counteract age-and-hormone related loss of muscle mass and to improve bone density, and I do, but wow, is it boring. I grimly do my weight training routine with as much joy as I do the vacuuming: I like the end result but it’s just another chore in the day to get there. However, I will say that this pull-up assist is SO much fun. I feel like an absolute beast.
Look at me go! I find it very satisfying that eighteen months ago I could only hang, straight-armed, for a count of ten, and now I can do pull-ups with only the lowest-level of assistance. Maybe one day I will be able to do them totally unassisted! But even if not, it is the journey, not the destination, life is a highway, etcetera.
Roll Out The Welcome Matte
If you are a Gen X woman, then you will surely remember the days of using St Ives Apricot Scrub followed by Sea Breeze toner and Cover Girl matte foundation and pressed powder. We valued a matte face, let’s put it that way, and I still do. I hate the feeling of my face being dewy and shiny; I wear pressed powder every single day and have since I first started wearing makeup. The problem is that once a woman reaches a certain age, a matte look can exacerbate certain lines and wrinkles. How to balance the two?
I absolutely love Tarte BB Blur tinted moisturizer, which provides much-needed moisture without a ton of shine. It purports to have SPF, but it doesn’t say that on the tube, and so I apply it overtop my Neutrogena Face Serum Sunscreen.
It’s still dewier than I like, so I have been following it up with Tower 28 pressed powder; I had seen this powder highly recommended, and I will tell you it is worth the extra expense. It gives a matte finish that lasts all day, without any need for touch-ups.
It also doesn’t collect in little lines and crevices, which is an important consideration for me.
Wrap It Up
I am just not ready to embrace my natural hair colour, which is white and grey. For one thing, to go au naturel would be quite the undertaking: I would have to live with increasingly longer white and grey roots with increasingly fading red ends, or I would have to cut my hair super short and just let it be white and grey, or I would have to have my colour stripped out and then somehow allow my stripped hair to blend in with the white and grey. None of these options appeal.
I usually wear my hair in a bun if I’m on my third day of the three-day wash cycle, and for the last ten days before colouring my roots are pretty noticeable. Enter the hair wrap!
I just got this new one from Scrummy Scrunchies on Etsy; it’s nice and long and I can loop it around my head a few times or let it hang down my back in a bohemian kind of way.
In addition to covering up the roots, it also covers up thinner spots. I know, no one wants to talk about thinning hair, but it happens to the best of us. The feminine mystique takes a bit of a beating during perimenopause; our skin changes, our temperatures change, we sweat more, our periods are all over the place, our vaginas dry up, our waistlines expand, we sprout moustaches and chin hairs, and OUR HAIR STARTS TO FALL OUT. I will give another plug for Nutrafol (I WISH I was sponsored, alas, I am not), which I have been taking religiously since November 2022, and which has made a significant difference in my hair density. At one point, I was actually worried I was going to go bald. My Calgary doctor – A MAN – dismissed my hair loss concerns and said to me flippantly “How many bald women do you see, really?” To which I informed him that actually, my paternal grandmother had to wear a wig because her hair fell out, DO NOT GASLIGHT ME ABOUT MY HAIR, DOCTOR.
Anyway. Nutrafol has worked wonders but the thing about a hair growth supplement is that one’s roots become en evidence much quicker. Well, I can’t simultaneously complain about rapidly-appearing roots from hair growth while taking a hair growth supplement.
Outfit of the Month
I have a tale to tell about this skirt. I was in the market for a summer skirt that was more structured than my usual, and this one from Lululemon seemed to fit the bill. It is the perfect length, it is made of a stiffer material than my athletic skirts, it has a side zipper for a sleek silhouette, it has shorts attached underneath, and it has pockets! Perfection! The reviews online indicated that it fit smaller than usual, and since half my wardrobe is from Lululemon, I very confidently ordered it one size up.
When it arrived, I could not do up the zipper. Well, that’s not true. I was able to do up the zipper, but it involved massive sucking in. Also, I ended up zipping the skin of my waist into the zipper, which was a painful insult-to-injury situation.
I know what you’re thinking, because I was thinking the same thing. Did I changed sizes? I wondered euphemistically. I tried on my very fitted, structured Lululemon pants that involve buttons and zippers, but mysteriously, they fit perfectly. I tried on my jeans, and it was the same thing. It soon became evident that it was not me, it was the skirt, and so I took it back to the store and did what I should have done in the first place, which was to try it on.
And I ended up going up THREE sizes.
I mention this to illustrate that women’s clothing sizes are a joke. We tie so much of ourselves to a certain size – or weight – and then we feel badly when things don’t line up. But those numbers are just numbers. Those numbers are not US. A different number is not some kind of moral failing and it doesn’t say anything about us as a person. All the clothes in my closet fit perfectly, and there are many different sizes involved, depending on the store or brand. I will say that I felt a bit taken aback, going up three sizes for a skirt, and Younger Nicole might not have bought the skirt at all. Wouldn’t that be a shame! Forgoing something so cute for a stupid metric like a clothing size, and in any case, Lululemon tags are designed to be ripped out.
Sandals are from Skechers – comfortable shoes are a must at this stage of the game – and the top is an old one from the Gap.
The thing about perimenopause is that I feel lucky to experience it. Some women don’t make it this far! And the truth is that although some parts of it are absolutely unpleasant, we live in an age where we can talk about it, and there are medical interventions that can help with the really bothersome symptoms. I’m so happy to have a good and open doctor, I am so happy to have access to HRT, and I’m thrilled to live in a world where there are cosmetics, hair colour, and elastic waistbands. xo
