Geriatrician Dr. Adaeze Udezue Discusses Menopause and Aging

Menopause, a significant transition in women’s lives, is receiving renewed attention from healthcare professionals. Dr. Adaeze Udezue, a geriatrician at Sutter Health in Novato, California, emphasizes the importance of understanding menopause as not just a medical milestone but a personal journey that encompasses physical, emotional, and social changes.

In her practice, Dr. Udezue sees patients ranging from 18 to 99 years old, allowing her to appreciate aging as a multifaceted experience. She notes that menopause typically occurs between the ages of 45 and 55, with an average onset around 52. However, she has observed an increase in women entering menopause in their mid-30s, which she attributes to chronic stress and modern lifestyle factors that disrupt natural biological rhythms.

Dr. Udezue’s perspective is shaped by her own experiences with menopause, enabling her to connect with her patients on a deeper level. She points out that women often notice changes such as slower recovery from injuries, fatigue, and skin changes around the age of 50. These shifts are often more pronounced in women, primarily due to the protective effects of the hormones estrogen and progesterone until menopause.

The Role of Hormones in Aging

Estrogen plays a vital role in women’s health, supporting skin elasticity, bone density, brain function, and cardiovascular health. Dr. Udezue describes it as a “life-giving” hormone that extends benefits far beyond reproduction. In contrast, progesterone is often viewed as a “quiet hero.” It helps regulate mood, promotes restful sleep, and aids in stress management.

As these hormones decline during menopause, many women report feelings of losing their edge. Dr. Udezue humorously refers to this as the “crankiness index,” a reflection of how hormonal changes can impact personality and relationships.

To navigate the aging process effectively, Dr. Udezue emphasizes the importance of both internal and external environments. Internal factors include the quality of food, air, and information consumed, while external factors encompass one’s living situation and social interactions. These elements collectively influence overall health and well-being.

Strategies for Healthy Aging

Dr. Udezue advocates for a holistic approach to aging that includes attention to the hypothalamus-pituitary-adrenal (HPA) axis, a system crucial for hormonal balance. When functioning optimally, the HPA axis aids in processing stress and maintaining mood stability. Conversely, when overwhelmed, it can lead to various health issues.

One key aspect of her approach is menopause hormone therapy (MHT), which she recommends as part of a comprehensive strategy for healthy aging. MHT is not merely about alleviating hot flashes; it aims to preserve the hormonal benefits that support longevity and vitality. When administered thoughtfully and under medical supervision, hormone therapy can help women maintain bone density, cognitive function, and emotional stability.

Dr. Udezue asserts that understanding the roles of estrogen and progesterone is essential for women not only to survive menopause but to thrive during this phase of life. She believes that with the right tools, support, and mindset, women can embrace aging with dignity, strength, grace, and confidence.

In conclusion, the journey through menopause and aging is complex, yet it can be navigated successfully with increased awareness and support. Dr. Udezue’s insights highlight the need for greater understanding and compassion toward women undergoing these significant life changes, paving the way for healthier aging experiences.