Joseph Schroeder didn't understand what his wife Sarah was feeling when she started experiencing menopausal symptoms four years ago. Youthful looking at 50, he could be mistaken for his 26-year-old son's older brother. "Menopause was the last thing I thought of because Sarah was in her late forties. It never occurred to me that the snappiness of her tone and the crying were related to something physical. I just felt like our marriage was falling apart." he recalls. "As the relationship grew increasingly strained, I just stayed out of her way. Days would go by when we hardly spoke." It's Freezing and She's In A Bad Mood Temperature - that's often the most common index of male awareness of menopause according to Dr. Jill Maura Rabin. "I see patients whose husbands or partners have no idea they're having hot flashes," Dr. Rabin says. "All they know is that the house is freezing and their wives are still hot. Otherwise, they just characterize a woman's depression or irritability as a "bad mood.'" In her practice. Dr. Rabin sees menopausal women who report not only a lack of empathy or support from husbands or partners, but that they are "getting flak" from the male members of the household. "I tell those women 'Bring him in,'" Dr. Rabin says. She knows that most often men don't talk about their wives' menopause with their friends, so she takes the opportunity to create a learning experience in her office whenever she can. Straight Talk With Pelvic Models "I let my patients know I care about them as a couple," Dr. Rabin says. "I ask them how they're doing, and what's going on." Dr. Rabin uses a pelvic model to explain menopause in simple terms. "When a male is present, the discussion needs to be clear and non-threatening without being condescending or overly complicated," she says. Dr. Rabin talks with patients and their male partners about effects of the body's decline in estrogen, and what may occur as a result. In explaining these aspects of menopause, "I bring the men into the loop." Dr. Rabin says. | |