Because western medicine hasn’t fully understood the process of perimenopause and menopause, most women are left to deal with the symptoms on a trial-and-error basis. For hot flashes, try black cohosh tea, dress in light clothing, sip cool water, or carry a personal fan with you everywhere you go. For night sweats, buy expensive bamboo sheets, keep hundreds of extra pajamas at the ready, or sleep in the bathtub. For any of the other annoying and inconvenient symptoms, just take hormones and cross your fingers in hopes that you don’t get cancer.
Many women suffer in silence praying that this phase will only last a year at the most when in fact, it can go on for a decade or more. A recent article on the Cedars-Sinai website states that:
“Worldwide, more than 328 million working women are in or entering menopause, coping with symptoms that can cause professional setbacks and job loss and create financial instability. At the same time, women of all ages are more likely than men to suffer from cultural, political, and socioeconomic disparities that increase their risk for cardiovascular disease, which kills 8 million women every year.” 
The stress of this inequity weighs heavy on women over 50 as we stand in the shadows fanning ourselves furiously.