It must be my hormones: Ireland’s first perimenopause coach on dealing with the change

Many women find it difficult to talk about the perimenopause, but coach Catherine O’Keeffe is here to help, writes Margaret Jennings

It must be my hormones: Ireland’s first perimenopause coach on dealing with the change

Many women find it difficult to talk about the perimenopause, but coach Catherine O’Keeffe is here to help, writes Margaret Jennings

Irish women are still largely adopting the ostrich approach — sticking their heads in the sand — when it comes to thinking or talking about the perimenopause, those years from the mid-40s to mid-50s when the ovaries gradually produce less estrogen before menstruation finally stops.

Yet this is a time of life when anxiety “ramps up” and many are struggling hugely with the condition, says Catherine O’Keeffe, Ireland’s first perimenopause coach, also known as the Wellness Warrior.

As a featured coach on the menopause website My Second Spring, run by Irish woman Aisling Grimley, she has been astonished at how prevalent anxiety is among those who contact the site and how women don’t know enough about the perimenopausal life transition to link cause and effect.

“This can be a time of life when women have lots going on — including family and work commitments — but the hormonal changes that are taking place also contribute to anxiety levels. A lot of women I’ve spoken to as a coach or through the website, say ‘I think I’m mentally unwell, I’m losing it,’ and it’s very sad. Once a woman realises the link, it’s like ‘phew! I can relax a bit, knowing I’m not going mad’.”

Catherine has written an e-book,

The Best Friend’s Guide to Anxiety, now available on the website, which aims to empower women to build their own strategies to deal with the condition on a daily and a long-term basis.

“The reason Aisling asked me to do the book is that we just saw the hits coming — the comments on anxiety were just phenomenal,” says Catherine.

“It is one of the two biggest sections, the other being the physical symptoms, that are constantly viewed on a daily basis on the website which receives 6,500 hits per day and more than 1.5m viewers.”

During her research she encountered perimenopausal women who have never in their lives had a history of anxiety before, now suffering.

“This comes out so left of field for them — they had no exposure to it at all, and they can’t go into the supermarket because they physically aren’t able, or they can’t drive on the motorway because they get a panic attack, or they get completely anxious around their health, the health of their family or social engagements. I think that’s the scariest part — that it comes out of nowhere.”

She finds that health anxiety, social anxiety and panic attacks are the biggest aspects.

“Once the social anxiety starts you are caught in a catch-22 situation — your mind can spiral things out of control; your confidence takes a hit and if you are having hot flushes it’s difficult to be sitting in a situation. And a lot of women still aren’t open enough to talk to their friends about it and in ways they are probably trying to hide the fact they are having a hot flush and then they start to avoid situations and slowly their world becomes smaller,” she says.

I see a lot of women withdrawing into themselves and it’s very sad to see. I’ve spoken to some who were gregarious and outgoing and within a year or two they are faced with extreme social anxiety.

To make perimenopause an easier journey it’s important to educate yourself about your maintenance and knowing about what your symptoms are and how to deal with them. The physical, mental and emotional symptoms can continue up to 55 and sometimes longer.

“The average would be 55 and menopause is like a birthday — it’s the anniversary of a full 12 months without a period. After that date, you are post-menopausal so everything before that 12-month anniversary is your perimenopause and slowly women are getting to understand that,” she says.

The 47-year-old mum of three boys is herself in the throes of perimenopause: “It started very slowly in my mid-40s. It’s a bit like an iceberg with a few tiny symptoms coming up, but underneath there is a hell of a lot going on with the hormones. Where I would have really noticed it was the return of PMT which I hadn’t had for years; then bloating and mood swings before my periods and then flooding. Right now I manage it very well.”

Women first need to open up, so we can help ourselves — and each other.

“Some of my friends are even funny about liking my Facebook page about perimenopause,” says Catherine.

Why might women be so coy? “I think it’s probably again that unfortunately it’s not openly talked about enough yet and that’s going back to the taboo around it all. I think part of it is about ageing – with some of my friends I would notice that they definitely want to keep their heads in the sand — ‘I’m still young; I’m not going there’ — I would see that a lot.” and

The e-book The Best Friend’s Guide to Anxiety: A Practical Toolkit for Moving Beyond Anxiety and Menopause, by Catherine O’Keeffe, price €12, can be bought from the website

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