If you just go by mainstream resources, it seems like menopause only happens to cisgender women. But that’s not the full picture. Menopause can impact anyone with ovaries, including trans men, trans masc, and nonbinary folx.
Unfortunately, menopause is surrounded by myths, misinformation, and narrow, biased notions about who it affects.
Menopause is challenging enough on its own. It’s even more isolating when you’re not reflected in the resources available. This guide aims to bust common myths and provide real, inclusive answers for people who experience menopause, regardless of how they identify.
Menopause Myths:
- “Menopause Only Happens to Women”
- “Menopause Is the End of Your Sex Life”
- “Menopause Symptoms Are the Same for Everyone”
- “Hormone Replacement Therapy (HRT) Is Risky”
Disclaimer: We are not medical professionals. The information in this article is not intended to take the place of advice from experienced healthcare experts.
What Menopause Really Is
Menopause marks the time when a person’s ovaries reduce hormone production and periods stop, typically between the ages of 45 and 55. But the transition doesn’t happen overnight—most people experience perimenopause first, a phase that can last several years.
During this time, the body may go through various changes due to fluctuating estrogen and progesterone levels. Common symptoms include:
- hot flashes
- night sweats
- mood swings
- vaginal dryness
It’s important to note that menopause isn’t just about reproductive organs—it’s a full-body experience driven by hormones that affect the entire body.
For people who have undergone gender-affirming surgeries, such as hysterectomies, menopause may look different. But if you have ovaries, hormonal changes can still occur. Trans men and nonbinary people on testosterone therapy may also experience menopausal symptoms if they reduce or stop hormone therapy.
Let’s be very clear on our stance at Midlife Queer – your trans identity is valid, regardless of surgery, hormones, or any other path you choose.
Myth #1 – “Menopause Only Happens to Women”
One of the most pervasive myths is that menopause is something only cisgender women go through.
In reality, anyone who has ovaries can experience menopause. Trans men may encounter menopause if they haven’t had a hysterectomy or if they stop testosterone therapy. Similarly, nonbinary people who were assigned female at birth may experience menopause as well.
This myth persists partly because our society often overlooks the experiences of gender-diverse individuals. The assumption that menopause is tied exclusively to womanhood can leave trans men and nonbinary individuals feeling erased from conversations about menopause.
You may feel uncomfortable going to a doctor for a “woman problem.” And you may be rejected by closed-minded doctors.
It’s crucial to challenge this myth and recognize that menopause is a biological process that doesn’t have to be tied to a single gender identity. For many trans men, the idea of dealing with menopause while also navigating gender dysphoria can be particularly difficult, making inclusive healthcare and support all the more essential.
If you’re experiencing menopause symptoms, seek out a gender-affirming doctor.
Myth #2 – “Menopause Is the End of Your Sex Life”
Another myth is that sex dies with menopause.
While hormonal shifts during menopause can cause changes in libido, this doesn’t mean that people can’t continue to enjoy fulfilling sex lives. In fact, many people report that their sex lives improve after menopause, once they learn how to adapt to their body’s changing needs. You can never discount the value of experience!
Yes, vaginal dryness or discomfort during sex may become an issue. But that’s the case for millions of people who aren’t menopausal!
A little over-the-counter lubricant can do the job for most people. Test a few brands to see what works for you, especially if you have any skin sensitivities.
It’s also important to communicate openly with your partner(s) about your needs, as sexual health is not just physical—emotional intimacy and understanding are key. Whether you’re in a long-term relationship or exploring new ones, menopause doesn’t have to be a barrier to sexual fulfillment.
Here’s another surprise – many people experience their attraction and self-image changing during menopause!
- Women who have been bi may lose interest in men.
- Cis women may feel more masc.
- Nonbinary people may feel themselves drawn to the ends of the spectrum.
It’s very important to realize that all this is natural. Your hormones are changing, and your body is responding.
Societal expectations can amplify feelings of isolation or inadequacy, but your sexual identity and experiences are valid at every stage of life.
If you feel dysphoria setting in, acknowledge it and hold space for it. Seek help.
Myth #3 – “Menopause Symptoms Are the Same for Everyone”
It’s common to hear people talk about menopause as if everyone experiences the same symptoms. The reality is far more diverse.
Some people have intense hot flashes and mood swings, while others might only notice a few subtle changes. Factors like race, health conditions, stress, and even socioeconomic status can shape your experience of menopause.
For queer and trans people, these differences can be even more pronounced. Access to healthcare is often limited by a lack of inclusive providers, which can make it harder to get proper care.
Additionally, the emotional toll of facing menopause as a trans man or nonbinary person can compound the physical symptoms. Your identity and unique circumstances will shape how you experience menopause, and it’s important to know that there’s no one “right” way to go through it.
Look for a healthcare provider who understands the nuances of menopause in LGBTQ+ individuals, especially if you’re experiencing symptoms that are affecting your daily life or emotional well-being.
Myth #4 – “Hormone Replacement Therapy (HRT) Is Risky”
Hormone Replacement Therapy (HRT) has long been a topic of controversy, but many of the fears around it stem from outdated research.
The reality is that HRT can be a safe and effective way to manage menopausal symptoms, including hot flashes, night sweats, and mood swings. For some trans men, HRT can also provide a way to continue testosterone therapy while managing the effects of menopause.
It’s important to work with a knowledgeable healthcare provider who can help tailor your HRT options to your needs. The risks and benefits of HRT vary from person to person, and they should always be weighed carefully with your provider.
Trans men may want to continue with testosterone, which can help manage menopausal symptoms and provide gender-affirming benefits at the same time. However, stopping or reducing testosterone can trigger symptoms like hot flashes, so it’s vital to make these decisions under medical supervision.
Navigating Menopause Resources for the LBGTQ+ Community
Navigating menopause can feel overwhelming, especially for queer women, trans men, trans mascs, and nonbinary people who may not see themselves reflected in mainstream health resources.
Finding an LGBTQ+-friendly healthcare provider is crucial, as they can offer support that takes both your physical symptoms and your gender identity into account.
There are several outlets to help search for inclusive healthcare:
- Family Equality
- OutCare
- World Professional Association for Transgender Health
- Your local LGBTQ+ community center
Many people also find community support to be invaluable. Whether through online forums or local LGBTQ+ health groups, connecting with others who understand your experience can provide comfort and practical advice.
- All-Gender Peri/Menopause Support
- Generation Menopause
- Reddit r/menopause
- Black Girl’s Guide to Surviving Menopause
Self-care is another critical aspect of managing menopause. Make time to prioritize both your physical and mental health, whether that means trying new forms of exercise, seeking therapy, or finding a creative outlet to reduce stress. Remember that your body is going through significant changes, and it’s okay to give yourself extra care during this time.
Menopause is a natural part of life, and while it can bring challenges, it doesn’t have to be a source of fear or confusion. By breaking down the myths and providing real, inclusive answers, we can make menopause less isolating for queer women, trans men, and anyone else who experiences it.
Whether through supportive healthcare, community resources, or personal self-care, it’s possible to navigate this stage of life in a way that honors both your health and your identity.
