Why I Wrote This Paper

As a women’s health GP and menopause specialist, I have seen first-hand how Black women often feel unheard and underserved when it comes to menopause and perimenopause care.

Many still believe menopause only starts at 50, or that symptoms like hot flushes are the only sign. But for Black women, perimenopause can start earlier, last longer, and bring unique health risks. Yet too often, these experiences are overlooked — leading to delayed care, misdiagnosed symptoms, or advice that doesn’t respect cultural context.

This inspired me to research and write about how we, as health professionals, can do better.

Key Takeaways

Here are three important insights 

Earlier onset, unique risks: Black women often reach menopause earlier than expected and face higher risks for related health concerns like cardiovascular disease and osteoporosis. Understanding this helps us offer earlier screening and tailored advice.

It’s not just physical: Perimenopause can bring profound mental and emotional changes — anxiety, sleep problems, brain fog — and Black women can face extra cultural barriers that make speaking up harder.

The power of culturally sensitive care: It’s not enough to prescribe HRT or dismiss symptoms as ‘normal’. Good care means listening, understanding cultural beliefs, and making sure every woman feels safe to talk about her health without judgement.

Why This Matters

For too long, menopause has been something many women — especially in Black communities — have been told to “just get on with”. But you don’t have to struggle alone.

Better understanding and open conversations can help more women get the support they deserve — whether that means trusted information, safe spaces to talk, or access to treatments that actually work.

My Commitment to You

Through my clinic, my research, and my teaching, my mission is simple:
To make sure every woman feels seen, heard, and cared for — at every stage of life.

© Dr. Jocelyne Tedajo | Women’s Health Expert