
The Death card can represent major life changes, transitions, and new beginnings.
On May 31, I felt magnificent. Four weeks earlier, I’d had my fallopian tubes removed, and on this day, I was meeting my ob-gyn for a post-surgery check up. The surgery was for sterilization. I wanted to get off birth control and see what stage of the menopause cycle I might be in. But the prospect of a late-in-life baby gave me nightmares, so this was a solution. I knew that removing fallopian tubes also reduced the risk of ovarian cancer, so that made the decision easier.
I sat and watched as pregnant couples came and went through the office. When I saw the doctor, I told her I felt great. I had been intentionally (and successfully) losing weight and doing strength training. The laparoscopic incisions had healed with no issues. As we finished the brief meeting I said, “Just so I am clear: any issues with my period going forward will be menopause related and not pregnancy related?” “Yes, that’s right,” she said.
Reader, I could have floated out of the building. I left, passing a pregnant couple on my way out, internally wishing them the best, but so grateful that wouldn’t be me. The sun was out, the temperature was glorious, and I was ready to move on with the next stage of life.
I should have sensed something was awry when my appetite dropped to nothing. After gaining weight earlier in the year, I had committed to being more mindful of my calorie intake. Sometimes it was difficult. My appetite has always ebbed and flowed with my menstrual cycle, so some days I would be satiated easily and other days I would be ravenous regardless of how much I had eaten. After my surgery, I was seldom hungry. I could go most of the day without eating, and then only do so because I knew I needed to. This is great, I thought to myself. For the first time in my entire life, my appetite is mild and quiet. If this is a side effect of menopause, then so be it! (Side note: Disordered eating, anyone?)
I also started having hot flushes. Not enough to disrupt my life, as some people experience, but noticeable. It only bothered me when I was in the middle of a conversation with someone and I would feel my face suddenly prickle with sweat. I wondered what it looked like to the person I was speaking with.
In early July, we were in Maine and had a glorious time. But July also holds some difficult anniversaries for me. My brother died on July 18 and his birthday is July 31. I had wanted to go to D.C. to see his headstone at Arlington, but wasn’t able to make it happen. I decided to take the 31st off to honor him in some other way.
The weekend before his birthday, I started to feel a bit blue. I was also getting hung up on existential dilemmas. Like, I’ve lost my mom, dad, grandma, brother. Part of what made life so enjoyable was sharing it with them. So now what? Of course, I know losing everyone is part of life. It’s something we meditate on in Zen. It’s connected to the First Noble Truth. It’s the basis of the Five Remembrances. But I had expected my brother to be with me for many more years. Without him, I had lost the foundational years of my life. No one to remember with me. No one to remember me. How can they all just be gone?
I cried a lot that week. I cried during a meeting with one of my Zen teachers. I cried to my friends at work. I cried to Spence nearly every day. I stood in his office after driving home from work one day, telling him how I wanted our lives to become more expansive as we aged, but with the loss of so many family members, and especially of my brother, it felt the opposite was happening.
Something else flickered up during this time, which set this apart from typical sadness/grief/mourning. I am a big fan of crying. It’s cathartic. I’m not embarrassed to cry in front of anyone. I am always in mourning, even when I am happy and feeling great. I am always filled with gratitude for all I’ve had and I am always filled with grief for losing so many wonderful people—it’s all twisted like vines around my heart. But going into August, I was also experiencing high levels of anxiety and episodes of depersonalization, and that was atypical.
I had my first experience with depersonalization when I was about 7, but was quickly able to shake my head and get out of it. At 19, I had it for a longer period of time and it was a terrible. You can find the exact definitions online, but for me, it feels like a hyper awareness of being alive. Of being in your own skin. Of knowing you’ll see out of only one pair of eyes for all your life. Everything that is normal feels strange. For me, it’s also accompanied by panic and the corresponding waves of adrenaline. I’m constantly telling myself that everything is fine, but the dread burns in my chest like a clot of lava. At 19, I pushed through it and swallowed it down, and flicked my wrist with a rubber band whenever I felt anxious to remind myself that everything was fine, that this was Normal Life, and IT WAS FINE. Eventually, I got busy with life, transferred to a new college to pursue my degree, and came out of it all. My worst episode was in 2008. It was the first time I sought help from my doctor, at the encouragement of my mom and Spence, and I’m glad I did. I won’t go into all the details because that would make this post twice as long, but it was a difficult time that eventually got better.
And I’ve been my usual self ever since…until the start of August when the waves of panic and the feeling of depersonalization returned along with a knot of anxiety in my chest. Because I’ve experienced it before and recognized it for what it is, it was a bit less scary (much less scary than when I was 19 or 33), but it still felt indescribably awful.
Imagine:
Everything feels foggy and dreamy.
You feel like a boulder is sitting on your chest.
It seems your Third Eye has grit in it.
It feels like you’re squinting all the time.
It feels like your eyes are burning and you have to stretch them wide open all the time.
Surges of adrenaline rush over you at unexpected times and frequently.
Everything feels unusual and strange and surreal.
You feel outside of yourself.
You feel hyper aware of yourself moving through the day.
When these symptoms flared for the first time in many, many years, I wondered: is it related to menopause? I quickly turned to Reddit where I found a group dedicated to questions and conversation around menopause. I learned that drops in estrogen can cause panic, anxiety and other issues. It’s often the culprit for postpartum depression. Some women described feeling like they wanted to crawl out of their skin and go running down the street…similar to how I was feeling. I read about how well people felt after starting hormone replacement therapy. I text messaged friends who are also at this stage of life and quizzed them on their anxiety levels. I started listening to audiobooks on menopause. Finally, I reached out to my ob-gyn and—thankfully—she saw me within a day of my call.
When I entered her office, I started my story the way I started it in this post. When I last saw you in May, I was feeling great, I said. “But,” she said, sensing that my next sentence would start with that word. “I take it that’s changed.” I told her everything. She was funny and insightful and empathetic and prescribed me low-dose HRT with no issues. And reader. The change was noticeable within two days. Slowly the anxiety loosened, the panic became less frequent, less powerful. Eventually, over weeks, everything went back to my version of normal. Today, I feel perfectly well again. (And my appetite has come back to life.)
It was a good reminder that our bodies are not static. They are magnificent machines with hormones swirling and organs beating, breathing, filtering. It’s humbling (and a bit scary) to realize how much is outside of your control when it comes to emotional regulation. During those difficult weeks, I could meditate and breathe deeply, but it didn’t alleviate the panic/adrenaline surges or the crying jags. It helped that I have a good sense of what is “normal” for me and I could tell that things were not right, and that I wanted to get to the bottom of it asap.
The message the people in the Reddit group kept communicating to each other was: you don’t have to suffer. I never thought this would be my menopausal experience, but I’m glad to live in a time when others are sharing their experiences and giving advice. I can’t imagine all the ways people have suffered in silence (and many still do).