Let’s Talk Women's Health: Hormones, Wellness, and Balance 

Hormone health impacts many women, but few feel comfortable talking about it openly. In our recent Habesha Health conversation, one message was clear: support, awareness, and community matter.

For many in our community, conversations about hormones, menopause, and reproductive health are often delayed, minimized, or surrounded by stigma. This space allowed us to begin naming what many have been experiencing quietly.

Trust Your Body and Build Awareness

One of the most important takeaways is learning to trust your body. Many women notice changes long before they are validated by a provider or lab result.

Listening to your body, and even hearing the experiences of other women, can help guide more informed and confident conversations with healthcare providers.

Awareness is not about fear. It is about understanding.

Common Signs of Estrogen Imbalance

While everybody is different, some common experiences shared include:

  • Headaches

  • Fatigue

  • Excessive or irregular bleeding

  • Night sweats

  • Thyroid-related concerns

  • Symptoms that feel like a “second puberty”

These symptoms can feel confusing, especially when they are not openly discussed. Naming them is the first step toward support.

Lifestyle is Foundational

As part of a comprehensive treatment plan you develop with your providers, it is important to recognize that lifestyle plays a powerful role in hormone health. Lifestyle is part of treatment.

Simple but consistent practices can make a meaningful difference:

  • Prioritizing sleep. Sleep is medicine.

  • Regular movement and exercise

  • Stress regulation through meditation or mindfulness

  • Being mindful of body and weight changes

These are not small things. They are the foundation.

The Role of Family and Shared Knowledge

In many cases, understanding your hormone health can begin at home.

Talking with your mother, aunties, or older family members can provide insight into patterns, timelines, and experiences that may not be documented elsewhere.

These conversations can feel uncomfortable, but they are also deeply informative and empowering.

A Balanced Approach to Treatment

Another important takeaway is this: you are not necessarily “sick” by default.

There can sometimes be a tendency toward over-treatment. While medical support is important, lifestyle adjustments and holistic approaches can be powerful first steps.

The goal is not to rush into intervention, but to find the approach that best supports your body.

Hormones and Aging

Hormonal changes are a natural part of aging. Many women begin to notice shifts in their late 40s and early 50s, with the average age of menopause around 52 in the United States.

These changes can impact more than just physical symptoms. They may also affect:

  • Mood

  • Energy levels

  • Cognitive function

  • Overall wellbeing

Tracking changes over time, rather than relying on a single lab result, can provide a more complete picture.

Understanding Hormone Support

Estrogen plays an important role in the body, including:

  • Supporting pelvic health

  • Contributing to heart health

  • Supporting cognitive function

For some women, hormone therapy may be appropriate. When started at the right time and with proper guidance, it may offer benefits such as reducing the risk of memory decline.

At the same time, hormone therapy is not for everyone. Decisions should always be made with a trusted provider who understands your individual health history.

Beyond Medication Only Approaches: A Holistic Approach

Many women are exploring functional and lifestyle-based approaches alongside traditional care.

This can include:

  • Nutrition and supplementation, such as Vitamin D with K2

  • Access to sunlight

  • Supporting liver health

  • Incorporating flaxseed or plant-based options depending on individual needs

Diet and exercise remain consistently recommended across all approaches.

Fertility, Timing, and Community Pressure

In our community, there is often a strong narrative around a “deadline” for having children.

While fertility does change with age, this conversation is complex and personal. It is important to approach it with accurate medical information rather than fear-based messaging.

Women deserve to make informed choices about their bodies without pressure or shame.

Breaking Stigma Through Conversation

One of the most powerful parts of this event was the sharing of stories.

When women speak openly about their experiences, it reduces stigma and creates space for others to feel seen. Hormonal changes are not an illness. They are a natural part of life.

The more we talk about it, the less shame exists around it.

The Bigger Picture: Trust, Representation, and Care

Access to care is not just about availability. It is also about trust.

Representation matters. Cultural understanding matters. Women deserve providers who understand their lived experiences and can offer care that is both informed and culturally responsive.

How to Prepare and Support Yourself

If you are approaching this stage of life, consider:

  • Building a supportive community

  • Finding trusted healthcare providers

  • Prioritizing a balanced diet and regular movement

  • Staying curious and informed

  • Allowing yourself to ask questions and advocate for your needs

Final Takeaway

The support matters.Get comfortable talking about it.With the right information and care, women can feel empowered.

-Jerusalem & Mimi

Speakers:

Jerusalem Makonnen, RN, FNP-BC, MSCP

One Medical

Contact: selaam2@gmail.com

Mahedere Solomon, FNP-C

Chief Clinical Officer at One Love Center for Health

Contributor: Kiko Asmerom 

Thank you to our partners:  One Love Center for Health and Partnerships for Trauma Recovery

Habesha Health https://linktr.ee/Habeshahealth

Black Girl’s Guide to Surviving Menopausehttps://blackgirlsguidetosurvivingmenopause.com/

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