47 pages 1-hour read

How to Menopause

Nonfiction | Book | Adult | Published in 2025

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Parts 4-5Chapter Summaries & Analyses

Part 4: “Community: Relationships, Workplace, Advocacy” - Part 5: “Life Beyond Menopause”

Part 4, Chapter 11 Summary: “No Woman Is an Island: Finding Your People at Midlife”

Fadal stresses the importance of community and friendship in this chapter. There are endless benefits to being part of a strong community, both in daily life and online. Health benefits can be as immediate as lowering stress and as long-term as lowering risk of death. Having a support group through menopause also means not feeling alone in one’s experiences. Making friends during middle age can be difficult, but it can be made easier by joining a class, a community group, or volunteering.


Not all friends are worth having or keeping, and middle age is a great time to begin exercising firm boundaries about who adds to one’s life and who does not. Toxic friendships can and should be ended, and boundaries should be put in place to make friendship rewarding, not exhausting. Fadal lists a four-part method for maintaining healthy boundaries and being able to have time for everything important in life: It starts with knowing what one wants, making time for those things, learning to say no, and learning that it isn’t possible to please everyone. Middle age can be a time of self-discovery and rejuvenation of identity, and having solid friends along for the journey makes it more rewarding.

Part 4, Chapter 12 Summary: “Divorce, Dating, and Discovering Who Truly Makes You Happy”

Midlife is a time of major transition, self-evaluation, assessment of the past, and creation of a life that will be healthy, happy, and beneficial for the future. This often means either adjusting current relationships or finding new ones, and the symptoms of menopause are at least partially responsible for three quarters of middle-aged women’s divorces (a fact that is self-reported). Along with cultural acceptance of divorce increasing and women becoming more financially independent, middle age is a time when women are choosing to be single or to start anew with a different partner. Shifting moods, bodies, and libido can all take a toll on a marriage.


Fadal went through a divorce that left her $100,000 in debt, and it took half a decade to recuperate. She states the importance of optimism, patience, and belief in coming out the other side, as this difficult time also taught her a lot about herself. Fadal suggests that dating doesn’t have to be intimidating, particularly if a woman goes through the process of figuring out who she is and what she wants first. Leaving the past behind, while still keeping its lessons, can ensure finding a better partner, and Fadal insists that being open to people outside one’s “type” is important. Women can meet a new partner anywhere; Fadal met her second husband, Ira, near an elevator. Fadal also lists some of the most common toxic behaviors that indicate that a person may not be right for a relationship, including a strong temper, belittling language, and acts of isolation. She concludes by noting that even if romance isn’t on the table, a woman can find fulfillment through other relationships.

Part 4, Chapter 13 Summary: “When Menopause Meets the Workplace: How to Age In, Not Out”

Dealing with menopause at the height of one’s career brings unique challenges, beginning with the stigma around menopause and the shame that women are often made to feel about their symptoms. Since women make up half the working population and are usually working in middle age, finding ways to mend this bridge is essential. Many women either quit their job due to menopause or refrain from pursuing specific jobs, and many more are discriminated against for their age or their symptoms. Fadal suggests remembering self-care when it comes to work stress, as well as minimizing unnecessary workloads. She describes menopause as an “intersectional workplace issue” (282) because once again, Black and Latina women are disproportionately affected in this regard.


Fadal insists that menopause policies in the workplace are necessary, and she advocated for one at her own place of work. These policies can include health coverage, cool rooms, flexible hours, and even having a dress code that allows women to wear cooler clothing. Fadal believes talking to the boss can be helpful under the right circumstances, and they might turn out to be surprisingly supportive. Finally, this time of transition might also mean a transition of career or workplace, and while this is daunting, it will also be worthwhile if it means more fulfillment, acceptance, and lower stress.

Part 5, Chapter 14 Summary: “Silver Linings: Embracing Your Not-So-Final Chapter”

There is a new sense of freedom and possibility that comes with postmenopausal life. Obligations to children and careers begin lessening, leaving way for personal pursuits and delayed goals. While it is natural to feel fear about the reality of aging and dying, women are living longer than ever, and thus are having what is called a “second adulthood.” This is a time when women can start over with new lives, new careers, new relationships, and new possibilities. Although ageism and the notion that women become invisible in older age is everywhere, honoring oneself and refusing to hide away is being embraced. Women are on average happier in older age than pre-menopause.


While it can be daunting to know which direction to turn once life’s milestones appear to run out, the possibilities are infinite. Fadal suggests de-cluttering the home and giving up possessions that no longer serve a purpose, which is also true of careers that have outlived their purpose. Fadal switched from being a news anchor to a menopause advocate, and this new phase of her life has brought an entirely new and powerful sense of purpose. She suggests asking oneself what one really wants out of life and then making a plan to achieve it.


Changing self-talk to be more positive and framed around the bright side of aging is also important. Moving through the fear of aging can be managed by finding inspiration in the world and in others, focusing on positives, making decisions rather than always saying “someday,” and sticking on the path that one creates. Life for postmenopausal women is better in myriad ways because it means being wiser both about the self and the world, living in a time of new possibilities and more stability, and focusing on one’s own well-being. Changing how a person sees and talks about menopause will also change the subject for others, creating a chain of positive growth.

Parts 4-5 Analysis

Fadal knows how difficult making friends in middle age can be, but she insists it’s essential for health, happiness, and having a strong, supportive community through menopause. At the same time, divorce rates soar during middle age, and Fadal writes that many women cite menopause as a direct cause of their divorce. Since many relationships do not survive this major life transition, Fadal candidly writes about her own experience of divorce and finding love in the second half of life. Admitting that menopause plays a role in divorce is not villainizing menopause; rather, it’s being open and honest about how much this transitional period can alter every aspect of a woman’s life: “Divorce, dating, and intentionally choosing to be single are all becoming an increasingly large part of the conversation during this time of life, and so are the roles perimenopause and menopause play in it” (255). This frankness redefines menopause not as a disruption of identity, but as an inflection point—one that prompts reevaluation, realignment, and, in many cases, liberation. By speaking openly about endings—friendships, marriages, jobs—Fadal clears space for readers to imagine more authentic beginnings.


Another cultural aspect of attitudes toward menopause that must change is workplace accommodations and policies. Fadal includes this as the final topic of her book, but it is also the first thing she discusses, signifying how important advocacy regarding menopause in the workplace is. She explains that “1 in 5 women has left a job as a result of menopause” (279), and others may opt out of advancement. These are alarming statistics because they show that workplace politics have nowhere near caught up to the menopause movement or the need for policy changes. All of these advocacy efforts are part of Removing the Mystery and Stigma Surrounding Menopause. By naming menopause an “intersectional workplace issue,” Fadal invites employers and policymakers to consider how race, age, gender, and class converge to compound professional inequity. Her advocacy pushes menopause into the realm of labor rights, reframing support as a necessity. This section expands the book’s scope from personal empowerment to systemic change, asking not only what women can do for themselves, but what society owes them in return.


Fadal explains that postmenopause brings surprising freedom from the pressure to please others, as well as from many of life’s obligations. This stage allows women to rediscover their voices, accomplish long-neglected goals, and be themselves. Transparency, empathy, and visibility are necessary to eradicate stigma, not only among women but also with partners, employers, and the general population. Openness leads to dignity, confidence, and Embracing Midlife As a Period of Empowerment and Growth: “Midlife is your time to examine what’s important and finally take center stage in your own life” (253). Many changes occur during this time; children leave, relationships end, priorities and careers change. This means menopause is a chance to reevaluate. 


For Fadal, divorce brought financial strain but taught her resilience. Similarly, leaving her job and becoming a menopause advocate gave Fadal a new sense of purpose. Fadal’s mantra is to “Live your ‘someday’ today” (320). This ethos of urgency—of turning deferred dreams into active pursuit—is at the heart of the book’s most transformative message: Menopause is not just an ending, but a call to self-actualization. By modeling reinvention, Fadal shows readers that fulfillment is not the domain of youth alone; it is a lifelong process that deepens with each season.


When it comes to Managing the Effects of Menopause, Fadal reminds readers that “friends are a necessity, not a luxury” (246), vital for physical and emotional health. She reveals how a critical friend destroyed her self-confidence, which leads to Fadal’s advice about setting boundaries and learning to say no. Self-care and self-awareness, as well as venting to friends and taking alone time, are key to thriving in relationships and through menopause and post-menopause. These reflections underscore a larger discussion: Menopause is not merely about hormones—it’s about emotional recalibration. Women are encouraged to not only monitor physical symptoms, but to revise the emotional contracts they hold with themselves and others. Boundaries, in this context, become generative, making room for deeper connection, more intentional solitude, and a fiercer sense of self.

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