When Does Menopause Occur, and How Long Does It Last? Wrestling with Age and Time-Based Conceptualizations of Reproductive Aging

Heather Dillaway
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引用次数: 21

Abstract

Despite the growth of biomedical and feminist research on menopause, we still lack a comprehensive definition of what reproductive aging is, when it begins, how long it lasts, and how women experience different menopausal stages. Likewise, while aging scholars have made strides in understanding age identities and the meanings attributable to various chronological ages, we lack an understanding of how chronological age figures into individuals' experiences, medical treatment, and academic research. The gaps in knowledge about chronological age are particularly glaring in regard to women's experiences. In this article I use data from 61 in-depth interviews with menopausal women to explore the ways in which chronological age appears in their discussions of menopause experiences and their interactions with doctors about this reproductive transition. I also describe how chronological age shaped recruitment efforts for my own study. I conclude that, despite unclear information about the age and time boundaries of reproductive aging, we still use chronological age as a way to diagnose and operationalize women's experiences at midlife. I argue that reliance on chronological age hinders understandings of menopause, women's midlife, and women's overall well being. Even though feminist research exists on the topics of menopause and aging already, feminist scholars need to work toward broader conceptualizations of menopause, women's midlife experiences, and aging processes and challenge existing definitions of menopause more directly.
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更年期何时发生,持续多长时间?与年龄和基于时间的生殖衰老概念搏斗
尽管生物医学和女性主义对更年期的研究有所增长,但我们仍然缺乏一个全面的定义,什么是生殖衰老,什么时候开始,持续多久,以及女性如何经历不同的更年期阶段。同样,虽然老龄学者在理解年龄身份和各种实足年龄的意义方面取得了长足进步,但我们对实足年龄如何影响个人经历、医疗和学术研究缺乏了解。关于实足年龄的知识差距在妇女的经历方面尤其明显。在这篇文章中,我使用了61位绝经期妇女的深度访谈数据,以探索她们讨论更年期经历时的实足年龄以及她们与医生就生殖过渡的互动方式。我还描述了实足年龄如何影响我自己研究的招聘工作。我的结论是,尽管关于生殖衰老的年龄和时间界限的信息不明确,我们仍然使用实足年龄作为诊断和操作女性中年经历的一种方式。我认为,对实足年龄的依赖阻碍了对更年期、女性中年和女性整体健康的理解。尽管女性主义研究已经在更年期和衰老的主题上存在,但女性主义学者需要对更年期、女性的中年经历和衰老过程进行更广泛的概念化,并更直接地挑战现有的更年期定义。
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