Insomnia and anxiety often plague women in menopause. Files / Getty Images Photo by Jacob Wackerhausen /Getty ImagesIn recent years, the conversation around perimenopause and menopause has grown louder.
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Celebrities are talking about it. Podcasts are dedicating episodes to it. Workplace policies are beginning to evolve. That progress matters. But in everyday conversations happening across our local community — in offices, school parking lots, and kitchen tables — I still hear the same sentence:
“I had no idea.”
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I had no idea anxiety could spike without warning. I had no idea sleep disruption could be this intense. I had no idea brain fog could make me question my competence. I had no idea I could feel grateful for my life and still feel disconnected from it.
Perimenopause and menopause are not niche experiences. An estimated 10 million women over the age of 40 in Canada are in this transition, which can last anywhere from two to 10 years. The average age of menopause is 51, but hormonal shifts often begin in the early to mid-40s. According to the Menopause Foundation of Canada, up to 95 per cent of women experience symptoms — yet nearly half report feeling unprepared for what that stage of life would actually involve.
That gap — between prevalence and preparation — is where confusion lives.
Many women in midlife are in their most responsibility-heavy years. They are raising teenagers, supporting aging parents, leading teams, running households, and navigating career pivots — often simultaneously. From the outside, they appear steady and capable. Inside, many are carrying accumulated exhaustion.
When hormonal shifts begin amplifying stress responses, disrupting sleep or affecting mood and cognition, women frequently interpret these changes as personal failure. They assume they should be coping better. They assume they are uniquely struggling. They assume something is wrong with them.
But research suggests otherwise. A recent Canadian survey found that nearly one in three working women reported that menopause symptoms negatively impacted their performance at work. Nearly half said they would feel embarrassed to ask for support.
That silence has consequences.
Midlife transitions do not occur in isolation. They intersect with identity shifts. Children become more independent. Careers plateau or pivot. Relationships evolve. Economic pressures shift.
When hormonal changes overlap with those transitions, the result can feel like a quiet unravelling — not dramatic, but persistent. Sleep becomes lighter. Patience thins. Confidence wavers. Stress tolerance decreases. Yet, we rarely discuss this openly in workplaces, community settings or even within families.
We have made meaningful progress in normalizing postpartum mental health and burnout. But midlife remains comparatively quiet. Appointments are often brief. Workplace policies are limited. Conversations stay whispered.
At the same time, there are positive developments worth acknowledging. More physicians are pursuing menopause training. Research is expanding. Some employers are beginning to recognize the need for flexibility.
But if women in our community are still saying “I had no idea,” then awareness has not yet become normalization. This is not about pathologizing aging. It is about preparation and support. Understanding that hormonal transitions can affect sleep, mood, cognitive clarity, and stress resilience does not weaken women — it equips them.
Recognizing that midlife may involve recalibration, not collapse, allows women to seek support earlier rather than silently enduring.
Midlife is not a breakdown. For many women, it is an awakening — a reassessment of identity, boundaries, and long-held expectations. But awakenings are easier when they are not faced alone.
If we want women to continue leading in business, public service, education, and family life with strength and clarity, then we need to move this conversation from social media to a community norm.
Progress is happening. But until fewer women are surprised by their own experience, we are not done.
Victoria Lefebre is a local author and midlife advocate who works with women navigating perimenopause and life transitions. She writes about emotional resilience, hormonal health and the evolving experience of midlife women in Canada.
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