In the not so distant past, many researchers argued that menopause isn’t actually natural and that modern medicines simply have increased life expectancy well beyond what nature intended. While it’s true that the average life expectancy for women was just 40 years only a century ago, recent studies have found the number was skewed by high infant mortality rates at the time. Plenty of women were living well past age 40. Even the Bible recognized that women can live well beyond their fertile years.

Menopause a time of hot flashes, poor sleep and mood shifts and can be a bad time for any woman. But women who live in rural areas may suffer more, a new study shows.

The menopausal experience varies widely among women. It’s estimated that about 75 % of women have hot flashes, ranging from mild to severe. But many women report debilitating symptoms that interfere with family life, relationships and work. The impact of menopause most times relies on where a woman is in her life. A woman who works in a relaxed office with other middle-aged women may be less troubled by menopausal symptoms than a woman who is caring for an elderly parent and can’t afford the heart-pounding, sweaty distraction of a hot flash.

Living in the sticks can add extra pressures to coping with menopause, notes a report in the latest issue of The Journal of Advanced Nursing. Menopausal women in rural areas have less access to medical care and may have more stress due to multiple caregiving roles and lower income. And menopause in a small town is less anonymous, the study notes.

Researchers interviewed 25 menopausal women in rural Nova Scotia, a Canadian province where several people live in the sticks. They found that women were often surprised by the intensity of the psychological, physical and social consequences of menopause. While this is likely a common response for most women, lack of access to health care and support groups made the experience especially stressful for women living in rural areas. Memory loss, which is common during the hormonal surges of menopause, for instance, caused considerable concern, and many women were scared that it was due to the early onset of Alzheimer’s.

The women said they found it challenging to receive information from local health services and often relied on the Internet, books, magazines and television shows, but they were frustrated by conflicting information.

The women also commented having other women to talk to helped, and they lamented the lack of female rural clinicians.

Having scarce health care resources are a problem in rural areas, and many of the women we spoke to struggled to get the medical information and support they needed, especially if they preferred to talk to a female doctor, wrote Sheri L Price, a nurse researcher who specializes in women’s health at the IWK Health Centre in Halifax.

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