Menopause is a universal biological transition, but for many, how it is understood, experienced, and supported is shaped by one’s culture. In many communities, menopause is more than a medical milestone—it’s often a sacred life passage rooted in tradition, spirituality, and collective knowledge.
In many cultures, menopause is seen as a movement to a more spiritual life focus. Menopause is also often honored as a time of gaining wisdom and taking on a new role that brings respect, responsibility, and deeper community connection. However, colonialism, oppression and systemic inequities have disrupted traditional teachings and access to culturally safe care for many.
Stigma and silence surrounding both menopause and cultural aspects of care exist, but there should be a focus on the traditions like body-mind practices which are important during this time. Menopause is not just a set of symptoms—it’s a journey and this is often deeply rooted in traditions that may not be represented in the healthcare system. Respecting and learning from diverse understandings can help create more inclusive, empowering care for all. It can also empower societies while allowing for personal and professional growth in health care.
The following are a few ways that can support a more Culturally Safe client/provider relationship:
- A physically comfortable space
- A desire and efforts to understand cultural norms
- Trust building efforts including addressing personal bias
- Conversational appointments
- The opportunity to bring an advocate or a translator to the appointment
By centering dignity, voice, and cultural context, one can ensure that menopause care supports the whole person—not just their symptoms.
Cultural Humility in Menopause
Cultural humility in menopause is about approaching each person’s menopausal journey with respect, openness, and a willingness to learn—especially when their experiences differ from our own. It means recognizing that menopause is not a one-size-fits-all experience and that cultural, spiritual, historical, and social contexts shape how people understand and navigate this life stage.
Unlike cultural competence, which suggests mastering a set of facts about another culture, cultural humility emphasizes ongoing self-reflection and lifelong learning. In menopause care, this means asking questions instead of making assumptions, honoring traditional knowledge systems, and being aware of the power dynamics that can influence healthcare interactions.
For example, an Indigenous woman may view menopause through a lens of ceremony and transition, while a newcomer to Canada may be navigating language barriers, isolation, or different health beliefs. Practicing cultural humility means listening without judgment and co-creating care that aligns with each person’s values and needs.
Ultimately, cultural humility is about creating space for dignity, voice, and choice in menopause. It’s how we move from offering care to people, to partnering with them—ensuring every person feels seen, respected, and supported through this natural, powerful phase of life.
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Dr. Malhotra sees patients in person in West Kelowna, British Columbia, Canada. Click here for more information.