‘Breakthrough moment’: how Lorraine Kelly helped shift the menopause debate

Exclusive: TV host among celebrities to boost awareness of debilitating symptoms – but doctors caution against over-hyping HRT

Five years ago, Lorraine Kelly wanted to interview a famous woman about their experience of the menopause on her daytime TV show. Everyone she approached refused, so she decided to turn the tables and have a doctor interview her about her personal story.

Kelly shared with viewers about how she had felt “flat and joyless” despite leading a life she was happy with. It had taken a revelatory consultation with her interviewer, the TV medic Hilary Jones, to learn that she did not have depression but was experiencing menopausal symptoms.

“I thought, nobody else will talk about it so I’ll do it. It was a breakthrough moment, and that’s what I think daytime telly does very well – we’re not afraid to tackle anything. I had someone talking about how to do a poo test for bowel cancer on the show this morning,” she said.

Since Kelly’s interview, attitudes towards the menopause have shifted dramatically. Celebrities including Gwyneth Paltrow, Oprah Winfrey and Gillian Anderson have spoken out, while a game-changing documentary produced by Davina McCall in 2020 resulted in what some doctors have called a “Davina effect” among patients whose midlife struggles suddenly made sense.

Interactive

In particular, women have extolled the virtues of hormone replacement therapy (HRT) for managing symptoms ranging from hot flushes and night sweats to anxiety and depression.

This has led to huge growth in awareness of how debilitating menopausal symptoms can be, resulting in unprecedented demand for treatment that culminated in HRT shortages this week.

Kelly said she had been proud to break a longstanding taboo. “We knew from the response from viewers that there was a problem here, and I was able to use my own particular problems to help other people – that’s a huge privilege, and a responsibility.”

She has discussed the HRT shortage on the show this week. “This is a scandal. Obviously, it affects me personally because I’ll run out of patches soon … You can be damn sure if this was a problem affecting men it wouldn’t be happening.”

Doctors have been glad to see awareness of menopausal symptoms raised by celebrities and on social media, but some worry that the emphasis on personal experience is resulting in a perception that HRT is the best remedy.

Dr Paula Briggs, the chair elect of the British Menopause Society, said the scale of the celebrity involvement in the menopause was “the most bizarre thing I’ve ever seen” in medicine.

While she said much was helpful, there was also “evangelistic” misinformation shared on social media based on “a selective interpretation of clinical research papers”.

This includes recommending higher doses of HRT, saying it’s safe for women with a history of breast cancer in their family, or claiming it protects against dementia. “Unless you’ve done medical training and you understand, it’s very easy to take a superficial approach.”

Sign up to First Edition, our free daily newsletter – every weekday morning at 7am BST

Some women feel pressured into taking HRT when it’s not right for them, with lifestyle changes such as a healthier diet or more exercise sometimes a better starting point, or feel pressured into paying for private clinics, she added.

Dr Olivia Hum, a menopause specialist, said in the medical community there was “a real worry that the debate has swung too far in the opposite direction”, with people feeling “very scared about menopause and the symptoms”.

However, she added that McCall’s documentary “has done the most immense amount of good for women”.

“I’m not particularly pro-celebrity endorsement of medical stuff, but the information she gave was very scientific … my inbox filled up during the documentary with emails from women who went, ‘Oh my god, I never realised this was the menopause. I lost my job, my relationship … I just realised I don’t have to put up with this crap any more’,” she said.

The journalist Mariella Frostrup, who wrote Cracking the Menopause, said women had been forced to share personal experiences publicly because, like many women’s health issues, menopause “hasn’t been taken nearly seriously enough”.

“The idea that this is something celebrities are demanding, but that it’s an unnecessary thing, adds to the ridiculousness of the situation and the injustice. I think women have been incredibly poorly served by a system that’s patronised them and ignored the very real suffering,” she said.

Dr Heather Currie, former BMS chair and an NHS gynaecologist, said the high-profile public discourse had helped extinguish misconceptions around HRT that arose from publicity exaggerating its risks in the late 1990s.

But she added that some dangerous messages had gained traction, for example recommending HRT for the rest of your life, while certain symptoms that are more embarrassing to talk about, such as bladder problems, are sidelined.

Individual experiences are also sometimes unhelpfully extrapolated into universal advice. “Women are affected completely differently. There is a huge range in symptoms, their severity and the impact they can have,” she said.

Currie said the goal should be for women to feel they can trust their doctors, which hasn’t always been the case due to a previous lack of training. “The key thing is accurate information for women that they can easily access, and consistent advice when they go to a healthcare professional.”

• This article was amended on 2 May 2022 to clarify that Paula Briggs is the chair elect, rather than the chair, of the British Menopause Society; and to add the doctors’ titles to their names.

Contributor

Rachel Hall

The GuardianTramp

Related Content

Article image
Scottish medicines body to reassess menopause drug amid HRT shortage
Davina McCall documentary highlights benefits and postcode lottery of previously rejected utrogestan

Libby Brooks Scotland correspondent

04, May, 2022 @11:22 AM

Article image
Labour will make firms offer menopause-friendly measures
Dawn Butler, shadow women and equalities secretary, will launch policy at conference

Peter Walker Political correspondent

20, Sep, 2019 @9:30 PM

Article image
Menopause, endometriosis and more: four ways England is failing women
As ministers plan to publish the first women’s health strategy we look at where things are going wrong – and why

Hannah Devlin Science correspondent

02, Jun, 2022 @2:30 PM

Article image
MPs call for menopause to be protected characteristic in UK Equality Act
Amendment would include duty for employers to provide reasonable adjustments for menopausal employees

Caroline Davies

27, Jul, 2022 @11:01 PM

Article image
Access to contraception has got harder in England, top doctor says
Lesley Regan, women’s health ambassador for England, says ‘destructive’ changes to NHS system in 2012 are failing women

Rachel Hall

04, Jun, 2023 @11:01 PM

Article image
Doctors warn against over-medicalising menopause after UK criticism
Seeing natural event as hormone deficiency requiring treatment could increase women’s anxiety, say medics

Linda Geddes Science correspondent

15, Jun, 2022 @10:30 PM

Article image
New medical procedure could delay menopause by 20 years
Operation could benefit thousands of women who experience serious health issues

Ian Sample Science editor

04, Aug, 2019 @1:39 PM

Article image
'I miss what I used to be like': women's stories of the menopause
Women tell how the menopause has affected their health, their work and their personal lives

Hilary Osborne and Caroline Bannock

25, Aug, 2019 @3:00 PM

Article image
Davina McCall: tide is turning on women’s health and rights
The presenter, known for her thought-provoking documentaries on women’s health, is set to challenge the stigma surrounding periods

Geneva Abdul

04, Sep, 2023 @11:01 PM

Article image
New menopause therapy guidance will harm women’s health, say campaigners
Nice guidelines for GPs ‘placing CBT on a par with HRT’ are criticised as ‘patronising’ and ‘scaremongering’

Anna Bawden

11, Dec, 2023 @5:00 AM