Nalini Singh, the executive director of the Fiji Women’s Rights Movement, has voiced concern over the inaccessibility of hormone replacement therapy (HRT) in Fiji, emphasizing its critical importance for women undergoing menopause. Despite the obvious benefits of HRT in alleviating symptoms associated with menopause, Singh highlighted that many women must pay out of their own pockets, as health insurance does not cover these essential treatments.

Singh’s own experience with HRT began after enduring significant physical changes and severe symptoms during the perimenopause phase. These symptoms escalated during the COVID-19 pandemic, leading to severe anemia that required blood transfusions. Her journey included intense bleeding, cognitive difficulties, and other debilitating symptoms such as hair loss and heightened discomfort due to fibroids and cysts.

Despite the challenges, Singh reported that HRT has made a significant difference in her well-being, helping to alleviate symptoms and provide a sense of mental calm. “It calms things down. It helps with the bleeding, the anemia, and the fibroids,” she noted, stressing that the stigma and silence surrounding menopause compound the struggles women face.

The situation resonates with broader conversations about menopause in Fiji, where many women remain unaware of available treatments due to a lack of community discussion and education. Similar articles have reported on the urgent need for comprehensive health policies addressing menopause, noting that many women suffer silently without the support they need.

Experts, including women’s health specialists, are calling for improved access to menopause management, underscoring the importance of education for healthcare practitioners and advocating for open discussions about women’s health issues. As the population ages, initiatives to foster supportive environments for women during this transitional phase are increasingly crucial.

There is hope as the Fiji Women’s Rights Movement continues to push for changes in societal attitudes toward menopause, aiming to create understanding and support systems that empower women facing these natural yet challenging life changes. By encouraging open dialogues, communities in Fiji can work towards a more informed and compassionate approach to women’s health.


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