Older and Wider is a comprehensive and well researched but refreshingly funny look at the menopause by British comedian Jenny Eclair. I saw it on NetGalley and was intrigued because Jenny actually worked for my parents when I was a teenager - before she became famous - so it was a shock to realise that she’s only ten years older than me and writing about “the change” just as I start to approach mine.
Years ago I went to see her in the Edinburgh Festival Fringe, and was a bit shocked by how rude and sweary she was - so I was apprehensive that the book might be the same, so was pleasantly surprised - don’t worry, there are still some well-placed swear words and fellatio jokes, but overall it’s a well written, honest and highly relatable review of a subject that most people still don’t want to talk about, organised in alphabetical chapters from A “Are you sure you’re menopausal?” to Z for Zzzzz... (about sleep, obvs.) This works better than you’d expect as she cleverly finds something interesting to say for every letter, no mean feat!
Eclair begins the book by announcing that she’s not a doctor. Well I am, but what a lot of women don’t realise is, that they don’t teach you anything about the menopause at medical school (that might have changed but I’d be surprised) and you don’t need to know anything about it doing hospital jobs, so normally you’d learn what you need to know as you go along in General Practice. Unfortunately the start of my GP training coincided with the first of the major trials linking HRT to adverse health outcomes from scary things like breast cancer and heart disease - so suddenly no one wanted to take it any more. The evidence has see-sawed about it ever since, but the fear of many women has never receded, leaving many to suffer unnecessarily.
Éclair (my iPad keeps insisting on adding an accent to her name, which is cute so I’m leaving it!) very sensibly, repeatedly advocates seeing a doctor for advice about both treatment and worrying symptoms, which obviously I agree with, but here’s an insider tip - whether it’s for advice on symptom management and drug treatment, or for the investigation of unusual changes - if your GP is male or under 50, consult their older female colleague - or go see a specialist. A doctor who has been through it herself will be much more helpful, and her colleague will be relieved rather than offended. In contrast, for potentially life-threatening problems including mental health, choose a GP who works full-time and don’t fret about their gender.
Sorry for the digression - back to the book.
It’s not all serious stuff - some of her lines had me snorting loud enough to disturb the cat: eg “If you are big of knocker, then spending money on a good sports bra is vital, especially if you’re serious about exercising regularly and don’t want to go around looking like you’re in an abusive relationship.”
(A positive or negative, depending on time of day, of my recent increase in temperature is I am now the preferred resting spot for the heaviest of our fur-babies.) Early in the book, Eclair describes her perfect dog - and I thought “what you actually need is a cat” but will grudgingly admit that feline behaviour isn’t ideal for the nocturnally overheated insomniac...
Other parts of the book surprised and delighted me with their insight:
“I think what the menopause does is bring us to a point of crux. There’s no going back. We are entering a truly adult stage of our lives–one where we’re still fit, still compos mentis and still have everything going for us. It’s a time when it feels really important to make some decisions about how we want to live from now on.” and, very much in line with my own philosophy
“Ok, here’s the bottom line girls, we all have our own faiths and beliefs and whatever gets you through the day–as long as it’s not illegal or hurting anyone else–is absolutely cool with me. However unusual your coping mechanism is, if it works for you, don’t let me be the one to put you off.”
However, on one point she is wrong: “Finally, never ever buy shoes online.” The woman is obviously yet to discover Allbirds, the ideal shoe for the older woman, that come in the most delightful array of colours that will match all your colourful cardigan collection (how I related!) and now, even, that I am wearing them for work during this covid crisis - scrubs!
I don’t normally put so many personal observations in my reviews but it’s a sign of how engaged I was with this book, which I will be recommending to friends, family and colleagues for the helpful tips and belly laughs. Big thanks to NetGalley and Quercus for the ARC which allowed me to give an honest review. Older and Wiser is published on July 2nd.