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The Menopause Manifesto: Own Your Health with Facts and Feminism Paperback – May 25, 2021

4.4 4.4 out of 5 stars 2,149 ratings

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An Instant New York Times, Washington Post, USA Today, San Francisco Chronicle, and Publishers Weekly Bestseller!

A Next Avenue Influencer in Aging 2021

#1 Canadian Bestseller

Just as she did in her groundbreaking bestseller The Vagina Bible, Dr. Jen Gunter, the internet’s most fearless advocate for women’s health, brings you empowerment through knowledge by countering stubborn myths and misunderstandings about menopause with hard facts, real science, fascinating historical perspective, and expert advice.

"I feel more equipped to care for my patients, challenge the patriarchy, and empower & educate thanks to her work and advocacy.” —Dr. Danielle Jones (Mama Doctor Jones)

“An exhilarating read and a comprehensive review of all things menopause.” —North American Menopause Society

“Gynecologist Gunter (The Vagina Bible) helps women navigate the ins and outs of menopause in this delightfully conversational and strongly feminist guide. Readers looking to separate menopausal fact from fiction should take note.”Publishers Weekly

“Gunter mixes sound medical information with a bit of humor and a lot of candor…[this] frank and expert guide provides an informative and reassuring look at a long, often baffling and infuriating phase of life.” —Booklist

The only thing predictable about menopause is its unpredictability. Factor in widespread misinformation, a lack of research, and the culture of shame around women’s bodies, and it’s no wonder women are unsure what to expect during the menopause transition and beyond.

Menopause is not a disease—it’s a planned change, like puberty. And just like puberty, we should be educated on what’s to come years in advance, rather than the current practice of leaving people on their own with bothersome symptoms and too much conflicting information. Knowing what is happening, why, and what to do about it is both empowering and reassuring.

Frank and funny, Dr. Jen debunks misogynistic attitudes and challenges the over-mystification of menopause to reveal everything you really need to know about:

*Perimenopause * Hot flashes * Sleep disruption * Sex and libido * Depression and mood changes * Skin and hair issues * Outdated therapies * Breast health * Weight and muscle mass * Health maintenance screening * And much more!

Filled with practical, reassuring information, this essential guide will revolutionize how women experience menopause—including how their lives can be even better for it!

“Read this book immediately.” —New York Times bestseller Ayelet Waldman, author of A Really Good Day and Love & Treasure

“This is the new ‘it’ book for women who want to prepare for or understand what menopause is (and isn't).” —Dr. Jennifer Lincoln
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From the Publisher

MEDICAL, Gynecology, Obstetrics

MEDICAL, Gynecology, Obstetrics

MEDICAL, Gynecology, Obstetrics

MEDICAL, Gynecology, Obstetrics

Editorial Reviews

Review

Praise for The Menopause Manifesto by Dr. Jen Gunter

“Gunter, a specialist in obstetrics and gynecology, follows-up the bestselling The Vagina Bible with another essential book on women’s health. Like her previous guide, Gunter’s latest book will find a wide audience, with its clear writing and up-to-date research.”Library Journal STARRED Review
 
“Gynecologist Gunter (The Vagina Bible) helps women navigate the ins and outs of menopause in this delightfully conversational and strongly feminist guide.  Gunter isn’t shy about revealing ineffective and possibly dangerous menopause remedies she sees celebrities hawking, such as much-touted bioidentical hormones, and in so doing provides a great service to readers having trouble sorting through their choices. Plain talk and valuable information abound: “The liver isn’t weak or diseased because it doesn’t beat like the heart, and women aren’t diseased because the ovaries stop making estrogen.” Readers looking to separate menopausal fact from fiction should take note.”Publishers Weekly

The Menopause Manifesto gives women the playbook to follow when discussing these matters with their doctors. This, along with The Vagina Bible, deserve a prominent place on every woman’s bookshelf. Doctors should also do themselves a favor and get their own copies.” —New York Journal of Books

“The wise and feisty Dr. Jen Gunter has ridden in (once again) on her white horse to save the day! Read this book immediately.”—
New York Times bestseller Ayelet Waldman, author of A Really Good Day and Love & Treasure
 
"As a fellow Gynecologist, I am so appreciative of Dr. Gunter's work and how she has laid the groundwork for communicating no-nonsense, science-based, health education to our patients. She is changing the way we practice medicine and communicate with our patients and her books are leading the way to more informed and empowered generations."—
Dr. Danielle Jones (Mama Doctor Jones)
 
“Dr. Gunter has managed to write a book that's just as important for healthcare providers as it is for women themselves. Where was this kind of resource when I did my medical training?! This is the new "it" book for women who want to prepare for or understand what menopause is (and isn't).”—
Dr. Jennifer Lincoln
 
"Dr. Gunter has done it again, but this time with a focus on mature women.
The Menopause Manifesto is the definitive guide to navigating the menopause based on science, not fiction. Between The Vagina Bible and this book, Dr. Gunter takes the mystery out of women’s health and replaces it with evidence-informed concrete recommendations. Brava!" —Dr. Lori Brotto, Canada Research Chair in Women’s Sexual Health, Executive Director of the Women’s Health Research Institute, and author of Better Sex Through Mindfulness


Praise for Dr. Jen Gunter and The Vagina Bible
 
"Empowerment of women through accurate information about their own bodies is the "vagenda" of ob-gyn and New York Times columnist Gunter's comprehensive, pseudoscience-bashing discussion of all things vaginal and vulvar. Gunter approachably, respectfully, and even playfully presents a huge amount of reproductive and sexual health education information to women, with the assurance that they can use it." Publishers Weekly, STARRED REVIEW

"Dr. Jennifer Gunter is the world's most famous--and outspoken--gynecologist. And she's on a mission to empower women with medical facts, taking on wellness gurus, old wives' tales and the patriarchy." —The Guardian
 
"If you don't know who Jen Gunter is, let us introduce you to the most badass obstetrician and gynecologist around. She's passionately advised against sticking jade eggs up your vagina, addressed abortion fallacies, and has even argued against why your partner should not use tape on the tip of his penis as birth control." Women's Health
 
"Stories debunking viral nonsense about women's bodies often cite the same doctor: San Francisco-based gynecologist Jennifer Gunter, M.D. Whether she's taking down Goop's ode to vaginal steaming or womb detox pearls, Dr. Gunter has become a leading internet proponent of leaving your vagina alone. Gunter frequently writes about gynecological snake oil...She's like Twitter's gynecologist." The Cut
 
"Dr. Jen Gunter is the internet's favorite Goop critic." Recode Decode

"As an OB-GYN with nearly three decades of experience, Gunter knows from crotches....Shaky assertions made by natural health products serve only to misdirect women, Gunter argues in her new book, The Vagina Bible, a sassy manual of anatomical and self-care tips...As the global wellness industry tops $4.2 trillion, Gunter is on a mission to arm women with science-based advice in hopes of stanching the spread of health misinformation. Increasingly, she's been sounding the alarm about how confusion surrounding women's bodies fuels larger efforts to control them."  —Mother Jones
 
"Armed with science (and snark), Dr. Jen Gunter takes on Trump, Goop, and all manner of bizarre health trends...Dr. Jennifer Gunter presses a provocative crusade to protect women's health, preserve reproductive freedoms--and, while she's at it, dismantle all the dubious, dangerous medical advice she comes across in the wilds of the internet...a valiant defender of science." STAT News
 
"Routinely responding with snark and medical data to [unfounded] pronouncements on diet and female genital health."—The New York Times
 
"Reading The Vagina Bible is like having the best, realest, most honest talk ever with your best friend- if your best friend happened to be a leading expert in women's health. I want to give this book to everyone I know." —Rachel Hawkins, New York Times bestselling author
 
"The Vagina Bible--Dr. Jen Gunter's savvy, detailed, funny and wise guide to female health--should be required reading for every woman seeking smart information about her body. I don't say this often but it's a don't miss book." —Deborah Blum, New York Times bestselling author of The Poison Squad

"Dr. Jen Gunter is a fountain of critically important information and she's funny as hell. Buy this book if you have a vagina or if you spend any time at all in reasonably close proximity to one."
—Ayelet Waldman,
New York Times bestselling author of A Really Good Day

"Men who want to understand the experiences of their partners or provide sound guidance to their daughters should turn to The Vagina Bible. Jen Gunter offers authoritative information with her trademark clarity and good humor." —Carl Zimmer, author of She Has Her Mother's Laugh

About the Author

Dr. Jen Gunter is an OB/GYN and internationally bestselling author of The Vagina Bible, The Menopause Manifesto, and Blood. Considered “the world's most famous—and outspoken—gynecologist,” (The Guardian), her instant New York Times and USA Today bestselling books, The Vagina Bible and The Menopause Manifesto, have been translated into 25 languages. She is the host of Jensplaining, a CBC/Amazon Prime video series that highlights the impact of medical misinformation on women, and the recipient of the 2020 NAMS Media Award from The North American Menopause Society. Her 2020 TED Talk, “Why Can’t We Talk About Periods?” received more than two million views in its first six months, leading to the launch of her popular podcast on the TED Audio Collective, “Body Stuff with Dr. Jen Gunter.” She also writes the popular Substack newsletter, The Vajenda, an evidence-based hub for reproductive health matters addressing gaps and misinformation in women’s health. Originally from Winnipeg, Canada, she lives in Northern California and can be found online at DrJenGunter.com.

Product details

  • Publisher ‏ : ‎ Citadel (May 25, 2021)
  • Language ‏ : ‎ English
  • Paperback ‏ : ‎ 400 pages
  • ISBN-10 ‏ : ‎ 0806540664
  • ISBN-13 ‏ : ‎ 978-0806540665
  • Item Weight ‏ : ‎ 2.31 pounds
  • Dimensions ‏ : ‎ 5.99 x 1 x 9 inches
  • Customer Reviews:
    4.4 4.4 out of 5 stars 2,149 ratings

About the author

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Dr. Jen Gunter
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Dr. Jen Gunter is board certified in OB/GYN and pain medicine. She writes about the intersection of women's health, sex, science, and pop culture for the New York Times. She has been called a fierce advocate for women's health, Twitter's gynecologist, and "strangely confident" by GOOP.com. She believes an empowered patient requires facts and she is here to fix the medical Internet and smash the patriarchy.

The Menopause Manifesto (2021), The Vagina Bible (2019), The Preemie Primer (2010).

Customer reviews

4.4 out of 5 stars
2,149 global ratings

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Customers say

Customers find the book provides good information and is helpful for women. They find it easy to understand and well-written, making it a must-read for general readers. The author's humor is also appreciated. However, some customers feel the book lacks value for money and is disappointing. There are mixed opinions on the feminist content, with some finding it refreshing without misogyny. There are also mixed views on the credibility of the sources used, with some finding them solid and credible, while others consider them disingenuous or fraudulent.

AI-generated from the text of customer reviews

72 customers mention "Information quality"59 positive13 negative

Customers find the book provides good information about menopause and bone health. They say it's a helpful resource for women with questions and scientific explanations. Readers appreciate the fact-based approach and practical advice. Overall, they say the book is insightful and can improve their lives.

"This book provides helpful and practical information about pre-menopause and post-menopause changes and symptoms." Read more

"...but very down to earth writing and I appreciate the normalizing approach to menopause...." Read more

"...such a bleeding patterns, common vaginal moisturizers, pharmaceutical grade vaginal hormones, and dose equivalents of different estrogens and..." Read more

"...There is good information on bone health. The subtitle on the cover says “own your health with facts” but the facts can be hard to discern...." Read more

55 customers mention "Readability"49 positive6 negative

Customers find the book well-written and accessible to the general reader without a medical background. They say it covers all topics and is refreshing. The tone is casual and readable, explaining topics clearly without being too dry.

"This is a very helpful book. It was recommended to me by my doctor and I am so grateful she shared this title with me." Read more

"I was very excited to read this book and for the most part it did not disappoint. I've recommended it to many other women...." Read more

"Maybe a bit more information than you need, but very down to earth writing and I appreciate the normalizing approach to menopause...." Read more

"Overall it is a good book but keep in mind menopause and its treatments has not been well researched by medical community so different opinions can..." Read more

8 customers mention "Humor"8 positive0 negative

Customers enjoy the author's humor. They find the book entertaining and well-written.

"...Also, Dr. Gunter’s writing is witty and funny, and, most of all, she puts women on a pedestal and wants us to feel the self worth we deserve and..." Read more

"...The author can be quite funny, which I enjoyed...." Read more

"...Great, easy to understand explanations, and a little humor to lighten the gravity of the topic...." Read more

"...medical and homeopathic treatments and therapies, and she is often humorous...." Read more

18 customers mention "Enlightened content"8 positive10 negative

Customers have mixed opinions about the book's content. Some find it interesting and useful, with clear and relatable information. Others find the content disappointing, frustrating, and a waste of time and money.

"...It got so bad I ended up just skimming through most of the book...." Read more

"...of all the things that menopause entails and this book was extremely enlightening...." Read more

"...Total waste of time and money. Wouldn’t bother!" Read more

"...I am thrilled to say the book is full of clear, relatable, interesting and useful information for women in their 40s and beyond...." Read more

13 customers mention "Feminist content"5 positive8 negative

Customers have mixed opinions about the feminist content. Some find it refreshing without misogyny, and appreciate the author's feminist touches, like putting women on a pedestal. However, others feel the book does a disservice to women with poorly researched and biased views.

"...This author obviously has a great disdain for men and I got so tired of her going off on her tangent about the “patriarchy”...." Read more

"...Gunter’s writing is witty and funny, and, most of all, she puts women on a pedestal and wants us to feel the self worth we deserve and very seldom..." Read more

"...some of that useful but you can’t help but sense the hatred for the male species from the author and I find that distasteful...." Read more

"I’m very disappointed. This book is not written for real women with real lives. Why is it so long and dense? I just want to know the info...." Read more

9 customers mention "Credibility"6 positive3 negative

Customers have mixed opinions about the book's credibility. Some find it informative and useful, mentioning that the author uses credible sources. Others feel the author loses credibility with certain statements and is unreliable, with inaccurate facts and advice.

"...But the book is quite solid...." Read more

"...only ONE page devoted to testosterone for women makes the author completely unreliable...." Read more

"...seemed a bit more flimsy than what I expected, so I hope it holds up to the highlighter I plan to use copiously throughout the book." Read more

"...a great resource - it’s informative, the author sites solid and credible sources, she outlines medical and homeopathic treatments and therapies, and..." Read more

5 customers mention "Value for money"0 positive5 negative

Customers dislike the book's value for money. They say it's a waste of money.

"...It’s just a bunch of text with the info hidden within. Darn it. Waste of money...." Read more

"This book was a waste of money. I could give a crap less if you call it a hot flash or a hot flush. Seriously...." Read more

"...This book was worthless and went in the garbage." Read more

"Very disappointed. Not much about menopause. Waste of money. Couldn’t even finish reading it." Read more

Must have menopause book, doctor written and approved
5 out of 5 stars
Must have menopause book, doctor written and approved
This is a comprehensive and well written book by a woman physician who wants to share her knowledge and educate other women. She is funny and brilliant. The book covers important medical information. I’m so enjoying it and I’m grateful to Dr. Gunter for her writing once again. HighlyRecommend.
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Top reviews from the United States

  • Reviewed in the United States on January 28, 2025
    This is a very helpful book. It was recommended to me by my doctor and I am so grateful she shared this title with me.
  • Reviewed in the United States on January 2, 2025
    This book provides helpful and practical information about pre-menopause and post-menopause changes and symptoms.
    One person found this helpful
    Report
  • Reviewed in the United States on January 21, 2024
    I was very excited to read this book and for the most part it did not disappoint. I've recommended it to many other women. Here's my only complaint: there's very little information on pros or cons of different dosages of MHT. How much estradiol is necessary to prevent osteoporosis? To reduce hot flashes? Sure it's going to be different for every woman, but having zero guidelines makes it a guessing game. And there must be documentation that states that X dose of estradiol has a higher likelihood of reducing the risk of osteoporosis. And in the event this information is not available or reliable, providing advice for women figuring out what dosage is best for them would've been super helpful. I was hoping for support in this one specific area and did not find it here.
    27 people found this helpful
    Report
  • Reviewed in the United States on July 19, 2024
    Maybe a bit more information than you need, but very down to earth writing and I appreciate the normalizing approach to menopause. For some reason we don’t talk openly about menopause so this book made me feel like I was not alone. Some of my weirder symptoms are actual fairly common!
    11 people found this helpful
    Report
  • Reviewed in the United States on August 22, 2023
    I recommend Dr. Jen Gunter's book ("The Menopause Manifesto") to every woman. It talks about subjects such as follows:

    The history and language of menopause
    The biology of menopause (i.e. the brain-ovary connection)
    The evolutionary advantage of menopause (the strengths of menopause)
    The timing of menopause (i.e. understand the clock)
    Periods and ovulation stopping before age forty—why it happens and the recommended medical care
    Metamorphoses of menopause (change in strength, size, and shape)
    Connection with cardiovascular disease
    Heat flashes aka vasomotor symptoms and how to “quench the fire” (i.e. is it hot in here or is it just me?)
    What to do about abnormal bleeding
    The basics of bone health and preventing fractures
    Brain on menopause (i.e. brain fog, depression, and dementia)
    Genitourinary syndrome of menopause and the therapies
    Bladder health
    The complicated story of desire for sex
    Sleep disturbance and how to tackle them
    Menopausal hormone therapy (both history and current) and what is right for you
    Facts and fads on phytoestrogens, food, and hormones
    Separating medicine from marketing (ex: bioidenticals, naturals, and compounding)
    What makes a healthy menopause in relation to eating habits
    Menoceuticals (i.e. supplements)
    Contraception and the menopause transition (i.e. pregnancy prevention and menstrual management)
    The story of how an OB/GYN tackled menopause
    Supplementary material which includes tables with scientific data such a bleeding patterns, common vaginal moisturizers, pharmaceutical grade vaginal hormones, and dose equivalents of different estrogens and delivery systems
    Illustrations and figures throughout the book such as the life cycle of a follicle, sources of abnormal menstrual bleeding (ex: fibroids and polyps), and the menopause transition
    79 people found this helpful
    Report
  • Reviewed in the United States on October 4, 2024
    Overall it is a good book but keep in mind menopause and its treatments has not been well researched by medical community so different opinions can be equally valid. I appreciate that the author in chapter 22 warns readers of the dangers all under-regulated supplements in America pose, it is truly buyer beware. Therefore if your medical provider advises you to first try a supplement that should signal to seek help elsewhere. There is good information on bone health. The subtitle on the cover says “own your health with facts” but the facts can be hard to discern. I strongly disagree with the author’s dismissal of blood hormone tests and pelleting of hormones. Women should be encouraged at all ages to seek out lab tests whether their doctor or insurance wants them to or not is my firm belief. Yes your hormone levels can change some from morning to evening or day by day but should still be within a standard range. Your blood pressure, cholesterol and blood sugar will also vary but doctors don’t generally use the fact that the numbers change to say no value in measuring it then! I have had fantastic results using a biote provider for pelleted estradiol and testosterone along with a progesterone pill. I don’t doubt there have been adverse events reported but so what? There are possible unwanted side effects to almost all medical treatments it does not mean rule it out as a possibility. If pelleted hormones were truly dangerous then the lawyers would have already sued the company out of existence, we all know that is how America works. So again I thought it was a good read but just disagreed on those 2 issues based on my own personal experiences as a patient. I would add that it is not that uncommon for a variety of providers to choose not to engage with insurance so that they can offer lower prices and better care. If you have a super high deductible anyway why not use a chiropractor or a hormone pelleting medical spa that does not take insurance but will let you pay with funds in your health savings account? That is just win-win all around.
    11 people found this helpful
    Report
  • Reviewed in the United States on June 24, 2021
    I just finished this book and it’s the first self-help book I read from the first page to the last. I’m just starting my menopause transition and this book gave me all the information I need to have control over my decisions in the process and to know what to expect (or not expect). Her statements and recommendations are backed by scientific studies that she cites and explains clearly. I don’t intend to use it as the only source of information for my health care but it gave me a lot of useful tips to discuss with my gyn. Also, Dr. Gunter’s writing is witty and funny, and, most of all, she puts women on a pedestal and wants us to feel the self worth we deserve and very seldom feel. If you are a woman over forty, this book is a must.
    10 people found this helpful
    Report

Top reviews from other countries

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  • Maria M
    5.0 out of 5 stars A necessary book!
    Reviewed in Brazil on February 26, 2023
    This book is a necessity! All women should read it, especially after their 40th birthday. God bless the author!
  • Amber
    5.0 out of 5 stars So good
    Reviewed in Canada on April 5, 2022
    Loved this book and Dr. Gunter’s first book. Would highly recommend to anyone and for any and every reason I can think of. Great author, tremendous physician with a good sense of humour and covers a wide range of topics and questions while making it a truly enjoyable experience. I’m in my twenties and not currently concerned about menopause but had great information for people of all ages and I knew it would a good read. Dr. Gunter has already sold me on any other book she writes.
  • Chissra
    5.0 out of 5 stars Bästa boken
    Reviewed in Sweden on February 14, 2025
    Rekommenderas om man är i förklimakteriet eller klimakteriet.
  • Donna Crook
    5.0 out of 5 stars Good
    Reviewed in the United Kingdom on March 18, 2024
    Lots of information
  • Listwriter
    5.0 out of 5 stars Helpful
    Reviewed in Germany on August 14, 2021
    I found this book to be very detailed and really helpful. I recommend it!