Adaptation to menopause in Southwest Nigeria

Little attention has been given to the treatment of menopausal symptoms in Africa. Reasons for this include the hot tropical climate and febrile illnesses that mask hot flushes, large bone mass of black women offering inherent protection against osteoporosis-induced fractures, and an extended family system contributing to women's psychological adjustment to menopause [1]. However, there is growing concern that these assumptions may not be true and that a significant proportion of menopausal women may be tolerating reproductive health burden in silence