Juncal Alzugaray Zurimendi is a physisio that runs through the towns teaching courses on climacteric and menopause. She is a specialist in sexology and pelvic floor. On this occasion, from Klimaterio to Menopause: A hands-on theory course is being held in Altsasu (Navarra). He held his first session on 11 and will end on 18. It has also stressed the need to give the keys to dealing with the changes that have taken place in the climacteric and to talk about it naturally.

Does the climacteric tend to be confused with menopause?

There is a lot of lack of information and a gap. One patient asked his mother how she had experienced menopause. The mother said she hadn't done it, because she didn't feel hot. We relate menopause to heat or drama, but we don't have to live like that.

When does it start again and again?

I always put adolescence and climacteric in parallel. In adolescence, before it's a month, our body undergoes some changes. Some of them, like hormones, don't see each other. Others do, like hair and breasts. The climacteric is a process prior to menopause and it's pretty invisible. There are physical changes, for example, that change the distribution of fat, there may be calores, menstruation is less regular and the amount of blood varies. It lasts between five and ten years, and it ends when menopause comes. So what is menopause? Last month. To do this, we have to be a year or a little more without monthly fees.

How do all these changes affect our health?

The remarkable decrease in estrogen greatly influences the composition of our tissues. On the one hand, fat starts to work as an organ. Our body starts working as a warehouse, as it needs fat to manage estrogen loss. Thus, fat builds up, especially in the abdomen. On the other hand, tissues lose hydration and flexibility, since the decrease in estrogen has a direct relationship with collagen fixation. It can also influence the fixation of vitamins.

What can be done in the face of these changes?

The essential thing is to have information. For this, the role of the midwife is mandatory, as she has all the necessary information in primary care. In the end, the midwife not only helps us in pregnancy, childbirth or postpartum, but helps us throughout our lives. If we don't have a trusted woman, we can go to the empowerment schools. They talk more and more about menopause. In addition, it is necessary to take care of nutrition and exercise. Physical exercise is not only to look good from the outside, but also from the inside there are many changes when we work our muscles. Still, we have to look for a sport that we like. It's better to do something, but to taste, than to do nothing.

She mentions the tendency to associate menopause with drama. Can it be related to aging?

They require us to be beautiful and young all our lives, and when menopause comes, it seems that we lose youth and freshness. I demand the ladies of today. I believe that aging and menopause are an opportunity to celebrate. They give us the opportunity to live other kinds of things.

Is there a tendency to pathology?

We live menopause as a disease and we're medicalized a lot. It is true that sometimes medication helps, but we should not medicalize a part of the process of our life that is biologically normal. Instead of patenting menopause, we should live as part of a stage.

He has held workshops in many villages. Is there a need to speak?

Totally. I've been to a lot of sites and there's a lot of need to gather information and share. Many times we say that we are OK because we have to say it. But in these kinds of spaces, we expand and share concerns. We live them in a lot of solitude, and the group gives us the opportunity to see that we're not unique and understand that there's a hormonal explanation behind it.