Australia’s healthcare system has made significant strides in improving life expectancy, yet the rise in chronic diseases, especially among women in midlife, presents a unique challenge. Perimenopausal women, whom are often overlooked, are among the most at risk of developing health issues tied to obesity and other chronic conditions. The high rates of obesity, coupled with gender disparities in treatment, point to an urgent need for change. Online healthcare platforms offer a promising path forward, providing accessible and inclusive care for women navigating the complexities of midlife health.
Understanding perimenopause and its health impact
Perimenopause is the transitional phase leading up to menopause, typically beginning in a woman’s early 40s and lasting around four to six years. This stage comes with a wide range of symptoms, including irregular periods, hot flushes, sleep disturbances, mood swings, and the often-unwanted weight gain. The hormonal shifts during perimenopause cause a decrease in metabolism, leading to rapid fat accumulation, particularly around the waist—a change linked to increased risks of type 2 diabetes, cardiovascular disease, and other metabolic conditions.
Statistics highlight the scope of this issue: nearly two-thirds of Australian adults are overweight or obese, with women facing higher risks related to central adiposity (fat accumulation around the waist). In 2022, 72.1% of Australian women had a waist circumference that put them at an increased risk of developing a weight related chronic disease, compared to 63.5% of males1. This pattern not only heightens health risks but underscores the gender-specific challenges in managing weight during perimenopause.
Gender disparities in healthcare
Despite more frequent visits to GPs, women often receive less comprehensive care for chronic conditions compared to men. Research shows that women are less likely to be prescribed appropriate medications for cardiovascular symptoms or diabetes management. Between 2014 and 2018, an Australian study2 showed women presenting with cardiovascular symptoms were prescribed recommended medications only 44% of the time, compared to 61% for men. Similarly, another study3 showed men aged 45-54 who presented with type 2 diabetes were more likely to receive glucose-lowering medications by almost 20% compared to women of the same age. Thus perpetuating a treatment gap that leaves women more vulnerable to unmanaged chronic conditions.
This disparity reflects a larger issue within the healthcare system, where traditional models may unintentionally disadvantage women. As women are generally more proactive in seeking healthcare support, the fact that they are receiving fewer effective interventions points to systemic barriers, including biases and a lack of gender-sensitive care approaches.
Barriers to weight management and the psychological toll
Weight management is particularly challenging for perimenopausal women, and this struggle often extends beyond physical health to impact psychological well-being. Australian women spend considerable time, up to 8 hours a week, thinking about weight loss, yet over half report feeling judged by their healthcare providers regarding their weight. This sense of judgment discourages women from seeking medical advice, contributing to a cycle of avoidance. Many women report starting dieting as early as childhood, yet for many, traditional diet and exercise approaches prove ineffective, leading to frustration and diminished confidence in their ability to achieve lasting weight loss.
Rural and regional areas present additional challenges. Women in these locations may have limited access to healthcare, making regular consults for weight management difficult to maintain. This is particularly concerning, as rural women face an increased risk of weight-related chronic conditions, such as type 2 diabetes and heart disease, which can carry significant financial burdens alongside their health impacts.
The rise of digital health platforms: A supportive alternative
Online healthcare platforms such as Juniper and Pilot are emerging as viable, non-judgemental alternatives for women seeking holistic, inclusive care. These platforms offer several benefits, including discretion, convenience, and access to tailored advice that respects women’s individual experiences with weight and health management. Many users report dissatisfaction with traditional healthcare providers due to unhelpful advice, stigmatisation, or a lack of empathy around weight management. By addressing these issues, online platforms empower women to take control of their health without fear of judgment.
These digital services are also more accessible to women in rural or underserved areas, enabling them to consult with healthcare professionals and receive the support they need. Many perimenopausal women who use these platforms report positive outcomes, including a greater likelihood of achieving long-term weight loss when healthcare professionals are involved. Platforms like Juniper and Pilot demonstrate the potential for a new model of care; one that prioritises accessibility, empathy, safety and empowerment.
The role of Nurse Practitioners in driving change
With 85% of Nurse Practitioners (NPs) in Australia being women and of an average age of 48 years old, the healthcare workforce is uniquely positioned to address the health inequities facing perimenopausal women. NPs have both the clinical expertise and lived experiences to understand these challenges. This enables us to advocate for more inclusive, judgment-free healthcare. Many NPs are actively working to create supportive environments where women feel comfortable seeking care and discussing weight-related concerns without fear of stigma.
As advocates, NPs can play a key role in pushing for systemic change. They can champion more inclusive care practices, encourage the adoption of digital health platforms, and support the development of healthcare policies that consider the unique needs of perimenopausal women. By doing so, NPs can help shift the healthcare system toward a more equitable and effective model of care.
In conclusion, the health challenges faced by perimenopausal women underscore the need for a more inclusive healthcare system. Digital health platforms present a promising avenue to bridge the gap in access and reduce the stigma around weight and chronic disease management. Nurse practitioners are well-positioned to lead this transformation, advocating for a healthcare model that not only meets the physical needs of perimenopausal women but also addresses the psychological barriers that prevent many from seeking help.
As healthcare shifts to embrace digital tools and inclusive practices, Australia has the potential to create a healthcare environment where every woman, regardless of age, geography, or weight, receives the care she deserves. By investing in digital solutions and empowering healthcare professionals to offer supportive, empathetic care, we can create a future where perimenopausal women are not only seen but truly supported in their health journey.