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The World Economic Forum estimates that closing the women’s health gap could unlock up to $1 trillion in economic value. It is persuasive, widely quoted, and increasingly used to signal progress across policy and investment circles. A more important question sits beneath that figure "where do Black women fit within this trillion-dollar future?"

Research including the SWAN study shows differences in symptom patterns and experiences across Black, Asian, Hispanic and white women. UK prescribing data indicates that Black women are significantly less likely to receive HRT prescriptions than white women, with Asian women also less likely to be prescribed. These disparities demand thoughtful examination.

When we think about menopause, conversations often circle around hot flushes, mood swings and HRT. But intimacy? That is the silent partner in this transition, rarely discussed, yet deeply felt. Add a global pandemic into the mix and the silence becomes deafening.