I live with dysautonomia and chronic head and neck pain due to a brain injury at 34. As a result of my neurological challenges I also cannot regulate my body temperature, and tolerate heat extremely poorly due to low blood pressure and syncope.
I have gone everywhere with a fan and a spray bottle of water since my accident and have always imagined people thinking look at that poor cow she must be going through early menopause as well!
I believe that for me, and probably for anyone living with a chronic condition that affects their every day life, untreated menopause is likely to exacerbate existing difficulties.
I would have almost certainly chosen to avoid the symptoms and consequences of peri/menopause anyway, even if my accident hadn't happened, but knowing that I have this additional layer of vulnerability it is even more important to me to remain adequately treated in the gonadal steroid department for the rest of my life.