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Many incarcerated people approaching menopause are left to navigate these seismic physical shifts on their own, self-diagnosing and advising each other. For some, the lack of information and knowledge about menopause makes it difficult to even name what they’re experiencing. Makeshift tools and tricks cobbled together to manage symptoms can trigger disciplinary action. Requesting menopause-related medical care in a system that often fails to provide the bare minimum can be a frustrating and ultimately fruitless process. While new networks of care are emerging, offering hope in some prisons, these advances remain inaccessible in many places.