The article focuses on the unspoken menopausal symptoms experienced by Japanese mothers. Despite the discomfort, many women endure these symptoms silently, without expressing their difficulties even to their immediate families. This stoic behaviour is common in Japan, with society often placing a heavy emphasis on resilience and endurance, especially among older women.

Menopause in Japan, as in many societies, can often be a stigmatized topic and many women are reluctant to openly discuss their symptoms. The societal norm often involves the pressure to maintain a calm facade, even in difficult times, leading to soft silencing of their challenges. Moreover, systemic issues such as a lack of understanding and support from the healthcare system also contribute to these silent struggles.

Unlike in Japan, menopause and women's health are gaining more discussion and focus in countries like the U.S. and the EU. This is reflected in the increasing services and resources available for menopausal women, including psychotherapy, medical treatments, social groups, and public health initiatives to increase awareness.