Sefako Makgatho Health Sciences University (SMU) remains a hub for academic and professional excellence, producing leaders who make significant contributions to the healthcare sector. One such leader is Professor Lineo Matsela, an esteemed Obstetrician and Gynaecologist, who has recently been inaugurated as the President of the South African Menopause Society (SAMS). Her election to this prestigious position is a landmark achievement, not only for her but also for the Department of Obstetrics and Gynaecology at SMU.
Reflecting on her appointment, Matsela expressed both pride and gratitude. “I feel honoured and humbled at the same time to have been elected to this position,” she says. With a strong interest in endocrinology, she credits her mentor, Professor Thibedi Ephraim Mokgokong, for nurturing her passion for the field. She also acknowledges the wealth of knowledge she has gained from South African women regarding menopause, culture, and tradition. “I bow my head in respect for the black South African women who have enriched me with knowledge about menopause, culture, and tradition,” she states.
Matsela highlights how menopause is viewed differently across cultures. “For the longest time, it was believed that black women don’t suffer from hot flushes and night sweats during both the peri and postmenopausal periods,” she explains. However, her research has shown that while symptoms exist, societal attitudes and traditional roles shape women’s experiences of menopause.
According to Matsela, many South African women regard menopause positively, as it signifies an elevation in societal status. “Postmenopausal women take care of critically ill patients in the village; they prepare meals for boys at initiation schools, and traditional birth attendants are chosen from among them,” she notes. However, she also points out the challenges, particularly surrounding sexuality. “Postmenopausal women are not supposed to engage in sexual activity. The belief is that cessation of menstruation, which has the cleansing power, is gone; hence the woman is predisposed to ill-health,” she explains. This misconception leads to the denial of sexual rights for women, while men may engage in extramarital or polygamous relationships.
As President of SAMS, Matsela has set ambitious goals, including forming a Pan-African Society of Menopause to integrate societies across Sub-Saharan Africa. Education and awareness are key priorities for her tenure. “We plan to have community meetings for laywomen, church leaders, and traditional leaders,” she says. She also emphasises the importance of equipping healthcare providers with adequate knowledge. “Healthcare professionals are taught about menopause as part of their training. Those in practice will attend webinars and community outreach programmes,” she adds.
Matsela identified major gaps in healthcare for menopausal women, particularly in terms of treatment accessibility. “Menopausal hormone therapy, which is the gold standard of treatment, is not readily available. Often, the medication is not available in public hospitals, and women must purchase it from pharmacies. Many cannot afford it,” she laments. She also highlights the emergence of new non-hormonal drugs such as neurokinin antagonists, which provide alternative treatment options for women who do not qualify for menopausal hormone therapy.
The SAMS Congress, held from 21-22 February 2025, covered a wide range of topics, including perimenopause, cardiovascular health, osteoporosis, HIV complications, and new pharmaceutical advancements. “The target audience included general practitioners, specialists in obstetrics and gynaecology, physiotherapists, and nursing staff. “ All these professionals play a role in caring for menopausal women,” Matsela says.
She stresses the importance of a multidisciplinary approach to menopause. “The postmenopausal period is not just about cessation of menstruation. It affects the brain, cardiovascular system, musculoskeletal system, and genitourinary system. Women need a holistic healthcare approach,” she states. However, one of the main challenges remains the lack of awareness and access to treatment. “Some women come for treatment of their symptoms, only to find that the hospitals have run out of medication,” she notes.
One of Matsela’s key messages is to reassure women that menopause is not the end of life. “Women spend one-third of their lives after menopause. Good health education and screening of health-related issues are essential,” she says. She encourages women to adopt healthy lifestyle habits, including weight management, good nutrition, reducing alcohol consumption, and quitting smoking.
She firmly believes that knowledge is the key to navigating menopause successfully. Menopause is a journey that all women experience. The earlier they learn about it, the better prepared they will be. Studies show that women with adequate knowledge are in a better position to manage menopausal symptoms than those with no knowledge,” she argues. Her leadership at SAMS is set to drive change in menopausal healthcare and awareness, ensuring that South African women receive the support and treatment they need during this critical stage of life.
Matsela’s inauguration as President of the South African Menopause Society not only brings pride to SMU but also reinforces the institution’s reputation as a hub for academic and professional excellence.
By Tumelo Moila
