In addition to the tongue, many facial signs point to an estrogen deficiency or other hormonally-triggered ailment. One of these facial indicators is vertical creases above the upper lip, as in the accompanying picture. In my experience, women with estrogen deficiency fall into two groups. The first group has a congenital ovarian weakness along with a lowered estrogen level that shows up later in life. Since these women gradually get used to the lowered levels, the estrogen deficiency generates no symptoms.
Many women have a fear of menopause that borders on panic.
Panic leads to anxiety, which can artificially generate or exaggerate problems where there needn't be any. Often I ask these women what they think menopause is and what is its significance. Since physical, i.e. bodily substance exhibits material, transitory structures, it is the diametrical opposite of the eternal spirit. As a rule, in this middle age, one's children are adults, and a woman can follow the development of her offspring. The next generation generally goes its own way, and thus the mother, now freed from child-rearing obligations, has more free time in which to dedicate herself to the mental and spiritual aspects of life.