This book was definitely interesting for me, and I honestly didn't expect most of the plot twists! While it does talk a decent amount about menopause and the struggles faced by menopausal women, as advertised, it turns to a larger examination of the way women are treated in society - how they must be Good and Useful. Social commentary aside, it's just a good, gory book! I always love an angry, vengeful female MC, and this book does a great job of showing her progression toward rage rather than having her start off angry. There were a couple of stereotypes about women that I didn't appreciate sprinkled throughout, but my only real issue was not a fault of the story but my own personal views - this contained one of my few triggers and I wasn't fully prepared for it. If you have an issue with harm coming to animals, especially dogs, proceed with caution!