Hi thickntired, Happy Birthday to you a few days early. Your birthday is the one day you can choose how to spend it any way you desire. What makes you most comfortable and whatever you do that is enjoyable is what counts. So do it!
You're not responsible for how your parents respond to your conditions, physical and mental. Sounds like you handled the situation with them well and didn't succumb to their expectations of what they expected you to do. Boundaries are very important and seems you definitely know more about them then they do.
Menopause can be a very difficult time to get through. I drank soy milk and found it helpful. I'm hoping the times ahead will smooth out some for you, and you'll feel like you're getting back on track. Hang in there and have yourself the type of birthday you want. Keep well and safe.