Exploring women's experiences of menopause

Background and Aims
Quantitative evidence suggests that women who experience menopause early may be at risk of impaired psychological wellbeing. Health guidelines often reference the importance of psychosocial support for these women but give little specificity as to what this support may need to address. The available qualitative research into these women’s experiences has not been synthesised, which may clarify their psychosocial needs. Therefore, a meta-synthesis of qualitative research that explored the emotional, psychological, and relational experiences of women who experienced menopause early was conducted.

Method
A systematic search of Medline, PsycInfo, CINAHL, and ASSIA databases was undertaken. Fourteen studies were critically appraised and analysed using thematic synthesis.

Results
Six themes were identified: A psychological shift in self-perception; loss of an imagined future; isolation and wanting to belong; protecting the self through secrecy; relationships shape and are shaped by menopause; and adjustment and moving forward.

Conclusion
Women who experience menopause early may undergo changes in self-concept, feelings of shame, isolation and loss, and changes in their relationships. Psychosocial support to address these areas may be helpful. Further research on women’s experiences and adjustment processes may be beneficial.