Women's Menopausal Experiences in the UK: A Systemic Literature Review of Qualitative Studies

Abstract

Background

Menopause, defined as the cessation of periods for over 12 months, can have a profound impact on women in numerous ways. Understanding women's experiences of menopause can lead to improved care and support during this transformative period.

Objectives

The objective of this systematic review is to identify and summarise published qualitative studies that consider the lived experiences of women with menopause in the UK and to serve as a basis for future research in the field of menopause.

Search Strategy

EMBASE, MEDLINE and PsycINFO databases were searched initially in March, and then updated in April 2024.

Inclusion Criteria

Peer-reviewed papers with full text available in English, focused on women experiencing menopause in the UK, studies published from January 2000 to April 2024, qualitative or mixed methods study design with qualitative analysis.

Data Extraction and Synthesis

Two authors independently performed title and abstract screening for eligibility. Conflicting opinions were resolved with a third author. Reviewers familiarised themselves with the data and coded the text line by line. Thematic analysis was utilised to place the codes into broader themes. All studies were assessed using an appropriate quality assessment tool.

Main Results

Thirty-two studies were included in the review with 3462 participants involved. 173 primary codes were extracted and organised into subthemes and 3 overarching themes. These key themes were the biopsychosocial dimensions of menopause, understanding of menopause and strategies to manage menopause.

Discussion

Menopausal experiences documented in the literature are shaped by a range of individual and societal factors. While initiatives to support menopausal women are in place, this review also identifies key knowledge gaps and marginalised groups that would benefit from targeted research and interventions. It emphasises that menopause is not merely a collection of symptoms, but, for many, a pivotal life transition. A deeper understanding of these experiences allows us to more effectively support women through this significant phase of life.

Conclusions

This review concluded that the menopausal experience extends beyond physical symptoms, also affecting mental health, personal and professional life, and self-identity. Additionally, menopause is shaped by individual life experiences and various personal factors.

Patient or Public Contributions

The studies analysed in this review contain original data from women in the UK undergoing menopause. The qualitative data delves into their experiences with symptoms, accessing various sources of support from NHS and non-NHS sources as well as alternative therapies.