Women's experiences of their sexuality during their menopausal transition and the support offered to them by healthcare providers: A systematic review and meta-synthesis.

Abstract

Introduction: Menopause can significantly impact women's sexuality and sexual health, yet knowledge gaps among healthcare practitioners is a barrier to adequate support. Research on women's issues is less prioritized and limited funds are invested in studying female sexuality. In addition, women may feel hesitant to seek medical assistance for sexual health concerns during menopause due to lack of knowledge or societal taboos.

Methods: This is a meta-synthesis of qualitative research on women's experiences of their sexuality during the menopausal transition and the support offered by healthcare providers. Data collection was conducted using PubMed, CINAHL, and PsycINFO. A total of 21 qualitative studies from diverse cultural contexts, including Lebanon, Iran, Sweden/Chile, Spain, UK, Ireland, Thailand, Singapore, Australia, USA, China, Malaysia, and Taiwan, were synthesized, encompassing 610 participants.

Results: Women's experiences of sexuality during menopause are highly individualized and influenced by relationship dynamics, sexual autonomy, and personal perceptions of menopause. The synthesis also highlighted a common concern: women reported a lack of adequate healthcare support, knowledge, and targeted treatments to address their sexual well-being during this period.

Conclusions: Menopause can profoundly affect women's health, sexuality, and quality of life. For women to make informed choices regarding menopausal healthcare, extended knowledge, education, destigmatisation, and access to healthcare are essential. This synthesis underscores the critical need for enhanced education and interdisciplinary collaboration within healthcare systems.