The Impact of Menopausal Symptoms on Sexual Life and Coping Strategies: A Phenomenological Study.

Abstract

This study aimed to explore, within a phenomenological framework, the effects of menopausal symptoms on women's sexual lives and coping strategies developed during this period. This qualitative study was conducted between March and July 2025 with 15 literate and married postmenopausal women recruited through snowball sampling. Data were collected via face-to-face, in-depth interviews using a Personal Information Form and a Semi-Structured Interview Form. Content analysis of the interview data identified four main categories, 13 themes, and 20 subthemes. Participant narratives were organized under the following categories: views and experiences regarding menopause, perceptions of sexual life and intimacy, the relationship between menopause and sexual life, and experiences of coping with sexual problems during menopause. The findings revealed that most participants experienced adverse changes in their sexual lives during menopause, including decreased sexual desire and physical discomfort. Women who reported negative experiences predominantly relied on individual coping strategies, such as seeking information independently, modifying behaviors, and adopting psychological acceptance. These findings highlight the importance of developing personalized and holistic healthcare approaches that acknowledge the subjective and multifaceted nature of menopausal experiences and sexual life. Healthcare professionals should consider women's individual perceptions, needs, and coping mechanisms when providing care during the menopausal transition.