Sex life and role identity in Taiwanese women during menopause: a qualitative study. (28th December 2015)

• Record Type: Journal Article
• Authors: Yang, Cheng‐Fang; Kenney, Nancy J.; Chang, Ting‐Chen; Chang, Shiow‐Ru
• Is Part Of: Journal of advanced nursing. Volume 72:Number 4(2016:Apr.)
• Page Start: 770
• Page End: 781
• Publication Date: 2015-12-28
• Subjects: climacteric -- menopause -- role identity -- sexual life -- Taiwan -- transformation; Nursing -- Periodicals; 610.7305
• DOI: 10.1111/jan.12866
• Languages: English
• ISSNs: 0309-2402

Abstract

Abstract: Aim: Our goal was to examine Taiwanese women's perspectives on the way menopause affected their sexual behaviour to gain an in‐depth understanding of their experiences during this transition. Background: Physical symptoms associated with menopause may affect women's sexual experiences. Little is known about how menopause‐related changes in sexual behaviour may affect role identity of women living in a modernizing urban culture that is still strongly rooted in traditional beliefs and attitudes. Design: This was a qualitative study involving face‐to‐face interviews using open‐ended questions. Methods: During 2011–2012, eighteen peri or postmenopausal women visiting a medical clinic for gynaecological examinations or treatment were interviewed about their sexual experiences. Responses were analysed for common themes. Findings: Four themes were identified about the effects of menopause on women's sex life: (1) changes in physical responses during sex; (2) the acceptance/non‐acceptance of the current situation; (3) sexual pressure related to their marital role; (4) efforts to improve sexual interest or activity. Menopause‐related physical changes often (but not always) made sexual interactions difficult. But women's responses to the changes varied. Some used sexual discomfort as a reason to avoid sexual intercourse. Others sought to improve their sexual encounters through behavioural modifications or hormone therapy. Conclusions: Given the variety of reactions to the impact of menopause on sexual behaviour/relationships seen here, it is clear that health professionals need to assess of each woman's specific situation and be prepared to recommend a variety of behavioural or hormonal treatment options.