Women’s experiences of sexuality during menopausal transition: an interview study

Menopausal transition, brings significant changes to various aspects of health and well-being, including sexuality. These changes are influenced by hormonal changes, psychological factors, and societal perceptions. Historically, research on menopausal transition has predominantly focused on pharmacological treatments, to address symptoms. However, these studies often neglect the inclusion of women’s personal experiences and perspectives on sexuality. This study aimed to explore women’s lived experiences of sexuality during menopausal transition. Data were collected by using semi-structured individual interviews with ten women aged between 50-60. The data was analysed using Malterud systematic text condensation. The women reported shifts in sexual desire and physical intimacy during menopausal transition, and they discussed their evolving perceptions of sexuality and its role in their lives. The women emphasized that the quality of their relationship and partner-related sexual dysfunction were important factors influencing their sexual experiences. Finally, participants noted that the limited discourse surrounding sexuality during the menopausal transition contributes significantly to a broader lack of awareness and inadequate understanding of women’s sexual health in this life stage. Women's sexuality during menopause is influenced by both biological and psychosocial factors, and support from healthcare services is often lacking. Communication within the couple is crucial, and men's sexual health and experiences are also important. More individualized, culturally sensitive, and inclusive care, as well as sexual counselling, can improve couples’ well-being and quality of life during this stage of life. • First Swedish study on women’s perceptions of sexuality during menopause. • Women lack awareness of how sexuality impacts their well-being • Women report experiencing sexual desire, but relationship issues act as a barrier.