This study investigated whether women’s perimenopausal/menopausal symptoms had negative effects on marital or long-term relationships, an aspect underrepresented in the literature. A questionnaire distributed to 110 convenience-sampled women, ages 45-60 years and prescreened for inclusion by private practitioners or the author’s colleagues, yielded a 60% return. Symptoms correlated positively with participants’ feelings about the relationship and sexual intimacy with their partner (.353–.783, p = 0.01, and 272–.371, p = 0.05, respectively). Divorced women did not experience the same loss of sexual desire or feel anger or resentment toward their partners as did married women. Clinicians should ask women about perimenopausal/menopausal symptoms, loss of libido, and the marital relationship during annual visits. Education related to this period of life may provide a better understanding to women and the partner may be included in education, as many men do not understand the changes associated with perimenopause and menopause.
AARP (2004) The divorce experience: a study of divorce at mid-life and beyond. (National Study conducted for AARP Magazine) retrieved from http://www.aarp.org May 2004.
2.
Arias RD (2005). Overlooked options in managing menopausal sexual health. The Clinical Advisor: For Nurse Practitioners, 2005 (Suppl.), 12–19. Available from http://www.clinicaladvisor.com.
3.
AvisNCrawfordS (2008) Cultural differences in symtoms and attitudes toward menopause. Menopause Management. 17: 8–13.
4.
AvisNEZhaoXJohannesCBOryMBrockwellSGreendaleGA (2005) Correlates of sexual function among multi-ethnic middle-aged women: Result from the Study of Women’s Health Across the Nation (SWAN). Menopause. 12: 385–398.
5.
BassonR (2004) Recent advances in women’s sexual function and dysfunction. Menopause. 11(Suppl 6, Pt 2): 714–725.
6.
CarminesEGZellerRA (1979) Reliability and Validity Assessment: Quantitative Applications in the Social Sciences, Newbury Park, CA: Sage.
7.
ClaytonAGuico-PabiaC (2008) Recognition of depression among women presenting with menopausal symptoms. Menopause. 15: 758–767.
8.
ConboyLDomarAO’ConnellE (2001) Women at mid-life: Symptoms, attitudes, and choices, an Internet based study. Maturitas. 38: 129–136.
9.
DalyEGrayABarlowDMcPhersonKRocheMVesseyM (1993) Measuring the impact of menopausal symptoms on quality of life. BMJ. 307: 836–840.
DennersteinLDudleyECHopperJLGuthrieJBurgerHG (2000) A prospective population-based study of menopausal symptoms. Obstetrics and Gynecology. 96: 351–358.
12.
DennersteinLLehertPKoochakiPEGraziottinALeiblumSAlexandeJL (2007) A symptomatic approach to understanding women’s health experiences: A cross-cultural comparison of women aged 20 to 70 years. Menopause. 14: 688–696.
13.
Diamond T (2008). Does menopause cause divorce? Message posted 16 April to http://blog.thirdage.com.
14.
FugateN (2005) Understanding the gap between research results and clinical experience. Menopause Management. 14: 23–24.
15.
HessROlshanskyENessRBryceCLDillonSKapoorWMatthewKA (2008) Pregnancy and birth history influence women’s experience of menopause. Menopause. 15: 435–441.
16.
KaganRGoldsteinSR (2007) Menopause Practice: A Clinician’s Guide, 3rd edn. Cleveland, OH: North American Menopause Society.
17.
KokHSKuhDCooperRvan der SchouwYTGrobbeeDEWadsworthMERichardsM (2006) Cognitive function across the life course and the menopausal transition in a British birth cohort. Menopause. 13: 19–27.
18.
KravitzHMGanzPABrombergerJPowellLHSutton-TyrrellKMeyerPM (2003) Sleep difficulty in women at midlife: A community survey of sleep and the menopause transition. Menopause. 10: 19–27.
19.
KrychmanMKellogg-SpadtS (2009) Female sexual dysfunction: Working toward new understanding. Women’s Health Care. 8: 37–48.
20.
McCoyN (2000) The McCoy female sexuality questionnaire. Quality of Life Research. 9(Suppl 1): 739–745.
21.
MillerLJDaniels-BradyC (2005) Depression during perimenopause. Menopause Management. 14: 10–16.
22.
MontenegroXP (2004) The Divorce Experiment: A Study of Divorce at Midlife and Beyond, Washington, DC: American Association of Retired Persons.
23.
MoriyamaCKOnedaBBernardoFRCardosaCGJrForjazCLMAbrahaoSBTinucciT (2008) A randomized, placebo-controlled trial of the effects of physical exercises and estrogen therapy on health-related quality of life in postmenopausal women. Menopause. 15: 613–618.
24.
NAMS (2005) Focusing Your Practice on Menopausal Women, Cleveland, OH: North American Menopause Society.
25.
OldenhaveAJaszmanJBHaspelsAAEveraerdWT (1993) Impact of climacteric on well-being. American Journal of Obstetrics and Gynecology. 168: 772–780.
26.
PapiniDRIntrieriRCGoodwinPE (2002) Attitude toward menopause among married middle-aged adults. Women’s Health. 36: 55–68.
StantonALLobelMSearsSDelucaRS (2002) Psychosocial aspects of selected issues in women’s reproductive health: Current status and future directions. Journal of Consulting and Clinical Psychology. 70: 751–770.
30.
UtianWHJanataJWKingsbergSASchluchterMHamiltonJC (2002) The Utian Quality of Life (UQOL) Scale: Development and validation of an instrument to quantify quality of life through and beyond menopause. Menopause. 9: 402–410.
31.
WargaC (1999) Menopause and the Mind, New York: The Free Press.
32.
WalterCA (2000) The psychosocial meaning of menopause: Women’s experiences. Journal of Women and Aging. 12: 117–131.
33.
WuZSchimmeleCM (2007) Uncoupling in later life. Generations. 31: 41–46.
