Menopause transition experiences and coping strategies among Ibo women in a selected community in South eastern Nigeria - A qualitative study
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Gako-hitzak

Coping
Experiences
Ibo women
Menopause
Quality of life
Midlife

Laburpena

Purpose: Menopause is a maturational process that

can be asymptomatic but severe physical and

psychological changes can impact negatively on the

quality of life in some women. The study explored

selected Nigerian Ibo women’s menopause transition

experiences, impact on quality of life, and coping

strategies as their experiences has been understudied.

Materials and Methods: A community-based

qualitative study was done with 15 purposively

selected rural women aged 45years and above.

Through audio-taped two focus group discussions

(FGD) and an in-depth interview, data were

collected, transcribed and content analyzed using the

thematic deductive approach.

Results: Four themes emerged: perceived

menopausal meaning, distressing symptoms

experienced, self-care/coping, and desired

anticipatory information needs. Menopause was

perceived as the beginning of getting old but freedom

from messy blood stains and fear of pregnancy.

Distressful symptoms impact negatively on the quality

of life. Symptom management was based on trial and

error. Inadequate information was received from

women’s meetings prior to menopause and from

health workers and friends when symptoms had

already become distressing.

Conclusion: Menopause transition among Ibo midlife

women in the selected community brought a feeling

of freedom from monthly wetness but gave way to

distressing symptoms that reduced quality of life.

Structured education and information sharing before

menopause will enable women to know what to

expect and how to manage symptoms thereby

improving quality of life.

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Erreferentziak

Ibraheem OM, Oyewole OE and Olaseha IO.

Experiences and perceptions of menopause

among women in Ibadan South East local

government area, Nigeria. Afr J Biomed Res

;18:81-94.

Muchanga SMJ, Lumumba AL, Kamba BJP et

al. Knowledge, attitudes and practices towards

menopause among Congolese middle-aged and

postmenopausal women Pan Afr Med J. 2021;

: 315. doi: 10.11604/pamj.2021.38.315.20342

HC Opara, PN Iheanacho and AN Anarado

Folasade AB and Olufunmilola DO. Attitude to

the Menopause and Sex amongst Middle-Aged

Women in a Family Medicine Clinic in Ibadan,

Nigeria. Obstetrics and Gynecology International

(2):1-5 DOI: 10.1155/2016/2031056

Hajesmaeel-Gohari S, Shafiei E, Ghasemi F. et al. A

study on women’s health information needs in

menopausal age. BMC Women’s Health 2021;

:434 https://doi.org/10.1186/s12905-021-01582-0

Namazi M, Sadeghi R and Behboodi Moghadam,

Z. Social Determinants of Health in Menopause:

An Integrative Review. International journal of

women’s health, 2019:11, 637–647. https://

doi.org/10.2147/IJWH.S228594

Masjoudi M, Amjadi MA and Leyli EKN. Severity

and frequency of menopausal symptoms in middle

aged women, Rasht, Iran. J Clin Diagn Res 2017,

(8):QC17–21.

Marzieh M, Marjan AA and Ehsan KNL. Severity

and Frequency of Menopausal Symptoms in

Middle Aged Women, Rasht, Iran. J ClinDiagn

Res. 2017 Aug; 11(8): 17–21. doi: 10.7860/JCDR/

/26994.10515

Thomas A and Daley AJ. Women’s views about

physical activity as a treatment for vasomotor

menopausal symptoms: a qualitative study. BMC

Women’s Health2020; 20:203 https://doi.org/

1186/s12905-020-01063-w

Oloyede OA and Obajimi GO. Symptomatology

of menopause among suburban Nigerian women.

Trop J ObstetGynaecol 2018, 35:188-91.

Available from: https://www.tjogonline.com/

text.asp?2018/35/2/188/239172

El Khoudary SR, Greendale G, Crawford SL, et

al. The menopause transition and women’s health

at midlife: a progress report from the Study of

Women’s Health across the Nation (SWAN).

Menopause: 2019; 26(10) : 1213-1227doi:

1097/GME.0000000000001424

Mendes A, Hoga L, Gon-çalves B, Silva P and

Pereira P. Adult women’s experiences of urinary

incontinence: a systematic review of qualitative

evidence. JBI Database System Rev Implement

Rep. 2017 May;15 (5):1350-1408. doi: 10.11124/

JBISRIR-2017-003389.

Stamm TA, Pieber K, Crevenna R and Dorner

TE. Impairment in the activities of daily living in

older adults with and without osteoporosis,

osteoarthritis and chronic back pain: a secondary

analysis of population-based health survey data.

BMC Musculo-skeletDisord 2016;17:139. https

://doi.org/10.1186/s1289 1-016-0994-

Mulaudzi F. The perceptions of African women

regarding natural menopause in Mamelodi,

Tshwane district. Curationis 2015; 38(i2) DOI:

4102/curationis.v38i2.1531

Bala S, Kishore Kumar KJ and

PrabhaMLS.Individual perceptions and health

seeking behaviour of rural postmenopausal

women. International journal of community

medicine and public health 2017; 4(11) doi: http:/

/dx.doi.org/10.18203/2394-040.ijcmph20174485.

Mishra, G.D., Pandeya, N., Dobson, A.J, et al.

Early menarche, nulliparity and the risk for

premature and early natural menopause. Human

Reproduction 2017; 32(3):679–686, https://

doi.org/10.1093/humrep/dew350.

van Eeuwijk, P. and Angehrn, Z. How to Conduct

a Focus Group Discussion (FGD),

Methodological Manual. Swiss Tropical and

Public Health - Fact Sheet Society, Culture and

Health. www.Swiss Tropical and Public Health

Institute/Swiss TPH 2017.

Gale, Nicola K. et al. “Using the Framework

Method for the Analysis ofQualitative Data in

Multi-Disciplinary Health Research.” BMC

Medical Research Methodology 2013; 13(1): 117.

Alan S, Gozuyesil E and Gokyildiz S. Effects of

Menopause on the Life of Women Who

Experience Hot Flashes and their HealthSeeking Behaviours. International Journal of

Caring Sciences 2016. 9(2): 542

Nülüfer E. Attitudes tow.ards menopause and

depression, body image of women during

menopause Alexandria Journal of Medicine.

; 54(3):241-246 https://doi.org/10.1016/

j.ajme.2017.05.012.

Olajubu AO, Olowokere AE, Amujo DO and

Olajubu TO. Influence of menopausal symptoms

on perceived work ability among women in a

Nigerian University, Climacteric, 20:6,558-563,

DOI: 10.1080/13697137.2017.1373336.

De Salis I, Owen-Smith A, Donovan JL and Lawlor

DA. Experiencing menopause in the UK: The

interrelated narratives of normality, distress, and

transformation Journal of Women & Aging,

; 30(6), 520-540, https://doi.org/10.1080/

2018.1396783.

Arnot M, Emmott EH and Mace R. The

relationship between social support, stressful

events, and menopause symptoms. PLoS ONE

;16(1) https://doi.org/10.1371/

journal.pone.0245444.

Ziv-Gal A, Smith RL, Gallicchio L. et al. The

Midlife Women’s Health Study – a study protocol

Selected Nigerian Ibo women’s menopause transition experience 193

of a longitudinal prospective study on predictors

of menopausal hot flashes. Womens midlife

health 2017; 3(4). https://doi.org/10.1186/s40695-

-0024-8

Karmakar N, Majumdar S, Dasgupta A and Das

S. Quality of life among menopausal women: A

community-based study in a rural area of West

Bengal. J Mid-life Health 2017; 8:21-27.

Ameh N, Madugu NH, Onwusulu D, Eleje G and

Oyefabi A. Prevalence and predictors of

menopausal symptoms among postmenopausal

Ibo and Hausa women in Nigeria. Trop J

ObstetGynaecol. 2016; 33:263-269. https://

www.tjogonline.com/text.asp?2016/33/3/263/

Jack-Ide IO, Emelifeonwu EA and Adika AV.

Psychological effects and experiences of

menopausal women in a rural community in

Niger Delta region of Nigeria International

Journal of Nursing and Midwifery 2014, 6(6): 74-

, DOI: 10.5897/IJNM2014.0134 http://

www.academicjournals.org/IJNM.

Asghari M, Mojgan M, Mohammad-AlizadehCharandabi S , Malakouti J and Nedjat S. Effect

of aerobic exercise and nutrition education on

quality of life and early menopause symptoms:A

randomized controlled trial Women Health,

;57(2):173-188. doi: 10.1080/

2016.1157128.

Yazdkhasti M, Simbar M and Abdi F. Empowerment

and Coping Strategies in Menopause Women: A

Review. Iran Red Crescent Med J. 2015; 17(3):

doi: 10.5812/ircmj.18944.

Beck V, Brewis J and Davies A. The remains of

the taboo: experiences, attitudes, and knowledge

about menopause in the workplace Climacteric

; 23(2):158-164 https://doi.org/10.1080/

2019.1656184.

Lin L, Feng P and Yu Q. Attitude and knowledge

for menopause management among health

professionals in mainland China; Climacteric

; 23(6): 614-621 https://doi.org/10.1080/

2020.1775809.

Gebretatyos H, Amanuel S, Ghirmai L,

Gebreyohannes G and Tesfamariam EH, Effect

of Health Education on Healthy Nutrition and

Physical Activity among Female Teachers Aged

–60 Years in Asmara, Eritrea: A Quasi

experimental Study, Journal of Nutrition and

Metabolism, vol. 2020, https://doi.org/10.1155/

/5721053.

Parisa P, Tabesh RA, Soltani F, Karami M and

Khorami N. Effects of Group Counseling on Selfcare Behaviors in Menopausal Women with

Diabetes. J Menopausal Med. 2017; 23(2): 108–

doi: 10.6118/jmm.2017.23.2.108.

Marlatt KL, Beyl RA and Redman LM. A

qualitative assessment of health behaviors and

experiences during menopause: a cross-sectional,

observational study. Maturitas. 2018; 116: 36–

doi: 10.1016/j.maturitas. 2018.07.014.

Rathnayake N, Alwis G, Lenora J, Mampitiya I

and Lekamwasam S, Effect of Health-Promoting

Lifestyle Modification Education on Knowledge,

Attitude, and Quality of Life of Postmenopausal

Women, Bio Med Research International, vol.

, Article ID 3572903, https://doi.org/10.1155/

/3572903.