ArticleWomen's health (London, England)
A qualitative analysis of the psychological impacts of menopausal transition for neurodivergent and neurotypical women.
Article in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
BackgroundDespite approximately half of the global population experiencing this life transition, little research has considered the psychological impacts of perimenopause and menopause. Even less consideration has been given to the experiences of neurodivergent women and the complexities that may accompany hormonal transition periods for this cohort. Given the neurological and psychological complexities of perimenopause, menopause, and neurodivergence alike, research is needed to understand the perspectives and experiences of neurodivergent and neurotypical women, individually and in context to one another.ObjectivesThe aim of the study was to explore how neurodivergent and neurotypical women navigate the psychological and cognitive changes associated with perimenopause and menopause, with attention to how experiences of hormonal change are constructed and understood.DesignThis research adopted a qualitative social constructionist methodology that prioritised understanding how women construct their experiences of perimenopause and menopause, alongside constructions of neurodivergence.MethodsIndividual semi-structured interviews were conducted with twelve female-identifying participants. Data was analysed using reflexive thematic analysis.ResultsSix themes were constructed including: (i) intersecting contexts and dual marginalities; (ii) evolving expressions of neurodivergence; (iii) unmasking and self-reclamation; (iv) physiological experiences of menopausal transition and positions on treatment; (v) positive experiences with healthcare professionals, and (vi) frustration over medical ambiguity.ConclusionFindings indicate that more education, greater emphasis on spousal support, earlier interventions, and a biopsychosocial approach to treatment and management is needed to encompass the complex needs of neurodivergent and neurotypical women alike during menopausal transitions. Further exploration is needed to understand the intersections between menopause and neurodivergence, as well as the process of identity disruption and reconstruction for women in menopausal transition.
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