Editorial: Transitioning through menopause: contraceptive choices and sexual well-being - Summary - MDSpire

Editorial: Transitioning through menopause: contraceptive choices and sexual well-being

  • By

  • Hannah Sebitloane

  • Rosie Mngqibisa

  • July 16, 2026

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Objective:

To explore the complexities of contraceptive choices and sexual well-being during the menopausal transition.

Approach:
  • Menopausal Transition Overview: The menopausal transition (MT) involves fluctuating hormones, changing fertility, and evolving contraceptive needs, impacting women's health and well-being.
  • Contraceptive Considerations: Pregnancy remains possible until menopause is confirmed, necessitating careful contraceptive considerations to avoid unintended pregnancies.
  • Sexual Well-Being Factors: Sexual well-being during MT is influenced by hormonal changes, contraceptive choices, and the need for structured clinician-patient discussions.
  • Research Insights: Studies highlight uncertainties in contraceptive practices, such as the challenges in safely removing intrauterine contraceptive devices (IUCDs) in postmenopausal women.
  • Integrated Approach: Sexual health requires a biopsychosocial approach, addressing hormonal, relational, and public health dimensions.
Key Findings:
  • Menopause is a critical phase affecting various aspects of women's health, including sexual function and contraceptive needs.
  • Contraceptive choices can either exacerbate or alleviate sexual dysfunction during the menopausal transition.
  • Supportive healthcare systems and public policies are essential for optimizing perimenopausal sexual health.
Interpretation:

Sexual well-being during menopause is multifaceted, requiring a comprehensive approach that integrates biological, psychological, and social factors.

Limitations:
  • The editorial does not provide direct articles addressing broader contraceptive options during menopause.
  • There is a lack of structured discourse on contraceptive concerns between clinicians and women in MT.
Conclusion:

Effective menopausal care necessitates multidisciplinary approaches that consider both physical and psychosocial health dimensions.

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