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Menopause

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A Public Health Perspective of Women's Mental Health

Abstract

Menopause transition is an experience all women undergo either naturally or surgically. This chapter defines the stages of menopause including mental health conditions that have been studied in various populations during these life transition periods. Symptomatology including hot flashes, night sweats, insomnia, and psychiatric symptoms is outlined and examined. Theories about the relationship between menopause and depression such as hormonal fluctuations, psychosocial, and neurobiological factors are discussed along with evidence for and against such theories. Use of hormone/estrogen therapy and its effect on depression in perimenopausal and postmenopausal women is also discussed in this chapter. Surgical versus natural menopause is outlined with evidence suggesting many factors interplay with regard to depression and surgical menopause. Implications for treatment of various psychiatric disorders including anxiety, bipolar disorder, and schizophrenia are discussed. Finally, evidence is presented that shows an increase in sexual dysfunction during menopause transition due to multiple factors including no partner, depressed mood, or living with a child. Treatment implications are included to guide care providers working with women who are undergoing this stage of life change.

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Authors and Affiliations

  1. Department of Psychiatry and Behavioral Sciences, Center for Neuroscience in Women’s Health, Stanford University, School of Medicine, 401 Quarry Road, 94305-5723, Stanford, CA, USA

    Tonita Wroolie

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  1. Tonita Wroolie
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  2. Megan Holcomb
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Editors and Affiliations

  1. Florida Mental Health Institute, University of South Florida, Bruce B. Downs Blvd. 13301, Tampa, 33612, U.S.A.

    Bruce Lubotsky Levin

  2. Dept. Mental Health Law & Policy, University of South Florida, Bruce B. Downs Blvd. 13301, Tampa, 33612, U.S.A.

    Marion Ann Becker

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Wroolie, T., Holcomb, M. (2010). Menopause. In: Levin, B., Becker, M. (eds) A Public Health Perspective of Women's Mental Health. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1526-9_8

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