Perceptions of healthcare provision throughout the menopause in the UK: a mixed-methods study

Abstract

The UK healthcare system faces a shortage of high-quality menopausal care. The objective of this study was to understand perspectives of menopause care in the UK. An online survey was delivered. Data from 952 respondents were analysed. Descriptive statistics were calculated for quantitative data overall and per menopause stage. Thematic analysis was calculated on qualitative data. 74.47% sought help for the menopause. Oral (68.83%) and topical medication (17.21%) and lifestyle changes (17.21%) were the most common treatment approaches. Consistent integration of mental health screening into menopausal care was lacking. Open-ended data from women who reported poor care quality revealed six themes: consequences of poor care, dismissive or negative attitudes from healthcare professionals (HCPs), poor treatment management, symptom information and misattribution, poor HCP knowledge, and the need for self-advocacy. The findings underscore the importance of improving HCP knowledge, providing empathetic and supportive care, and involving women in decision-making.