Menopause is a profound transition in a woman’s life, a time of physical, emotional, and social change that can reshape how she relates to herself and others. Beyond the common symptoms such as hot flashes, brain fog, and disrupted sleep, menopause often affects identity, self-worth, and a woman’s sense of place within her family and community.
Navigating Emotional and Relational Shifts
Many women describe this stage as emotionally confusing, a period of both loss and rediscovery. As hormones fluctuate, mood swings, anxiety, and low self-esteem can affect intimate relationships and friendships. It is not unusual to feel less visible or valued, leading to withdrawal or tension with loved ones.
Research shows that nearly half of women say menopause negatively impacts their mental health, with symptoms such as irritability, anxiety, and depression becoming more common (Standard UK, 2018). This emotional strain can deeply affect confidence and self-image, making it even more important to seek menopause counselling and holistic wellbeing support.
Cultural Silence and Stigma
In many South Asian and Muslim communities, menopause remains a taboo topic. Cultural values around modesty, respect, and family roles often discourage women from discussing menopause symptoms or emotional changes openly. This silence can lead to feelings of shame, isolation, and a lack of understanding from loved ones. Research highlights that South Asian women are significantly less likely to seek medical or emotional support during menopause due to stigma and lack of awareness (Counselling Directory, 2022).
Disparities in Healthcare Access
Access to menopause-related healthcare remains unequal. Studies show that women from minority ethnic backgrounds are less likely to be prescribed hormone replacement therapy (HRT). In fact, Pakistani women are reported to be 70% less likely to receive HRT compared to White women (World Congress on Menopause, 2023). This highlights the need for culturally sensitive menopause education and support, where healthcare professionals understand the nuances of faith, language, and community expectations.
Personal Reflections
In my work supporting women from diverse backgrounds, including South Asian and Muslim communities, I see first-hand how cultural expectations can shape the menopause experience. Many women share that they feel unseen or dismissed by family members or healthcare providers. This invisibility can be incredibly isolating, especially when dealing with physical discomfort and emotional changes.
Moving Forward with Confidence
Menopause is a natural part of life, but for many women it comes with complex emotional and relational changes, especially when compounded by cultural stigma and unequal access to care. By raising awareness, encouraging open dialogue, and providing culturally informed menopause support, we can ensure women feel heard, seen, and empowered.
If you are going through menopause and need understanding, Amaanah Wellbeing offers holistic, faith- and culture-sensitive support that honours your physical, emotional, and spiritual wellbeing. Reach out today for a free, confidential consultation and begin your journey towards balance, clarity, and confidence.
Helpful Resources
• The Menopause Exchange (specialist info for ethnic minority women)
• Dr Nighat Arif – a GP and women’s health specialist who advocates for better education, inclusivity, and support around menopause, menstrual health, and women’s wellbeing:
Instagram: https://www.instagram.com/drnighatarif
Facebook: https://www.facebook.com/p/Dr-Nighat-Arif-100063618441941
Sources & Further Reading
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Standard UK. (2018). Half of women say their mental health suffers as a result of the menopause.
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Counselling Directory. (2022). The menopause blind spot: Why are South Asian women left out?
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World Congress on Menopause. (2023). Ethnic disparities in menopause treatment.
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Deloitte UK. (2023). The impact of menopause on mental health and work.
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