Das Klimakterium als Herausforderung

The menopause is like puberty a period of life, which implies an interaction between hormonal changes and personal reorientation. In addition to the hormonal changes a variety of psychosocial changes occur. Complaints may indicate a lack of orientation in this phase. One third of German women experience a significant deterioration in life quality because of their complaints related to menopause. These women attribute their complaints mainly to their individual life-attitudes and the hormonal changes. The gynaecologist has, therefore, a high responsibility in counselling, since empirical studies have shown, that psychosocial factors like self-confidence, quality of partnership, job-satisfaction and family network substantially influence the occurrence of specific complaints and the life-quality during that time. Furthermore, social aspects are very important. The results of the German cohort study of women’s health, showing a generally better psychological well-being as compared to younger women, are remarkable in this context. The present generation of women perceive midlife positively as a period of life allowing a fresh start.