Background & aim: Menopause is a natural biological process; however, it is often accompanied by challenges that can significantly affect the quality of life of both women and their partners. This study aimed to explore the experiences of couples regarding challenges to their quality of life during menopause.
Methods: This qualitative study employed a conventional content analysis approach. A total of 30 participants (15 postmenopausal women and their spouses) were selected from health centers in Ahvaz, southwestern Iran using purposive sampling. Data collection was conducted through in-depth, semi-structured interviews until data saturation was achieved. The data were analyzed using the conventional content analysis method proposed by Graneheim and Lundman.
Results: The experiences of menopausal women and their husbands about challenges to quality of life were classified into one main theme of "Confronting multifaceted challenges," and four categories: a) Psycho-emotional toll, b) Struggles with physical changes and pain, c) Sexual health challenges, and d) Socio-economic obstacles.
Conclusion: This study highlights the multifaceted nature of menopausal challenges that affect couples' quality of life. The findings underscore the necessity of addressing not only physical and mental health needs but also sexual dynamics and economic factors. A holistic, couple-centered approach in healthcare emphasizing education, support, and targeted interventions is recommended to improve quality of life.