"There is absolutely no facet of my life that it hasn't affected" - Experiences of symptoms during perimenopause.

Abstract

Perimenopause is associated with a wide and diverse range of symptoms. This study aimed to explore the experiences and behaviours of perimenopausal women, with a focus on perception of symptoms, their effect on quality of life, and how women are engaging with others for support. Virtual semi-structured interviews were carried out with 17 Irish women who self-identified as late-stage perimenopausal. Following thematic analysis, 4 main themes and several subthemes were produced. The first theme: "I was very ill prepared"- Unprepared for this stage of life; encompassed women's lack of preparation on entering perimenopause and feelings of confusion or uncertainty. The second theme: "It affects us in so many ways"- The impact of symptoms; explored the effect of symptoms and the complicated interplay between symptoms and other stressful life occurrences. The third theme: "I'm trying to find out as much information as I can"- Information and support seeking; focused on information and support seeking behaviours. The final theme: "It has made me [.] stop and take stock of where I am" - A time for introspective and extrospective reflection. The narratives revealed that factors impacting on symptomatic experience are multidimensional. Symptoms can have a negative effect on many aspects of life, and this is further exacerbated by feeling under prepared and ill-informed. Peer support is important to women during perimenopause and may affect attitudes towards symptoms. There is also a need for sensitivity from medical professionals and individualised support for women who are seeking guidance during perimenopause.