FACTORS SHAPING MENOPAUSE MANAGEMENT PRACTICES AMONG ARAB WOMEN: A SYSTEMATIC REVIEW

Abstract

Background: Menopause is a significant period of women's reproductive lives marked by the cessation of menstruation for 12 consecutive months. Given that women are expected to spend up to a quarter of their lifespan experiencing menopause, therefore, women and their healthcare providers consider their quality of life a significant concern during this period of time. This systematic review investigates the diverse menopause management practices adopted by Arab women across 22 Arab countries and explores the factors influencing these choices. Methodology: Nine databases in both Arabic and English languages (PubMed, EMBASE, SCOPUS, CHINAL, ProQuest Central, Google Scholar, Al Manhal, Dar Al Mandumah, and E-marefa) were searched in August 2024, focusing on menopause management practices among Arab women across 22 Arab countries, and their influential factors. Results: 21 articles (20 in English and one in Arabic) met the inclusion criteria. Findings reveal that while some Arab women rely on medical treatments to manage menopause-related symptoms, a significant proportion rely on alternative medicine and traditional remedies. The review highlights key factors influencing menopause management practices, including economic limitations, restricted healthcare access, cultural beliefs, and limited physician involvement. Additionally, societal stigma and misinformation contribute to gaps in menopause treatment and support. Conclusion: This review highlights that personal beliefs, socioeconomic status, cultural norms, healthcare access, and policy gaps shape menopause management practices among Arab women. Despite menopause hormone therapy (MHT) being the most effective treatment, its usage is limited in the region, while complementary and alternative medicine (CAM) is more widely accepted.