{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T11:49:58Z","timestamp":1787312998317,"version":"build-2736575974"},"reference-count":56,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,12,28]],"date-time":"2015-12-28T00:00:00Z","timestamp":1451260800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004663","name":"Ministry of Science and Technology, Taiwan","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004663","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Our goal was to examine Taiwanese women's perspectives on the way menopause affected their sexual behaviour to gain an in\u2010depth understanding of their experiences during this transition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Physical symptoms associated with menopause may affect women's sexual experiences. Little is known about how menopause\u2010related changes in sexual behaviour may affect role identity of women living in a modernizing urban culture that is still strongly rooted in traditional beliefs and attitudes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This was a qualitative study involving face\u2010to\u2010face interviews using open\u2010ended questions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>During 2011\u20132012, eighteen peri or postmenopausal women visiting a medical clinic for gynaecological examinations or treatment were interviewed about their sexual experiences. Responses were analysed for common themes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Four themes were identified about the effects of menopause on women's sex life: (1) changes in physical responses during sex; (2) the acceptance\/non\u2010acceptance of the current situation; (3) sexual pressure related to their marital role; (4) efforts to improve sexual interest or activity. Menopause\u2010related physical changes often (but not always) made sexual interactions difficult. But women's responses to the changes varied. Some used sexual discomfort as a reason to avoid sexual intercourse. Others sought to improve their sexual encounters through behavioural modifications or hormone therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Given the variety of reactions to the impact of menopause on sexual behaviour\/relationships seen here, it is clear that health professionals need to assess of each woman's specific situation and be prepared to recommend a variety of behavioural or hormonal treatment options.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.12866","type":"journal-article","created":{"date-parts":[[2015,12,28]],"date-time":"2015-12-28T04:50:59Z","timestamp":1451278259000},"page":"770-781","source":"Crossref","is-referenced-by-count":26,"title":["Sex life and role identity in Taiwanese women during menopause: a qualitative study"],"prefix":"10.1111","volume":"72","author":[{"given":"Cheng\u2010Fang","family":"Yang","sequence":"first","affiliation":[{"name":"School of Nursing Cardinal Tien Junior College of Healthcare &amp; Management Taipei Taiwan"},{"name":"School of Nursing College of Medicine National Taiwan University Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy J.","family":"Kenney","sequence":"additional","affiliation":[{"name":"Departments of Psychology and Gender, Women &amp; Sexuality Studies University of Washington Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ting\u2010Chen","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology College of Medicine and Hospital National Taiwan University Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiow\u2010Ru","family":"Chang","sequence":"additional","affiliation":[{"name":"School of Nursing College of Medicine National Taiwan University Taipei Taiwan"},{"name":"Department of Nursing National Taiwan University Hospital Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,12,28]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-008-9406-1"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.GME.0000151656.92317.A9"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/gme.0b013e3181948dd0"},{"key":"e_1_2_11_5_1","volume-title":"Transitions: Making Sense of Life's Changes","author":"Bridges W.","year":"2004"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-005-7909-6"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-3737.2006.00244.x"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1744987111410659"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/00224490309552191"},{"key":"e_1_2_11_10_1","first-page":"169","article-title":"Sexuality of the midlife women in rural Taiwan","volume":"8","author":"Chang C.","year":"1997","journal-title":"Journal of Women and Gender Studies"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00042192-199805010-00006"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.1998.00651.x"},{"key":"e_1_2_11_13_1","first-page":"889","article-title":"Is this menopause? 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