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We adopted phenomenology to explore women\u2019s experiences of menopause symptoms. Four women self-identifying as peri-menopausal, menopausal or post-menopausal completed an autophotography task and semi-structured online interviews. Interpretative Phenomenological Analysis generated four themes:\n                    <jats:italic toggle=\"yes\">Adrift on a sea of confusion<\/jats:italic>\n                    summarized women\u2019s worries and uncertainty about change;\n                    <jats:italic toggle=\"yes\">Planning for uncharted waters<\/jats:italic>\n                    recounted unfamiliar symptoms and \u201crelief\u201d of \u201cdiagnosis\u201d;\n                    <jats:italic toggle=\"yes\">Going with the flow<\/jats:italic>\n                    describes acceptance of change; and\n                    <jats:italic toggle=\"yes\">Toward calmer currents<\/jats:italic>\n                    revealed an emerging coherent identity. Women\u2019s menopause experiences were both positive and challenging. Epistemic injustice, experienced through poor services and healthcare professional knowledge, delayed help-seeking. Phenomenological theory explained coexisting incommensurate feelings of psychological distress and growing resilience. Reconstructing menopause as opportunity for growth in older womanhood would benefit women\u2019s quality of life. To facilitate earlier help-seeking and access to treatment, societal and professional education needs strengthening to include the breadth of menopause symptoms.\n                  <\/jats:p>","DOI":"10.1177\/13591053261437578","type":"journal-article","created":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T12:42:37Z","timestamp":1777725757000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["\u201cI\u2019m falling apart, and I don\u2019t know why\u201d: An interpretative phenomenological analysis of women\u2019s experiences of living with menopause"],"prefix":"10.1177","author":[{"given":"Lisa B.","family":"Pepper","sequence":"first","affiliation":[{"name":"Arden University, Coventry, UK"},{"name":"Aston University, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0438-7666","authenticated-orcid":false,"given":"Rachel L.","family":"Shaw","sequence":"additional","affiliation":[{"name":"Aston University, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,2]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"crossref","unstructured":"Aninye IO Laitner MH Chinnappan S (2021) Menopause preparedness: Perspectives for patient provider and policymaker consideration. 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