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The midlife is a time of emotional and hormonal upheaval for any woman so defining the effects on culture on her response is challenging. Much depends on the value she places on her fertility and sexuality together with her own goals and aspirations, yet these are also influenced by culture. Very few traditional cultures survive in isolation for comparison. Shifting populations mean counter influences and transitional societies can be ambivalent. Emigrants and refugees transplanted into a different environment may struggle with the concept of acculturation. In time, all cultures evolve regardless. Finally, there may be biological and hormonal differences between races. This article seeks to place these different forces into context.<\/jats:p>","DOI":"10.1258\/mi.2010.010032","type":"journal-article","created":{"date-parts":[[2010,12,14]],"date-time":"2010-12-14T15:48:58Z","timestamp":1292341738000},"page":"156-161","source":"Crossref","is-referenced-by-count":10,"title":["Cultural issues and the menopause"],"prefix":"10.1080","volume":"16","author":[{"given":"Joan","family":"Pitkin","sequence":"first","affiliation":[{"name":"Menopause, Clinical and Research Unit, Northwick Park and St Mark's Hospital, Harrow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"301","published-online":{"date-parts":[[2010,12,14]]},"reference":[{"key":"bibr-MI-10-032C1","doi-asserted-by":"crossref","first-page":"81","DOI":"10.3109\/01674829709085573","volume":"18","author":"Richter JMA","year":"1997","journal-title":"J Psychosom Obstet Gynaecol"},{"key":"bibr-MI-10-032C2","unstructured":"Report of a WHO scientific group. 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