Obstetrics and Gynecology · Jun 26, 2026
Psychosomatic Presentation of Menopause
By Baral G
Menopause is a complex biopsychosocial transition characterized by significant hormonal, psychological, and social changes due to declining estrogen levels. Somatic, psychological, psychosomatic, and mental dysfunctions may occur together in an individual, resulting in clinical mislabeling. Each of these could be reported as a different clinical entity. Therefore, menopausal and geriatric physiology should be well correlated with each clinical presentation for the optimal management of menopausal issues. Psychosomatic symptoms such as mood disturbances, fatigue, sleep disorders, and somatic complaints are common during the menopausal transition and can significantly affect women’s quality of life. The interaction between declining estrogen levels, psychological stress, personality traits, and cultural influences plays a central role in the development of psychosomatic symptoms. Dysfunction in regular activity, physical discomfort, interpersonal and social disequilibrium, and declining quality of life are each individually interpreted in different clinical dimensions. Many studies focus primarily on the biomedical aspects of menopause, while psychological and cultural influences remain underexplored. Therefore, effective management requires a holistic approach addressing the biological, psychological, and social dimensions of menopausal issues.