If your partner is going through the menopause, being prepared will help you both cope with the changes she is experiencing.
Denise Knowles, a relationship and psychosexual counsellor with Relate, offers some advice for men on how to support their partner through the menopause.
How will she feel during the menopause?
Our society values supple skin, youth, beauty and fitness. As a woman, when your skin becomes a little less elastic and your body shape starts changing, you wonder whether you’re going to be able to carry on doing all the things you want to. There’s a sense of ageing you can't escape from.
If you’re having hot flushes, something that is private to you often becomes very public.
When it comes to sex, a woman may experience dryness and worry that intercourse will become painful. If you’ve not really talked about your sex life, subjects such as lubricant may be awkward for a woman to discuss.
All this can all lead to your partner not feeling very good about herself and worried about how it may affect her relationship with you. She may also think: "I’m struggling to understand myself so how can I expect him to understand me?" Women's insecurities are often about the reaction of their partners.
Read more about the symptoms of depression and what to do if you suspect your partner is depressed.
How can I show I care?
One of the key ways is to say what you see, not in a cold and callous way but just to point out the things you've noticed that have changed and genuinely concern you.
Maybe you could say: "I’ve noticed you don’t appear to be your normal, jolly self" or, "You seem to be a bit distracted" or, "You got cross yesterday because you forgot to do something. That’s not like you. Is everything alright?" That way, you’ve opened up a door for conversation to take place.
I became incredibly clumsy and my husband noticed and said: "Are you alright? It’s not like you." Just the relief that he’d noticed was really good.
Let her know you’re not being disparaging or disrespectful. Think of it as something you need to be looking at and working through together.
What can I do to help?
It’s important for men to equip themselves with some knowledge about the menopause and perhaps about HRT. There are some men who think it's women’s business and there’s no need for them to be informed or even involved in it. That's incredibly insensitive.
In terms of sex, it can be a time of change for both of you. A woman may go off sex or she may feel quite liberated and want sex more often. Men, too, will be ageing and their sexual desires may have lessened. They may be grateful their partners don’t want sex so often.
As a couple, you may have to find new ways of being intimate without penetrative intercourse. Many couples develop a more sensual and intimate relationship. Some kiss a lot, going back to how things were before their sexual relationship and relearning ways of displaying intimacy and affection. Women need to feel they’re still desirable and that you still wants to get close to them.
Read more about sex after the menopause.
How will it affect our relationship?
"The best thing is to look at the menopause in a positive way, to think that it is teaching you ways of coping with a situation that you haven't come across before. It’s important to know you can be there for one another and you can get through it and develop ways of coping with it.
When should she see her GP?
One reason your wife or partner has not been to the doctor may be because she's terrified and doesn’t want to admit it's happening to her.
Offer to go to the GP with her. Your partner's symptoms may be sorted out by the GP. If not, the GP may refer her to the local hospital's menopause clinic, which generally has doctors, specialist menopause nurses and counsellors on hand to tackle problems.