Optimizing Reproductive Health Through Education on the  Physical and Psychological Impacts of Premenopause and  Menopause

Niknik Nursifa; Hana Nurhanifah Budiadi; Ameliana Puspita

Optimizing Reproductive Health Through Education on the Physical and Psychological Impacts of Premenopause and Menopause

Authors

Niknik Nursifa STIKes Budhi Luhur Cimahi
Hana Nurhanifah Budiadi STIKes Budhi Luhur Cimahi
Ameliana Puspita STIKes Budhi Luhur Cimahi

Keywords:

Menopause; Health Education; Reproductive Health; Quasi-Experimental Study

Abstract

Menopause is a natural physiological process marking the end of a woman's reproductive period,
typically occurring between the ages of 45 and 55. Hormonal changes, particularly decreased estrogen
and progesterone levels, may lead to various physical and psychological symptoms that can affect
women’s quality of life. Limited knowledge about these changes often contributes to increased anxiety
and inadequate health management. This study aimed to evaluate the effectiveness of an educational
intervention in improving knowledge of the physical and psychological impacts of premenopause and
menopause. A quasi-experimental one-group pretest–posttest design was applied. Data were collected
using a validated and reliable questionnaire administered to 40 participants selected through total
sampling.The intervention was conducted at TKQ Fathussalam Al Mubaarok, Bandung, on October 15,
2025. The results showed a notable improvement in participants’ knowledge following the intervention.
The proportion of participants categorized as having good knowledge increased from 15% in the pretest
to 75% in the posttest, while those with poor knowledge decreased from 50% to 5%. These findings
indicate that educational interventions are effective in enhancing women’s understanding of
reproductive health during the menopausal transition. Future research is recommended to include larger
sample sizes and control groups to strengthen the validity of the findings.

References

Avis, N. E., Crawford, S. L., & Green, R. (2021). Vasomotor symptoms across the menopause transition: Differences among women. Obstetrics and Gynecology Clinics of North America, 48(3), 421–435. https://doi.org/10.1016/j.ogc.2021.05.002

Bai, X., Li, J., Zhou, L., & Li, X. (2020). Influence of menopause on health-related quality of life: A systematic review. Maturitas, 139, 50–57. https://doi.org/10.1016/j.maturitas.2020.05.007

Dennerstein, L., Dudley, E. C., & Guthrie, J. R. (2003). Predictors of declining self-rated health during the transition to menopause. Journal of Psychosomatic Research, 54(2), 147–153. https://doi.org/10.1016/S0022-3999(02)00415-4

Kementerian Kesehatan Republik Indonesia. (2020). Buku saku kesehatan reproduksi perempuan usia lanjut. Direktorat Kesehatan Usia Produktif dan Lanjut Usia.

Monteleone, P., Mascagni, G., Giannini, A., Genazzani, A. R., & Simoncini, T. (2022). Symptoms of menopause—global prevalence, physiology, and implications. Nature Reviews Endocrinology, 18(4), 199–215. https://doi.org/10.1038/s41574-021-00547-5

Permatasari, R., & Mulyani, E. (2021). Perubahan fisiologis dan psikologis pada wanita menopause serta upaya penanganannya. Jurnal Kesehatan Reproduksi, 9(2), 88–95.

Rahmah, N. (2020). Strategi manajemen kesehatan menopause pada wanita lansia. Jurnal Ilmiah Keperawatan, 12(1), 55–62.

Sari, D. K., & Utami, F. S. (2023). Health education intervention in improving menopausal knowledge among women: A quasi-experimental study. International Journal of Nursing and Health Services, 6(2), 150–158.

World Health Organization. (2022). Menopause and healthy ageing. https://www.who.int/

Zhang, Y., Chen, X., & Wang, R. (2021). The role of self-efficacy in managing menopausal symptoms: A cross-sectional study. BMC Women’s Health, 21, Article 1–9. https://doi.org/10.1186/s12905-021-01345-7

Optimizing Reproductive Health Through Education on the Physical and Psychological Impacts of Premenopause and Menopause