Menopause in Arab Countries: Why Better Research and Care Are Needed
In Arabic, menopause is still commonly called sin alya’s, translated as “age of despair.” The term reflects how the end of menstruation is often viewed as something to endure rather than discuss openly.
Menopause remains under-researched and undertreated
Research into menopause is underfunded, and access to care is uneven around the world. In the Arab region, the problem is compounded by gaps in physician training and the widespread belief that menopause is an individual, natural transition that does not require medical intervention.
The situation is slowly changing. Thanks to social media, conversations about menopause are no longer as taboo in Arab countries. Professional services are also beginning to emerge. Health systems should build on this growing awareness by providing better training, clearer communication and more accessible menopause care.
The new science of menopause: These new treatments could transform women’s health
Some Muslims value the ability to fast and pray without interruptions from menstruation. However, poorly managed menopausal symptoms can affect a person’s health, career and ambitions. Efforts to improve menopause care in Arab countries are constrained by a lack of evidence.
Hormone replacement therapy and the lack of local data
Hormone replacement therapy (HRT) can reduce menopause symptoms. Concerns about breast cancer have been a barrier to its use since a widely misunderstood 2002 report linked the two (JE Rossouw Others. Japan Automobile Manufacturers Association 288321–333; 2002).
Nuanced conversations with doctors can help patients weigh the benefits and risks of different treatment timings, prescriptions and routes of administration. Such conversations, however, are often lacking. Local data is also sparse. A 2026 review of 22 Arab countries found only 15 studies on HRT use from seven countries (N. Al-Zajari Others. front. Glob. women’s health 71722268. 2026).
Gaps in menopause training and diagnosis
Cultural and religious beliefs may contribute to concerns about menopause treatment. As a researcher working in public health communication across the Arab region, I am often asked: “Humans were created that way, so why change what is natural?” Women’s questions are also often ignored, or different symptoms are treated separately.
A survey of 254 doctors in the Middle East and Africa found that fewer than 30% correctly identified the diagnostic criteria for menopause (SA Besha Others. menopause 26455–464. 2023).
How menopause reshapes the brain
I have seen this effect in my own family. For 20 years, my mother experienced hot flashes that affected her work and quality of life, and she later developed osteoporosis. Her symptoms were ignored. I eventually turned to the scientific literature myself and wondered why I had not discussed HRT with her. People should not need a scientist in their family to have their menopause symptoms taken seriously.
Social media can help—and spread misinformation
When reliable clinical guidance is difficult to obtain, social media and commercial wellness providers can fill the information gap and amplify inappropriate advice. I often see people encouraged by online wellness influencers and companies to undergo extensive and unnecessary hormone panels, repeat cortisol tests and purchase “hormone-balancing” supplements, despite guidance in countries such as the UK advising against these approaches.
Action is needed to improve menopause care
Action is needed on three levels.
Source: www.nature.com