Exploring the Relationship Between Cultural Identity and Spiritual Health in Women with Early Menopause
Keywords:
Cultural identity, Early menopause, Lived experience, Spiritual Health, Stigma, Thematic analysisAbstract
Objective: The objective of this study is to examine how cultural identity and spiritual health shape the lived experiences of women with early menopause in Tehran.
Methodology: This qualitative descriptive-analytical study collected data through direct observation and in-depth semi-structured interviews with 40 women aged 35–40 who experienced early menopause, along with insights from gynecologists and healthcare experts. Purposive sampling continued until theoretical saturation was reached. Data were analyzed using thematic analysis across six stages: familiarization, initial coding, theme identification, theme review, definition and naming of themes, and final analysis and reporting.
Findings: Thematic analysis revealed four major categories: cultural identity, spiritual health, socio-cultural challenges, and awareness-building. Cultural identity strongly influenced women’s interpretations of bodily and emotional changes. Spiritual health demonstrated a significant moderating effect by reducing anxiety, enhancing inner peace, creating meaning, and supporting acceptance of early menopause. Socio-cultural challenges—including stigma, taboos, and insufficient health policies—intensified psychological distress. Educational and religious awareness initiatives were identified as key factors in mitigating negative perceptions and improving women’s overall well-being.
Conclusion: The findings indicate that spiritual health plays a central role in reshaping negative beliefs, overcoming cultural taboos, and transforming early menopause into an opportunity for personal and spiritual growth. Enhancing public, familial, and community awareness is essential for reducing socio-cultural stigma and supporting women through this natural life transition.
Downloads
References
Ahmadibighash, K., & Zaker Esfahani, M. (2024). The role of gender in the internal elements of human identity from the perspective of the Holy Quran. Maarij, 4(1), 129-158. https://maarij.isramags.ir/article_203277_en.html?lang=en
Asghari, P., & Ghaffari, M. (2023). The Approach of Islam Regarding toward the Role of Physical Activity in Maintaining the General Physical Health of the SocietySummary. Pizhuhish dar din va salamat, 10(2). https://journals.sbmu.ac.ir/jrrh/article/download/40967/33408/229191
Azarbaijani, M., Roshan, H., & Hosseini, F. H. (2025). Examining the Role of Satisfying Spouses' Spiritual Needs in Enhancing Quality of Life: A Quran-Based Spiritual Health Approach. Pizhuhish dar din va salamat, 11(2), 93-11. https://www.sid.ir/fileserver/jf/1312-382868-fa-1651192.pdf
Bouzarinejad, Y., & Eghbali, A. (2023). Women's gender identity (femininity) in Hazrat Zahra's practical conduct. https://jwdp.ut.ac.ir/article_92662_en.html
Geravand, A., Jalilzadeghan, H., Khezri, H., Ahmadishool, P., & Mehraban, S. H. (2025). Effectiveness of Spiritual-religious Interventions in Mental Health and Quality of Life of Cancer Patients: A Meta-analysis of Studies Conducted in IranSummary. Pizhuhish dar din va salamat, 10(4), 128-142. https://journals.sbmu.ac.ir/jrrh/article/download/43780/34142/247943
Ghazafari, A., & Nikoogoftar, M. (2021). Women's Lived Experiences of Femininity after Mastectomy and Treatment: A Qualitative Study. Breast Diseases in Iran, 14(1), 36-48. https://doi.org/10.30699/ijbd.14.1.36
Ghiasvand, A., & Mohases, M. (2025). Designing a Model of Healthy Family in Islamic Sources. Pizhuhish dar din va salamat, 11(1), 80-94. http://psychology.riqh.ac.ir/article_13456.html?lang=en
Gita, D. M. (2024). Optimising health after early menopause. https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)02800-3/abstract
Hashemi Aliabadi, S. A. (2021). The Role of Gender in Formation of Sexual Identity From the Vantage Point of Koranic Verses and Hadiths. 12(46), 206-219. https://jzvj.marvdasht.iau.ir/article_4700_6257d31557006c0eff24086bfc67020f.pdf
Hickey, M., Moss, K. M., Brand, A., Wrede, C. D., & Domchek. (2021). What happens after menopause?(WHAM): a prospective controlled study of depression and anxiety up to 12 months after premenopausal risk-reducing bilateral salpingo-oophorectomy. Gynecologic Oncology, 16(2), 527-534. https://doi.org/10.1016/j.ygyno.2021.02.001
Kazemi Sangchin, Z., Hassanzadeh, R., & Heidari, S. H. (2022). The effectiveness of Acceptance and Commitment Therapy on the quality of life, marital satisfaction and self-resiliency of women with early menopausal referred to the health center. Women and Family Studies, 15(56). https://www.magiran.com/paper/2534927?lang=en
Le Breton, D. (1992). Sociology of the body. Nashr Sales. https://www.blackwellpublishing.com/content/bpl_images/content_store/WWW_Content/9780631217039/003.pdf
Mohammadi-Yeganeh, S., Paryan, M., & Ahmadizad-Firouzjaei, A. (2025). The Role of Spiritual Health and Meditation in Strengthening the Immune System and Combating Breast Cancer: A Review Study. Pizhuhish dar din va salamat, 11(2), 112-128. https://www.sid.ir/fileserver/jf/1312-382868-fa-1651190.pdf
Palley, M. L. (2004). Medicalization versus Demedicalization of Women's Health Care. Political Science & Politics, 37(1), 67-68. https://doi.org/10.1017/S1049096504003774
Sadeqzadegan, H., & Torkan, F. (2023). Identity of Women from Perspective of Ayatollah Khamenei's. Quarterly Journal of Islamic Jurisprudence and Sciences Research, 2(4), 1-36. https://www.pajoohname.ir/article_189386.html?lang=en
Sathiyaseelan, A., Patangia, B., & Hainary, P. (2024). Meaning in Life in Menopause: A Narrative Literature Review on How Menopausal Women Make Sense of Their Life? Indian Journal of Psychiatric Nursing, 21(1), 66-73. https://doi.org/10.4103/iopn.iopn_14_24
Shafiei, Z., & Atrian, N. (2023). Phenomenology of Adolescent Users' Lived Experience of Instagram-Influenced Self-Consciousness. Quarterly Journal of Strategic Cultural Studies, 2. https://scsj.ricac.ac.ir/article_168376.html
Shakeri, N., & Shokouhi-Tabar, M. (2025). Investigating the Effect of Contemplation of the Quranic Chapters on Self-care and Happiness of the Elderly Women in Tehran; A Single Blind Randomized Trial. Pizhuhish dar din va salamat, 9(4), 7-23. https://ensani.ir/fa/article/download/576047
Throsby, K., & Roberts, C. (2024). Bodies of Change: Menopause as Biopsychosocial Process. https://doi.org/10.1332/policypress/9781529215700.003.0002
Yousefinezhad, H., Baseri, A., & Aghajani-Marsa, H. (2024). Anthropological Study of Religiosity and Social Health with Emphasis on Fertility Beliefs and Rituals: A Case Study of Women in Ilam, IranSummary. Pizhuhish dar din va salamat, 10(1), 135-150. https://journals.sbmu.ac.ir/jrrh/article/download/42872/32999/220282
Downloads
Published
Submitted
Revised
Accepted
Issue
Section
License
Copyright (c) 2025 Sima Farzaneh, Ali Baseri, Zohreh Lavasani (Author)

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.