This is the first large-scale study to look closely at what influences depression in women with premature menopause. Its authors believe these findings underline the importance of treating both the body and the mind when managing POI, especially since diagnosis often comes at a young age.
Dr. Monica Christmas, associate medical director for The Menopause Society, emphasized the need for mental health screening and support as part of routine care. “The high prevalence of depressive symptoms in those with POI highlights the importance of routine screening in this vulnerable population,” she said.
“Although hormone therapy is recognized as the standard of care for those with POI for management of some menopause-related symptoms and preventive care, it is not first-line treatment for mood disorders. This was evident in this study in which there was no difference in depressive symptoms between those using hormones and those not using hormone therapy. Addressing behavioral-health concerns with evidence-based interventions should be part of any comprehensive POI care plan.”
As the study shows, addressing premature menopause means looking beyond the physical. Emotional support, access to mental health care, and acknowledgement of the grief that can accompany the diagnosis are all crucial components of truly comprehensive care.