談到女性更年期,所呈現的幾乎是醫療或是功能性障礙,彷彿女人一旦邁向更年期,不再具有生育功能,情慾方面也該連同被埋葬。然而,現今女性平均壽命較四、五十年前延長許多,根據「103 年簡易生命表」,國人的平均壽命男性達76.72 歲、女性83.19 歲,女人比男人長壽 6.47 歲(內政部,2014),更年期後至少還有30 年左右漫長歲月,如何面對自己的情慾,積極自信的來開啟另一階段的人生,是一個非常重要的議題。近更年期是指女性因為結束生育年齡,卵巢功能下降、賀爾蒙減少,產生一些身心的變化,從月經規律到不規律,逐漸邁向完全停經的更年期的這個過渡階段。本文從近更年期的定義、及更年期女性之身心狀態切入,旨在探究更年期女性有何生理上的症狀及心理上的轉變;再來分別闡述近更年期的女性,在性生理、性心理、以及性社會的部分該如何因應,協助女性安然優雅跨越這人生的重要轉折點,還能享受親密關係的第二春。
Speaking of menopause, medical treatment or functional disorder acompanies women during this period. Women during menopause are losing their fertinity and their sexuality are buried at the same time. According to the Ministry of Interior (2014), in Taiwan, males are are expected to live on average 76.72 years; whereas females are expected to live on average 83.19 years. Fmales are expected to live 6.47 years longer than males. General speaking, women have about 30 years to live after menopause. Therefore, it is very important for women to understand and face their sexuality with confidence in order to begin their later lives. Perimenopause period is the transitional stage before menopause. During perimenopause, because of the lose their fertinity, ovarian functions, and the decrease of female hormones, women have to face some physical and psychological changes. In this period, the cycle of menstruation becomes irregular. It gradually comes to menopause at the end. This study discusses the definitions of perimenopause period and women's physical and mental situations in order to explore the physical symptoms and psychological changes of women in perimenopause period. Coping strategies for women in perimenopause period in terms of sexual physiology, sexual psychology and sexual sociology are discussed and provided for women in perimenpause to face and pass the important phase of their lives and enjoy the "second spring" of their intimacy.