Relationship Survey

Personal Information

Hot flushes, weight gain, brain fog, anxiety, depression are all bad enough, but perhaps the most upsetting symptom of the menopause is the fall in desire coupled with vaginal dryness which can have a negative effect on your love life and your relationships. Whilst women talk openly about not being able to sleep, or compare the number of hot flushes they get they are usually far too embarrassed to share information about the fact that they feel switched off from the waist downwards. It’s a well-kept secret that many find it difficult to reach orgasm and that vaginal dryness and pain very often make penetration impossible.

Coping with loss of libido, sensation and dried out tissues can be very difficult, placing a strain on any relationship. Not all experiences are the same however. Many women don’t want their partner anywhere near them personally during this stage in their lives. Others mourn the demise of their sex lives but still manage some level of intimacy such as cuddles and kisses whilst others will try anything to rekindle sex drive.

We want to better understand and quantify how women going through menopause feel about their relationships and their sex lives. We are therefore asking you to take a short time out of your day to complete this anonymous survey. The results will be used to raise awareness about the difficulties women face which will then spark the development of helpful initiatives that repair tissues and rekindle desire. Physical relationships can once again become both a comfortable enjoyable part of our lives, women just need the information in order to know how to bring this about.

To thank you for spending a few moments completing the survey you will receive our free download Every Woman's Guide to Menopause.

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* 1. What is your age?

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* 2. In what country do you live?

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* 3. Sexual orientation?

Hetrosexual

Homosexual

Bisexual

Other

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* 4. Gender orientation?

Female

Transgender

Other

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* 5. Relationship status?

No relationship

Relationship but not living together

Cohabiting

Civil patnership

Married

Non-monogamous with no relationship at present

Non-monogamous with one relationship at present

Non-monogamous with multiple relationships at present

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* 6. How long ago was your last natural period?

Years

Months

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* 7. Have you had an hysterectomy?

yes

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* 8. If yes, at what age?

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* 9. Did you have a natural menopause?

A natural menopause?

A surgical menopause? (removal of ovaries)

Menopause due to medical treatment? eg. drugs or radiotherapy

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* 10. Are you still menstruating?

Yes

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* 11. What symptoms are you currently experiencing?

	None	Mild	Moderate	Severe
Hot flushes	Hot flushes None	Hot flushes Mild	Hot flushes Moderate	Hot flushes Severe
Night sweats	Night sweats None	Night sweats Mild	Night sweats Moderate	Night sweats Severe
Vaginal dryness	Vaginal dryness None	Vaginal dryness Mild	Vaginal dryness Moderate	Vaginal dryness Severe
Insomnia	Insomnia None	Insomnia Mild	Insomnia Moderate	Insomnia Severe
Mood swings	Mood swings None	Mood swings Mild	Mood swings Moderate	Mood swings Severe
Fatigue	Fatigue None	Fatigue Mild	Fatigue Moderate	Fatigue Severe
Depression	Depression None	Depression Mild	Depression Moderate	Depression Severe
Painful intercourse	Painful intercourse None	Painful intercourse Mild	Painful intercourse Moderate	Painful intercourse Severe
Loss of libido	Loss of libido None	Loss of libido Mild	Loss of libido Moderate	Loss of libido Severe
Lack of sexual sensations during intercourse	Lack of sexual sensations during intercourse None	Lack of sexual sensations during intercourse Mild	Lack of sexual sensations during intercourse Moderate	Lack of sexual sensations during intercourse Severe
Difficulty in achieving orgasm/satisfaction	Difficulty in achieving orgasm/satisfaction None	Difficulty in achieving orgasm/satisfaction Mild	Difficulty in achieving orgasm/satisfaction Moderate	Difficulty in achieving orgasm/satisfaction Severe

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* 12. How long did you suffer - in months - of the following symptoms

Hot flushes

Night sweats

Dry vagina

Insomnia

Mood swings

Fatigue

Depression

Loss of libido

Painful intercourse

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* 13. HRT use - Please tick the appropriate box

I have never taken HRT

I have taken HRT in the past

I am currently taking HRT

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* 14. Type of HRT? Please tick all applicable

Tablets

Patches

Gel

Vaginal creams

Implants

Others

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* 15. If you took or are taking HRT, how long have you been taking/taken it?

Years

Months

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* 16. If you took or are taking HRT did it/does it help to relieve your symptoms?

	Fully	Partially	Not at all	Worse
Hot flushes	Hot flushes Fully	Hot flushes Partially	Hot flushes Not at all	Hot flushes Worse
Night sweats	Night sweats Fully	Night sweats Partially	Night sweats Not at all	Night sweats Worse
Vaginal dryness	Vaginal dryness Fully	Vaginal dryness Partially	Vaginal dryness Not at all	Vaginal dryness Worse
Insomnia	Insomnia Fully	Insomnia Partially	Insomnia Not at all	Insomnia Worse
Mood swings	Mood swings Fully	Mood swings Partially	Mood swings Not at all	Mood swings Worse
Fatigue	Fatigue Fully	Fatigue Partially	Fatigue Not at all	Fatigue Worse
Depression	Depression Fully	Depression Partially	Depression Not at all	Depression Worse
Painful intercourse	Painful intercourse Fully	Painful intercourse Partially	Painful intercourse Not at all	Painful intercourse Worse
Loss of libido	Loss of libido Fully	Loss of libido Partially	Loss of libido Not at all	Loss of libido Worse
Lack of sexual sensations during intercourse	Lack of sexual sensations during intercourse Fully	Lack of sexual sensations during intercourse Partially	Lack of sexual sensations during intercourse Not at all	Lack of sexual sensations during intercourse Worse
Urinary infections	Urinary infections Fully	Urinary infections Partially	Urinary infections Not at all	Urinary infections Worse
Other	Other Fully	Other Partially	Other Not at all	Other Worse

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* 17. Do you consider that relationship has been strained during Menopause?

Not at all

Slightly

Moderately

Severely

The relationship broke down irretrievably

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* 18. If yes, on a scale of 0 -10 where 10 is the worst, how severely

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 19. If loss of libido is a problem due to menopause, does it put a strain on your relationship?

Yes

Sometimes

Caused the breakdown of my relationship

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* 20. If you took or are taking HRT, do you consider it has helped to?

Improve your relationship with your partner

It made no difference

It made it worse

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* 21. If you took or are taking HRT, do you consider it has helped to?

Improve your libido

It made no difference to your libido

Reduced your libido

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* 22. For those of you who didn't/don't take HRT, and didn't/don't try natural treatment, but simply let nature take its course, what effect do you feel your symptoms had/have on your relationship?

My symptoms impinged greatly on my relationship

My symptoms affected my relationship moderately

My symptoms affected my relationship mildly

My symptoms didn't affect my relationship at all

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* 23. Have you tried alternative measures, please indicate which, and how effective they were:

	Fully	Partially	Not at all	Worse
multi vitamins and minderals	multi vitamins and minderals Fully	multi vitamins and minderals Partially	multi vitamins and minderals Not at all	multi vitamins and minderals Worse
Isoflavone riche foods	Isoflavone riche foods Fully	Isoflavone riche foods Partially	Isoflavone riche foods Not at all	Isoflavone riche foods Worse
Isofavone supplements	Isofavone supplements Fully	Isofavone supplements Partially	Isofavone supplements Not at all	Isofavone supplements Worse
Horny Goat Weed	Horny Goat Weed Fully	Horny Goat Weed Partially	Horny Goat Weed Not at all	Horny Goat Weed Worse
Sage	Sage Fully	Sage Partially	Sage Not at all	Sage Worse
Black Cohosh	Black Cohosh Fully	Black Cohosh Partially	Black Cohosh Not at all	Black Cohosh Worse
Amino Acids	Amino Acids Fully	Amino Acids Partially	Amino Acids Not at all	Amino Acids Worse
Other herbal remedies	Other herbal remedies Fully	Other herbal remedies Partially	Other herbal remedies Not at all	Other herbal remedies Worse
Homeopathy	Homeopathy Fully	Homeopathy Partially	Homeopathy Not at all	Homeopathy Worse
Accupuncture	Accupuncture Fully	Accupuncture Partially	Accupuncture Not at all	Accupuncture Worse
Reflexology	Reflexology Fully	Reflexology Partially	Reflexology Not at all	Reflexology Worse
Yoga	Yoga Fully	Yoga Partially	Yoga Not at all	Yoga Worse
Watching sexy movies	Watching sexy movies Fully	Watching sexy movies Partially	Watching sexy movies Not at all	Watching sexy movies Worse
Using sex toys	Using sex toys Fully	Using sex toys Partially	Using sex toys Not at all	Using sex toys Worse

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* 24. Do you self-pleasure?

Yes

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* 25. If you suffer/suffered with a dry vagina during your menopause did you try any of the following and if so, how effective did you find it?

	Mildly helpful	Moderately helpful	Very helpful	Not helpful
Oestrogen cream	Oestrogen cream Mildly helpful	Oestrogen cream Moderately helpful	Oestrogen cream Very helpful	Oestrogen cream Not helpful
Lubricating cream	Lubricating cream Mildly helpful	Lubricating cream Moderately helpful	Lubricating cream Very helpful	Lubricating cream Not helpful
Natural cream or gel	Natural cream or gel Mildly helpful	Natural cream or gel Moderately helpful	Natural cream or gel Very helpful	Natural cream or gel Not helpful
Coconut oil	Coconut oil Mildly helpful	Coconut oil Moderately helpful	Coconut oil Very helpful	Coconut oil Not helpful
Omega 7	Omega 7 Mildly helpful	Omega 7 Moderately helpful	Omega 7 Very helpful	Omega 7 Not helpful

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* 26. If so, how often

Daily

Every 2-5 days

Weekly

Less often

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* 27. Do you use toys when you self-pleasure? If yes, tick the kind of toy used:

Insertable vibrator

Clitoral vibrator

Womaniser or related type of clitoral stimulator

Other

Other (please specify)

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* 28. Do you experience pain when using a toy?

Yes

Sometimes

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* 29. If you have low libido: Do you enjoy sex once you get started?

Yes

Sometimes

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* 30. Are you happy with the amount of sex you are having?

Yes

Sometimes

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* 31. If you have a partner: Has your partner’s libido changed?

Yes

Sometimes

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* 32. Who initiates sexual activity in your relationship?

Not in a relationship

I do more than 50% of the time

Partner does more than 50% of the time

50/50

No one does - we are not having sex

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* 33. Would you have more sex if your libido was working as it used to?

Yes, definitely

Yes, probably

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* 34. Would you have more sex if you had no pain?

Yes

Probably

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* 35. If you tried any counselling, therapy or coaching because of sexual issues or changes? If so, was the outcome:

I experienced no change

I experienced some changes

I experienced good change

I experienced excellent change

Non- applicable

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* 36. Are you happy with the amount of physical affection you are receiving? (Hugs, cuddles, kisses)

Yes

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* 37. Assuming all of the following would help to alleviate symptoms of the menopause, please indicate your willingness to:

	Not willing	Moderately willing	Very willing
Modify your diet	Modify your diet Not willing	Modify your diet Moderately willing	Modify your diet Very willing	Modify your diet
Modify your lifestyle	Modify your lifestyle Not willing	Modify your lifestyle Moderately willing	Modify your lifestyle Very willing	Modify your lifestyle
Do more exercise	Do more exercise Not willing	Do more exercise Moderately willing	Do more exercise Very willing	Do more exercise
Take natural products	Take natural products Not willing	Take natural products Moderately willing	Take natural products Very willing	Take natural products
Take sex/intimacy coaching	Take sex/intimacy coaching Not willing	Take sex/intimacy coaching Moderately willing	Take sex/intimacy coaching Very willing	Take sex/intimacy coaching
Attend a webinar/seminar	Attend a webinar/seminar Not willing	Attend a webinar/seminar Moderately willing	Attend a webinar/seminar Very willing	Attend a webinar/seminar
Attend an online workshop/seminar	Attend an online workshop/seminar Not willing	Attend an online workshop/seminar Moderately willing	Attend an online workshop/seminar Very willing	Attend an online workshop/seminar
Take on-line coaching	Take on-line coaching Not willing	Take on-line coaching Moderately willing	Take on-line coaching Very willing	Take on-line coaching

Thank you for filling in the survey. Please click here to download my Every Woman's Guide to Menopause.