title: 'It would be good to know you're not alone': the health care needs of women with menstrual symptoms.
abstract: OBJECTIVE
  We aimed to explore how menstrual symptoms affect women, women's health care needs, and their expectations and experiences when seeking care; to identify ways to assist women in having their needs met.
  
  
  METHODS
  Qualitative research using focus group methodology was carried out. Identification of women experiencing menstrual symptoms through a random community survey of 200 women aged 30-50 years in the Hunter region of New South Wales. Focus group discussions were recorded and transcripts were analysed.
  
  
  RESULTS
  All women attending focus groups had sought medical advice for their menstrual problems. Having one doctor with whom they felt comfortable was important. Women expressed difficulties asking questions and were concerned that symptoms may not be taken seriously or may be dismissed as psychological. There was widespread acceptance of alternative 'natural' therapies.
  
  
  CONCLUSIONS
  Interactions between doctors (particularly GPs) and women with menstrual symptoms are central to how women perceive the care they receive. There is a need for doctors to demonstrate empathy. For many women, what they needed most from their doctors was to be understood and 'to know they weren't alone'.
authors.affiliation: Centre for Clinical Epidemiology and Biostatistics, Faculty of Medicine, University of Newcastle, Australia.
authors.forename: J E
authors.initials: JE
authors.lastname: Byles
authors.forename: P F
authors.initials: PF
authors.lastname: Hanrahan
authors.forename: M J
authors.initials: MJ
authors.lastname: Schofield
mesh_terms: D000328:Adult; D001294:Attitude to Health; D017281:Cost of Illness; D005260:Female; D017144:Focus Groups; D006301:Health Services Needs and Demand; D006306:Health Surveys; D006801:Humans; D008599:Menstruation Disturbances / Q000523:psychology*; D008875:Middle Aged; D009517:New South Wales; D010342:Patient Acceptance of Health Care; D010817:Physician-Patient Relations; D016387:Women's Health