The Canarian Health Service (SCS) commemorates World Menopause Day on October 18, highlighting the Guide to Care for Women in Climacteric. This guide, part of the Program for Attention to Affective-Sexual and Reproductive Health (PASAR), aims to provide a comprehensive approach to menopause from a biopsychosocial and gender perspective.
Canary Islands was a pioneer in adopting an approach that views menopause as a natural process. The guide is aimed at women aged between 45 and 65, as well as those with premature or induced menopause. Its objective is to promote health through health education, self-care promotion, early detection and prevention of health problems, and the treatment of alterations specific to this life stage.
During the climacteric, women may experience physical, emotional, and genitourinary symptoms affecting their quality of life, such as pelvic floor alterations or urinary incontinence. The guide also addresses the prevention of osteoporosis and the control of cardiovascular risk factors, in addition to considering affective, family, and social aspects.
This support tool is designed for healthcare professionals, facilitating comprehensive and individualized care. Primary Care plays a crucial role in the care pathway, coordinating with gynecology services to ensure continuity and the appropriate level of care.
Community workshops led by midwives and nurses are held in health centers, focusing on self-care, information, and empowering women to face this phase of life.
The ‘Clim +AP’ project from the Primary Care Management of Tenerife offers comprehensive, evidence-based care for women aged 40 to 65, including cases of premature or induced menopause. It emphasizes its commitment to equity, prioritizing access for women in vulnerable situations (gender-based violence, prostitution, migratory processes, or socioeconomic difficulties).
The initiative was developed by a working group of ten midwives from the Primary Care Management of Tenerife and collaborates with physiotherapists and psychologists to address pelvic floor strengthening, prevention of sarcopenia and osteoporosis, among other health issues.




