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Pain at Midlife


  • Mary Ellen Rousseau CNM, MS,

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    • 1Mary Ellen Rousseau, CNM, MS, is an Associate Professor at Yale School of Nursing. She provides care to women at the Women's Midlife Clinic at Yale New Haven Hospital, which she began in 1994.

  • Sarabeth F. Gottlieb CNM, MSN

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    • 2Sarabeth F. Gottlieb, CNM, MS, is a faculty member at Yale School of Nursing.

Yale University School of Nursing, 100 Church Street South, PO Box 9740, New Haven, CT 06536–0740. E-mail:


Although menopause is a normal developmental milestone through which all women pass, the transition has been long associated with chronic pain conditions that may be more accurately viewed as secondary to aging. Clinicians need to understand management of pain problems women may experience. This article examines pain syndromes including headache, back pain, osteoarthritis, pelvic pain, vulvo-vaginal pain, and burning mouth syndrome.