Nine (24%, 9/37) studies examined the divergent effect of differing relationship status of immigrant women and the consequent effect on their menopausal transition. Being married notably increased happiness as it provided an additional source of self-esteem and decreased feelings of loneliness [
39]. An early study suggested that immigrant women reported higher marital relationship satisfaction compared with their female counterparts in their migrant country [
7]. However, in some cultures, women were typically in a lower social position than men in their families due to patriarchal norms [
21]. Such norms made immigrant women’s menopausal transitions more difficult as they were forced to make familial sacrifices [
10]. In addition, men viewed their wives differently during and after their menopausal transition, at times seeing them as non-sexual, less womanly, and less attractive. This shift in male attitude was a determinant in domestic violence, extra-marital affairs, and divorce [
34]. Divorce and widowhood significantly predicted emotional distress in immigrant women as they felt a loss of support in their lives, making it difficult to manage hormonal changes [
11,
16]. Most women recognized that their partner’s support, understanding, and openness to learning about their physical and emotional changes had a positive effect on their health. They reported that their husbands aided them physically, emotionally, and mentally through their immigration and menopause [
20,
39]. Contrastingly, as most of the migrant countries encouraged individualistic behavior, immigrant women found themselves feeling decreased dependence on their husbands, which created room for self-growth [
9].