Menopause

DEFINITIONS

Menopause is the final menstruation marking the termination of menses (defined as 6 months of amenorrhea).

Menopause is preceded by the climacteric or perimenopausal period, the multiyear transition from optimal menstrual condition to menopause.

The postmenopausal period is the time after menopause.

Average age of menopause in the United States is about 51 years.

FACTORS AFFECTING AGE OF ONSET

Genetics

Smoking (decreases age by 3 years) Chemo/radiation therapy

PHYSIOLOGY DURING THE PERIMENOPAUSAL PERIOD

Cigarette smoking is the only factor shown to significantly reduce age of menopause (3 years).

From PMS To PPD

From PMS To PPD

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