Understanding Menopause

A Comprehensive Guide to the Menopausal Transition

Family Medicine

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Last updated: Mar 24, 2025

What is Menopause?

Menopause is a natural biological process marking the end of menstrual cycles. It's officially diagnosed after 12 consecutive months without a menstrual period. The average age of menopause is 51, though it can occur between ages 45-55.

Stages of Menopause

Perimenopause

  • Begins several years before menopause
  • First signs of transition
  • Irregular periods
  • Duration: 4-8 years

Menopause

  • Confirmed after 12 months without menstruation
  • Marks end of reproductive years
  • Permanent cessation of periods

Postmenopause

  • Years following menopause
  • Symptoms gradually ease
  • New health considerations emerge

Common Symptoms

Physical Changes

  • Hot flashes and night sweats
  • Vaginal dryness
  • Sleep disturbances
  • Weight gain
  • Joint pain

Emotional Changes

  • Mood swings
  • Anxiety
  • Depression
  • Irritability

Treatment Options

Hormone Therapy

  • Estrogen replacement
  • Combined hormone therapy
  • Short-term symptom relief

Non-Hormonal Treatments

  • SSRIs for mood and hot flashes
  • Vaginal moisturizers
  • Lifestyle modifications

Lifestyle Management

  • Regular exercise
  • Balanced diet
  • Stress reduction
  • Adequate sleep
  • Avoiding triggers

When to See Your Doctor

  • Severe symptoms
  • Unusual bleeding patterns
  • Significant emotional changes
  • Prevention screening needs

Long-term Health Considerations

  • Bone health
  • Cardiovascular health
  • Sexual wellness
  • Mental health

Prevention Strategies

  • Calcium and vitamin D supplementation
  • Regular exercise
  • Healthy weight maintenance
  • Regular health screenings

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