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Conditions InDepth: Menopause

Menopause is the natural end to menstruation (monthly periods). Most American women experience this around the age of 50. However, some women can experience menopause as early as 40 or as late as 60. If menopause occurs prior to age 40 this is thought to be abnormal and is called premature menopause.

Menopause is the result of the depletion of egg cells from the ovaries and the reduction of female hormones. Menopause is considered complete when you have been without your period for a full year. Rather than a single point in time, menopause is a process or transitional period when women move away from the phase of life where reproduction is possible.

Menopause is a normal part of life. It marks the end of a long, slow process that begins in the mid-30’s, when ovaries begin to produce less estrogen and progesterone. These female hormones are both important for normal menstrual cycles and successful pregnancy. Surgery to remove the ovaries (oophorectomy) and/or uterus (hysterectomy) in premenopausal women causes menopause to begin prematurely.

In addition to its role in reproduction, estrogen is an important hormone for maintaining bone health and it may also play an important role in heart health, skin elasticity, and memory.

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Stages of Menopause

Perimenopause:

  • May begin 3 to 5 years before your last menstrual period
  • Lasts until 1 year after your last menstrual period
  • Signs and symptoms may appear during this phase

Menopause:

  • Complete cessation of menstrual periods
  • You have had no menstrual periods for 1 year
  • Child-bearing is no longer naturally possible

Postmenopause:

  • Begins 1 year after your last menstrual period
  • You no longer menstruate
  • Risk of certain health problems increases (such as osteoporosis and cardiovascular disease)

Sources:

American College of Obstetricians and Gynecologists

National Institute on Aging

National Women's Health Information Center

November 2003

Copyright © 2008 EBSCO Publishing. All rights reserved.
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Health LibraryPlease be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.

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