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Definition

By Mayo Clinic staff

Menopause is the permanent end of menstruation and fertility, defined as occurring 12 months after your last menstrual period.

Menopause is a natural biological process, not a medical illness. Even so, the physical and emotional symptoms of menopause can disrupt your sleep, sap your energy and — at least indirectly — trigger feelings of sadness and loss.

Hormonal changes cause the physical symptoms of menopause, but mistaken beliefs about the menopausal transition are partly to blame for the emotional ones. First, menopause doesn't mean the end is near — you've still got as much as half your life to go. Second, menopause will not snuff out your femininity and sexuality. In fact, you may be one of the many women who find it liberating to stop worrying about pregnancy and periods.

Most important, even though menopause is not an illness, you shouldn't hesitate to get treatment if you're having severe symptoms. Many treatments are available, from lifestyle adjustments to hormone therapy.

References
  1. Bradshaw KD. Menopausal transition. In: Schorge JO, et al. Williams Gynecology. New York, N.Y.: McGraw-Hill Medical; 2008. http://www.accessmedicine.com/content.aspx?aid=3158526. Accessed June 5, 2009.
  2. Manson JE, et al. The menopausal transition and postmenopausal hormone therapy. In: Fauci AS, et al. Harrison's Principles of Internal Medicine. 17th ed. New York, N.Y.: McGraw-Hill Medical; 2008. http://www.accessmedicine.com/content.aspx?aid=2881945. Accessed June 5, 2009.
  3. Menopause. National Institute on Aging. http://www.nia.nih.gov/HealthInformation/Publications/menopause.htm. Accessed June 3, 2009.
  4. Cedars MI, et al. Menopause. In: Gibbs RS, et al. Danforth's Obstetrics and Gynecology. 10th ed. Philadelphia, Pa.: Lippincott Williams & Wilkins; 2008:725.
  5. Col NF, et al. In the clinic: Menopause. Annals of Internal Medicine. 2009;150:ITC4.
  6. Gass MLS. Menopause. In: Hillard PJA. The 5-Minute Obstetrics and Gynecology Consult. Philadelphia, Pa.: Lippincott Williams & Wilkins; 2008:292.
  7. National Institutes of Health state-of-the-science conference statement: Management of menopause-related symptoms. Annals of Internal Medicine. 2005;142:1003.
  8. Cohen BE, et al. Feasibility and acceptability of restorative yoga for treatment of hot flushes: A pilot trial. Maturitas: The Europena Menopause Journal. 2007;56:198.
  9. Chattha R, et al. Treating the climacteric symptoms in Indian women with an integrated approach to yoga therapy: A randomized control study. Menopause: The Journal of the North American Menopause Society. 2008;15:862.

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July 23, 2009

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