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Causes

By Mayo Clinic staff

As you go through the menopausal transition, your body's production of estrogen and progesterone fluctuates. These hormonal fluctuations are at the root of the changes your body goes through during perimenopause.

Risk factors Symptoms

  • See Also

    • Hand Scheduled
    Section Focus
  • Menopause

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References
  1. Perimenopause. National Women's Health Information Center. http://www.womenshealth.gov/faq/perimenopause.cfm. Accessed Aug 3, 2010.
  2. Lund KJ. Menopause and the menopausal transition. Medical Clinics of North America. 2008;92:1253.
  3. Casper RF. Clinical manifestations and diagnosis of menopause. http://www.uptodate.com. Accessed Aug 3, 2010.
  4. Practice Committee of the American Society for Reproductive Medicine. The menopausal transition. Fertility and Sterility. 2008;90:S61.
  5. 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 Aug 3, 2010.
  6. Menopause basics. In: Menopause Guidebook, 6th ed. Cleveland, Ohio: The North American Menopause Society, 2006. http://www.menopause.org/edumaterials/guidebook.aspx. Accessed Aug 3, 2010.
  7. The changing body. In: Menopause Guidebook, 6th ed. Cleveland, Ohio: The North American Menopause Society, 2006. http://www.menopause.org/edumaterials/guidebook.aspx. Accessed Aug 3, 2010.
  8. Chen EC, et al. Menstrual disturbances in perimenopausal women: What's best? Journal of Family Practice. 2009;58:331c.
  9. Borrelli F, et al. Alternative and complementary therapies for the menopause. Maturitas. 2010;66:333.
  10. Menopausal symptoms and CAM. National Center for Complementary and Alternative Medicine. http://www.nccam.nih.gov/health/menopause/menopausesymptoms.htm. Accessed Aug 5, 2010.
  11. Bauer BA (expert opinion). Mayo Clinic. Rochester, Minn. Aug 16, 2010.
  12. Alfhaily F, et al. Acupuncture in managing menopausal symptoms: Hope or mirage? Climacteric. 2007;10:371.
  13. Cho SH, et al. Acupuncture for vasomotor menopausal symptoms: A systematic review. Menopause. 2009;16:1065.
  14. Daley AJ, et al. Exercise to reduce vasomotor and other menopausal symptoms: A review. Maturitas. 2009;63:176.
  15. Tremblay A, et al. Psychoeducational interventions to alleviate hot flashes: A systematic review. Menopause. 2008;15:193.
DS00554 Sept. 16, 2010

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