MENOPAUSEMENOPAUSEWHAT?WHAT?WHAT?WHAT?MenopauseisadeviationoftheancientGreekwordsmenos(month)andpauses(ending).Themenopauseissometimesknownasthemenopauseissometimesknownasthe'changeoflife'andismarkedbytheending'changeoflife'andismarkedbytheendingofmenstruation.ofmenstruation.WHAT?WHAT?WHAT?WHAT?ItbedefinedwithcertaintyafterItbedefinedwithcertaintyaftertwelvemonths'spontaneoustwelvemonths'spontaneousamenorrhoea.amenorrhoea.Endofreproductivelife.Endofreproductivelife.Age(years)Pre-menopausePost-menopauseMENOPAUSE1YEARPeri-menopause“Climacteric”RELATEDTERMINOLOGYRELATEDTERMINOLOGYRELATEDTERMINOLOGYRELATEDTERMINOLOGYWHEN?WHEN?WHEN?WHEN?Menopausalage:45-55yearsMenopausalage:45-55years(mean:50.7years)(mean:50.7years)IfthemenopauseoccursinawomanIfthemenopauseoccursinawomanwhoisunder45yearsofage,itiswhoisunder45yearsofage,itisknownasprematuremenopause.knownasprematuremenopause.Latemenopause:>55yearsoldLatemenopause:>55yearsoldWHEN?WHEN?WHEN?WHEN?OtherfactorsthatcanaffecttheageOtherfactorsthatcanaffecttheageatwhichwomenhavetheirfinalatwhichwomenhavetheirfinalperiodincludeageatmenarche,periodincludeageatmenarche,parity,previousoralcontraceptiveparity,previousoralcontraceptivehistoryethnicityandfamilyhistory.historyethnicityandfamilyhistory.WHY?WHY?WHY?WHY?RELATIVEACTIVITYOFESTROGENRELATIVEACTIVITYOFESTROGENWHY?WHY?WHY?WHY?ThemenopauseistheendofeggThemenopauseistheendofeggproduction(ovulation).Thisoccursproduction(ovulation).Thisoccursasaresultoffallinglevelsoftheasaresultoffallinglevelsofthefemalesexhormoneoestrogen,femalesexhormoneoestrogen,whichregulatesawoman'speriods.whichregulatesawoman'speriods.WHY?WHY?WHY?WHY?ThemenopauseresultsfromafallinThemenopauseresultsfromafallinthelevelofthefemalehormonethelevelofthefemalehormoneoestrogenintheblood.oestrogenintheblood.WHY?WHY?WHY?WHY?Atahormonallevel-asovarianAtahormonallevel-asovarianfollicularactivitybeginstofail,follicularactivitybeginstofail,oestrogenandprogesteronelevelsfalloestrogenandprogesteron...
