At a Glance

Menopause – the complete cessation of menses for 12 months – usually occurs at about 51 years of age though the age can range between 45 to 55 years. It is a universal milestone in the life cycle of women and every woman’s experience of this phase of life is unique and influenced by a range of psychological, endocrinological, and physical changes that occur over years.

Though some women go through the menopausal transition asymptomatic or with few symptoms, over 85% experience the effects of estrogen fluctuation and eventual deficiency – sweating, hot flashes, insomnia, mood changes, and vaginal dryness. These symptoms can range from mild to moderate discomfort to symptoms that are severe and disabling and are all influenced by psychological, ethnic, and socio-cultural factors.  Based on increasing life expectancy, most women will spend up to 40% of their lifespan post-menopausal. Yet many women have limited awareness of the potential implications of this transition and many primary care physicians struggle with how to manage this time in their patients’ lives.

This monograph will provide guidance in caring for patients who are going through the menopausal transition.