Clinical diagnosis of menopause is given after an adult woman completes one full year without a menstrual cycle and has a permanent cessation of menstrual bleeding. The average age of natural menopause is 51.4 years. Natural menopause occurring before age 40 is considered atypical and requires further evaluation by a healthcare provider. The period of time before menopause is referred to as the menopause transition, also known as “perimenopause”. During perimenopause, a woman still has menstrual cycles but they may be more spaced out with no predictable pattern. Women may begin to experience hot flashes, mood changes, vaginal dryness, and sexual dysfunction, lack of energy and sleep disturbances due to hormonal fluctuations. Menopause is a naturally occurring stage in the female reproductive system. Sometimes menopausal symptoms can alter an individual’s quality of life. If this occurs, both hormonal and non-hormonal remedies are available to target specific symptoms. Treatment options include natural supplements (including Relizen ©, black cohosh, lifestyle modifications), systemic bioidentical hormone replacement, localized Estrogen medication, non-Estrogen medication (Osphena © and Intrarosa ©) for vaginal dryness, bioidentical testosterone pellet therapy, and the O-shot©.

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