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What is the Menopause?

All women go through various stages of hormone production in life, you are born with a fixed number of eggs in your ovaries which gradually decrease over time. Usually from around the age of 45, the number of eggs has started to decline to a level that you might get lower amounts of oestrogen and progesterone and might start to have some symptoms though some women don’t get any symptoms. The menopause is when your periods stop and you are post-menopausal once your periods have stopped for 12 months or more. Before this time you are in the peri-menopause or I prefer the term “Menopause transition”.

What are the symptoms?

These can be hugely variable from person to person.  They range from not having any bothersome symptoms to brain fog, reduced concentration, insomnia, hot flushes, vaginal dryness, low mood, irritability and low libido as well as joint aches and pain. I generally like to complete the Green Climeric Score on my patients to help work out where to focus on symptom control.

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