Technically, menopause is twelve months after the last menstrual flow of a woman's life, and the climacteric is the period of time preceding and following this event, or peri and post menopause. For most women the symptoms occur between the ages of 30 and 55 years of age.
The menstrual cycle usually goes through many changes, some slow and some sudden, before stopping altogether. A woman's periods may become erratic, closer together or farther apart. She may skip a period or two or have spotting at other times in her cycle or bleed heavier and longer. All of these events can be considered dysrhythmic at any age.
A common experience is loss of large amounts of blood with a period and passage of large clots. When a woman nears the cessation of her periods, she may not ovulate for one cycle or several cycles. In either case, the endometrium doesn't receive enough estrogen message to stop thickening. It grows until its heavy bulk causes a heavy flow. This is a symptom of low chronic estrogen levels.
Signals of fluctuating estrogen receptor activity include hot flashes or flushes, changes in sleep patterns, headaches or migraines, high energy, high creativity and or mood changes. As with PMS, some of these are symptoms of inadequate progesterone or progesterone receptors.
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