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menopause |
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menopause (mĕn`əpôz) or climacteric (klīmăk`tərĭk, klī'măktĕr`ĭk), transitional phase in a woman's life when the ovaries ovary, ductless gland of the female in which the ova (female reproductive cells) are produced. In vertebrate animals the ovary also secretes the sex hormones estrogen and progesterone , which control the development of the sexual organs and the secondary sexual ..... Click the link for more information. stop releasing eggs, ovarian production of estrogen estrogen (ĕs`trəjən) ..... Click the link for more information. and other hormones tapers off, and menstruation menstruation, periodic flow of blood and cells from the lining of the uterus in humans and most other primates, occurring about every 28 days in women. Menstruation commences at puberty (usually between age 10 and 17). ..... Click the link for more information. ceases. It results from declining ovarian function due to aging of the ovaries and is usually a gradual process. In the United States, natural menopause occurs at age 51 on average. Premature menopause (due to premature aging of the ovaries, debilitating disease, or infection) and artificial menopause (due to destruction of the ovaries by surgery, irradiation, or purposeful hormone therapy, as in severe premenstrual syndrome premenstrual syndrome (PMS), any of various symptoms experienced by women of childbearing age in the days immediately preceding menstruation . It is most common in women in their twenties and thirties. ..... Click the link for more information. ) may occur much earlier. Menopause may pass with no signs other than cessation of menstruation, or it may be accompanied by menstrual changes (heavy or erratic periods), night sweats, hot flashes, and vaginal dryness. There is some debate as to whether emotional symptoms and "mood swings" are any more common during menopause than at any other age. Lower levels of estrogen following menopause may be accompanied by a variety of physical changes. For example, the risk of osteoporosis osteoporosis (ŏs'tēō'pərō`sĭs) Estrogen replacement therapy (ERT) is a controversial treatment introduced in the 1970s for bodily changes that occur in menopause; beginning in the 1980s progestins were added to reduce the risk of uterine cancer. Although ERT eases hot flashes and other physical changes and appears to decrease the risk of osteoporosis, it has been linked to increases in breast cancer breast cancer, cancer that originates in the breast. Breast cancer is the second leading cause of cancer death in women (following lung cancer ). Even allowing for improvements in detection (i.e. Other approaches to dealing with the physical changes include exercise to help circulation, increase bone density and HDL levels, and lower stress; lubricants for vaginal dryness; avoidance of smoking and excess alcohol; and dietary changes limiting protein and fat and increasing fiber fiber, threadlike strand, usually pliable and capable of being spun into a yarn. Many different fibers are known to be usable; some 40 of these are of commercial importance, and others are of local or specialized use. See also uterus uterus, in most female mammals, hollow muscular organ in which the fetus develops and from which it is delivered at the end of pregnancy . The human uterus is pear-shaped and about 3 in. (7. BibliographySee publications of the National Institute of Child Health and Human Development; J. E. Huston and L. D. Lanka, Perimenopause: Changes in a Woman's Health after 35 (1997); Boston Women's Health Book Collective, Our Bodies, Ourselves for the New Century (1998). menopauseFinal cessation of menstruation, ending female fertility. It usually begins between ages 45 and 55. A gradual decline in function of the ovaries reduces estrogen production. Ovulation becomes irregular and gradually ceases. The length of the menstrual cycle and periods may vary; flow may lessen or increase. Adjustment of the endocrine system to estrogen reduction causes hot flashes, often at night, with a warm sensation, flushing, and sweating; other symptoms, such as irritability and headaches, may be related more to reactions to aging. Removal or destruction of the ovaries to treat disease causes artificial menopause, with similar but more sudden effects. Changes in hormone balance usually cause no physical or mental disturbances. However, the protective effect of estrogen against osteoporosis and atherosclerosis is lost, and risks of fracture and coronary heart disease increase. |
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