7. It is a physiological processPeri-menopause is a period immediately before and after the menopause. www.freelivedoctor.com
8. Premature ovarian failure ----- the cessation of menses before the age of 40 years. Artificial menopause ------ the cessation of menses is secondary to some causes, such as oophorectomy, radiation therapy. www.freelivedoctor.com
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10. The basic causes of the climacteric syndrome are a progressive decline in ovarian production on estrogens and other sex hormoneswww.freelivedoctor.com
11. Negative Feedback Secretion of estrogens decreased (ovary) ↓ FSH increased (40-45 years old) ↓ FSH,LH increased(45-50 years old) ↓ FSH increased 14 times LH increased 3 times(menopause) ↓ FSH, LH gradually decline (3 years after menopause) www.freelivedoctor.com
18. The hot flashes begins on the chest and spreads quickly over the neck, face and upper limbs which lasts only seconds but may recur many times one day. Sweat often follows hot flashes.www.freelivedoctor.com
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21. decreased elastic tone of the uterine and urethrovesical supporting structureswww.freelivedoctor.com