Menopause

Etiology

  • Natural decline in estrogen release
  • Post oophorectomy

Risk Factors

  • Average age 52 (onset between 40-58)

Symptoms

  • Night sweats
  • Hot flushes: intense heat starting in face/chest and spreading to body; associated with sweating; last 1-5min
  • Irregular and then loss of menstruation
  • Irritability, mood swings
  • Sleep disturbance
  • Decreased vaginal lubrication, dyspareunia
  • Decreased libido
  • Bloating, weight gain

Physical Exam Findings

  • Vaginal atrophy, loss of rugae