Menopause history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Rahmah Al-Edresi, M.D.[2]


The most common symptoms of menopause include hot flashes, night sweats, headach, palpitations, dyspareunia, stress incontinence, urgency, frequency, dysuria, anxiety, sleep disturbance, depression. In addition to some less common symptoms of menopause include loss of concentration, and loss of self confidence.

Symptoms of Menopause

The perimenopausal symptoms are caused by an overall drop in the levels of estrogens, progestin. Some of these symptoms may be associated with the hormonal withdrawal process and as the body adapts to the changing levels of natural hormones, the menopausal symptoms appear. Most of the symptoms happen in the menopausal transition period, together with these symptoms, the woman may also have increasingly erratic menstrual periods.

Vasomotor symptoms: Approximately, 75% of women have a positive history of vasomotor symptoms

Urogenital symptoms: Approximately 60% of women have a positive history of urogenital symptoms include vaginal symptoms because of vaginal atrophy and urinary symptoms because of urethral atrophy as well as sexual dysfunction symptom.

  1. Pruritus
  2. Dryness
  3. Irregular bleeding
  4. Dyspareunia (painful intercourse)
  • Urinary symptoms
  1. Polyuria
  2. Urgency
  3. Stress incontinence
  4. Dysuria
  • Sexual dysfunction symptom
  1. Decreased libido
  2. Problems reaching orgasm

Skeletal [4]

Skin, soft tissue

Psychological: Approximately 45% of women have a positive history of psychogenic symptoms.

A cohort study found that menopause was associated with hot flushes; joint pain and muscle pain; and depressed mood.[5] Menopause was not associated with poor sleep, decreased libido, and vaginal dryness, and happens of these symptoms in the late menopausal transition years.


  5. Freeman EW, Sammel MD, Lin H; et al. (2007). "Symptoms associated with menopausal transition and reproductive hormones in midlife women". Obstetrics and gynecology. 110 (2 Pt 1): 230–40. doi:10.1097/01.AOG.0000270153.59102.40. PMID 17666595.

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