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Menopause is the permanent cessation of menstrual bleeding. The day of the last menstrual bleeding without a 12-month menstrual bleeding is determined as the "menopause day". The diagnosis of menopause is a clinical definition, not based on hormone measurements.

While the average age of menopause is 51 in the world, it is 47-48 in our country.

The most important factor determining the age of menopause is genetics. Race, number of births, smoking, radiotherapy, chemotherapy, surgery, nutrition, socioeconomic level are other factors that affect the age of menopause.

 The perimenopausal period (climacterium) is expressed as the menopausal transition period and covers the previous average 5-year period in the last menstrual bleeding. During this period, changes in menstrual periods, skips in the menstrual period and gradually increasing bleeding intervals are observed.

Complaints characterized by intense body temperature sensation, palpitations, anxiety, sleep disorders, and sudden redness of the head, neck and breasts begin on average 2 years before the last menstruation. In most women, these complaints last less than 1 year.

Apart from this, due to the fact that the vagina and urethra are sensitive to estrogen hormone, thinning occurs in these tissues with the decrease of estrogen in menopause. Complaints such as frequent urination and dryness during sexual intercourse may be encountered.

Bone resorption (osteoporosis), dementia and increased risk of heart diseases are other problems that can be seen during menopause.

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