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


== History ==
==History==
Obtaining a patient's history is an important aspect of making the [[diagnosis]] of [[menopause]]. It provides an insight into precipitating factors and associated comorbid [[conditions]]. A complete history will help determine the correct [[therapy]] and helps in determining the [[prognosis]]. Specific histories about the [[symptoms]] (duration, onset, progression), associated [[symptoms]]. Specific areas of focus when obtaining the history, are outlined below:
Obtaining a patient's history is an important aspect of making the [[diagnosis]] of [[menopause]]. It provides an insight into precipitating factors and associated comorbid [[conditions]]. A complete history will help determine the correct [[therapy]] and helps in determining the [[prognosis]]. Specific histories about the [[symptoms]] (duration, onset, progression), associated [[symptoms]]. Specific areas of focus when obtaining the history, are outlined below:


* Onset, duration, and progression of [[symptoms]] especially ( [[Hot flashes]], [[urinary symptoms]], [[joint pain]]).
*Onset, duration, and progression of [[symptoms]] especially ( [[Hot flashes]], [[urinary symptoms]], [[joint pain]]).
* History of the [[menstrual cycle]]
*History of the [[menstrual cycle]]
* Associated symptoms such as [[depression]], [[sleep disturbance]].
*Associated symptoms such as [[depression]], [[sleep disturbance]].
* history of Co-morbid conditions such as  [[Hypertension]], [[Heart disease]], [[Diabetes mellitus|Diabetes Mellitus]].
*history of Co-morbid conditions such as  [[Hypertension]], [[Heart disease]], [[Diabetes mellitus|Diabetes Mellitus]].
* [[Medications]]
*[[Medications]]
* History of [[smoking]]
*History of [[smoking]] and tobacco.


==Symptoms of Menopause==
==Symptoms of Menopause==
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*[[migraines]]
*[[migraines]]


'''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 [[Urethra|urethral]] atrophy as well as [[sexual dysfunction]] symptom.
'''Urogenital symptoms''':


[[Vaginal]] symptoms
[https://www.mayoclinic.org/healthy-lifestyle/womens-health/in-depth/vagina/art-20046562 Vaginal symptoms]  


*[[Pruritus]]
*[[Pruritus]]
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*[[Dyspareunia]] ([[painful intercourse]])
*[[Dyspareunia]] ([[painful intercourse]])


Urinary symptoms
[[Urinary symptoms]]


*[[Polyuria]]
*[[Polyuria]]
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*[[Dysuria]]
*[[Dysuria]]


Sexual dysfunction symptom
[[Sexual dysfunction|Sexual dysfunction symptom]]


#[[Libido|Decreased libido]]
#[[Libido|Decreased libido]]
#Problems reaching [[orgasm]]
#Problems reaching [[orgasm]]


'''Skeletal''' <ref>https://pubmed.ncbi.nlm.nih.gov/17666595/</ref>
'''Skeletal:''' <ref>https://pubmed.ncbi.nlm.nih.gov/17666595/</ref>


*[[Osteoporosis]] gradually developing over time<ref></ref>
*[[Osteoporosis]] gradually developing over time<ref></ref>
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*[[Back pain]]
*[[Back pain]]


'''Skin, soft tissue'''
'''Skin, soft tissue:'''


*[[Breast]] atrophy
*[[Breast]] atrophy
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*Decreased [[Elasticity (economics)|elasticity]]
*Decreased [[Elasticity (economics)|elasticity]]


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


*[[Mood disturbances|Mood disturbance]]
*[[Mood disturbances|Mood disturbance]]
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*[[Irritability]]
*[[Irritability]]
*[[Anxiety Disorder|Anxiety]]
*[[Anxiety Disorder|Anxiety]]
*Poor [[Memory]]: as a result of [[depression]] and loss of [[sleep]] but not due to deficiency of [[estrogen]] hormone'''.'''
*Poor [[Memory]]: as a result of [[depression]] and loss of [[sleep]] but not due to deficiency of [[Estrogen|estrogen hormone]]'''.'''
*[[Depression]]
*[[Depression]]
*Loss of [[concentration]]
*Loss of [[concentration]]

Revision as of 20:09, 14 February 2021

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

Overview

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.

History

Obtaining a patient's history is an important aspect of making the diagnosis of menopause. It provides an insight into precipitating factors and associated comorbid conditions. A complete history will help determine the correct therapy and helps in determining the prognosis. Specific histories about the symptoms (duration, onset, progression), associated symptoms. Specific areas of focus when obtaining the history, are outlined below:

Symptoms of Menopause

The menopausal symptom happens in the menopausal transition period. The most common symptom is the increasingly erratic menstrual period together with these symptoms the woman may also have

Vasomotor symptoms:

Urogenital symptoms:

Vaginal symptoms

Urinary symptoms

Sexual dysfunction symptom

  1. Decreased libido
  2. Problems reaching orgasm

Skeletal: [4]

Skin, soft tissue:

Psychological:

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.

References

  1. https://www.womenshealth.gov/menopause/menopause-symptoms-and-relief
  2. https://www.ncbi.nlm.nih.gov/books/NBK507826/#!po=10.0000
  3. http://www.menopause.org/docs/default-source/2014/nams-recomm-for-clinical-care.pdf
  4. https://pubmed.ncbi.nlm.nih.gov/17666595/
  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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