Menopausal Effects on Glycemia
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Menopause is defined retrospectively as the final menstrual period after 12 consecutive months of amenorrhea without other pathological or physiological causes.
- Spontaneous or natural menopause: Occurs on average at age of 52 years, but varies widely from 40-58 years .
- Induced menopause: Cessation of menstruation that occurs after either bilateral oophorectomy or iatrogenic ablation of ovarian function (ex: chemotherapy, pelvic radiation). Of note, surgical menopause begins the day that both ovaries are surgically removed in a previously menstruating patient.
- Early menopause: Menopause occurring in women aged 40-45 years; occurs in ~5% of women
- Premature menopause: Definitive cases of menopause before age 40, such as with surgical removal of both ovaries.
- Stages of Reproductive Aging Workshop (STRAW) +10 staging system subdivides changes in menstrual cycle and hormonal changes into late reproductive stage, early menopausal transition, late menopausal transition, early postmenopause, and late postmenopause.