Abstract
Menopause marks the end of spontaneous menstruation. It occurs as a result of the natural loss of ovarian follicular function and is a stage of life, rather than a disease The average age at menopause is 51 years, with most women have several years of gradual menstrual irregularity, hormonal fluctuation, and varying degrees of menopausal symptoms before the menses stop (perimenopause)1 Women who undergo surgical menopause (bilateral oophorectomy) often experience abrupt symptoms The average woman may spend a third of her life in the postmenopausal period; hence, the perimenopausal period provides an opportunity for education about preventive health care Hormone replacement therapy (HRT) can alleviate perimenopausal symptoms and both treat and prevent osteoporosis. It may protect against coronary artery disease (CAD), but the data are conflicting
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