Women become irritable and anxious around menopause. Depression may also be present.
- Irregular bleeding - Menstrual periods have three normal patterns of stopping: they may suddenly stop, they may come on time, but keep reducing in the quantity of flow till they finally stop or they may keep getting delayed till they finally stop.
- Hot flushes - This is the most prominent symptom. There is a sudden sensation of heat that spreads to various parts of the body, particularly the face. Flushing and sweating may occur.
- Vaginal thinning and dryness - Due to oestrogen withdrawal, the vagina becomes thinner and dry. This makes sexual intercourse painful.
- Mood changes - Women become irritable and anxious around menopause. There may be loss of memory and concentration and lack of energy. Depression may also be present.
- Sexuality - Several factors adversely effect the libido or sex drive. Besides the mechanical factor of vaginal dryness that makes intercourse painful, mood fluctuations and lack of energy all contribute to a poor sex drive.
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