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Williams Gynecology | Section 2 Reproductive Endocrinology, Infertility, and the Menopause > | Chapter 21. Menopausal Transition Sections: Menopausal Transition: Introduction, Definitions, Influential Factors, Physiological Changes, Patient Evaluation, Diagnosis, References. Topics Discussed: menopause; perimenopause. Excerpt:"The menopausal transition is a progressive endocrinologic continuum that takes reproductive-aged women from regular, cyclic, predictable menses that are characteristic of ovulatory cycles, to a final menstrual period associated with ovarian senescence and menopause. With improvements in medical treatment and increased focus on preventive health care, average life expectancy has increased. Most women can now expect to live at least one third of their lives in the menopause. Specifically, it is projected that by 2020, approximately 52 million women will be aged 55 years and older (U.S. Census Bureau, 2000). Thus, this age group has aptly been called "the next frontier in women's health care", as health and well-being is an important concern for this large and growing population of American women (Frackiewicz, 2000)...."
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