WHAT CHANGES IN THE MENSTRUAL CYCLE CAN
BE EXPECTED DURING THE CLIMACTERIC?
- Early during the climacteric, the menstrual cycle may shorten to 21-24 days but the
menstrual loss usually remains normal. Occasionally women may 'miss' a period for one or
perhaps two cycles. These episodes tend to be associated with flushes
and sweats. The vasomotor symptoms resolve when
ovarian function returns, manifest as a resumption of menstruation.
- Later on, the cycle may lengthen to any duration between 28 days and many months but it
may still be ovulatory. The menstrual loss may be normal or scantier. A woman can get
pregnant in this period.
- Anovulatory cycles can be quite unpredictable, ranging in length from 14 days to many
months. The duration of bleeding is also variable; it may last for only a few hours or may
be heavy and last for many days.
- Rarely, the menstrual cycle may be quite regular until menstruation ceases abruptly.
- The timescale over which these changes may occur is extremely variable and may differ
greatly from one woman to another.
WHAT ARE THE CONSEQUENCES OF OESTROGEN
These are divided into