Menopause is defined as the complete absence of periods for 12 months and as we know, the menopause is when a woman ceases to be fertile. The average age at which this occurs in the US is 51, but women can start being menopausal at age 40 to 50. But, in fact, what most of us think of as the menopause, or being menopausal, is actually the period of transition between the normal fertile years and the menopause itself. This is known as the perimenopause, meaning ‘around menopause’ or premenopause, which is the time that fertility starts to decline – although there may be few symptoms.
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