Chapter 1 Flashcards
Climacteric definition
The period of endocrinologic, somatic, and transitory psychologic changes that occur at the time of menopause. Sometimes used interchangeably with perimenopause.
How is early menopause defined?
When FMP occurs before age 45
How is late menopause defined?
When the FMP occurs after age 54
What is STRAW+10?
A 2011 refinement of STRAW (Stages of Reproductive Aging Workshop) which is a system to characterize the last 10-15 years of a woman’s reproductive aging.
How many stages are in STRAW+10?
7- five before and two after the final menstrual period
How are early and late postmenopause defined?
Early- within 8 years of FMP
Late- anything after 8 years past the FMP
Induced menopause definition
The cessation of menses that comes after either surgical removal of both ovaries or iatrogenic ablation of ovarian function (by chemotherapy, pelvic radiation, or other forms of ovarian toxicity).
Menopause transition definition
The time before the FMP when the menstrual cycle becomes variable or other menopause-related sx begin. This can be early (7 or more days persistent difference in cycle lengths from previous normal cycle) or late (60+ days of amenorrhea, observed at least one time).
Natural menopause definition
The permanent cessation of menses b/o loss of ovarian follicular activity. This can only be determined retrospectively after 12 consecutive months of amenorrhea after the FMP.
Criteria for perimenopause
Onset of intermenstrual cycle irregularities (+/-7 days) or other menopause sx.
When does perimenopause end?
12 months after menopause which means that it lasts 1 year longer than the menopause transition.
Age for pre menopause/premature ovarian failure/primary ovarian insufficiency
Before the age of 40
What’s the most important staging criteria for reproductive aging?
Menstrual cycle criteria (p.3)
List the 4 reproductive stages of STRAW+10
Early (stage -5), peak (stage -4), and late (stages -3b and -3a)
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In which reproductive stage do women not changes to menstrual cycles?
Late (stage -3 and particularly -3a)
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