Transition To Menopause: A Case Study

Introduction
The transition to menopause brings about numerous physiological and psychological changes (Alexander & Andrist, 2013). Although the average age at menopause is in the range of 52 years, it is quite normal for a woman to begin experiencing menopausal changes in her early 40s (Alswager & Durler, 2013). For this reason, it is not all women that could experience the same intensity of symptoms. Menopause is an individual process. Menopausal change can range from minor inconveniences to those that affect quality of life (Alexander & Andrist, 2013). Essentially, these changes are the culmination of heredity, lifestyle and hormonal changes (Burger, 2011). Moreover, changes can be influenced by lifestyle alterations such as a change in
Performing a thorough history and physical examination can often narrow the differential diagnosis considerably. The addition of basic determinations of serum FSH and LH or other tests as indicated by abnormalities on the history or examination can then make the diagnosis more clear (Faucher & Schuiling, 2013). In all cases of primary amenorrhea, treatment is directed by the diagnosis (Faucher & Schuiling, 2013). The primary goal of treatment is to facilitate the normal sexual development through gentle coaxing into puberty (Faucher & Schuiling, 2013). In secondary amenorrhea, there is a greater focus on fertility and prevention of complications from the associated abnormal hormone levels. Probability of conception is dictated by the reversibility of the cause of the amenorrhea. It is the lack of a menstrual period for six months or longer. In fact, menopause is one of the most common causes of amenorrhea in the middle-aged woman (Hansen et al., 2011). A woman in midlife who has stopped having menses after years of normal cycles is experiencing what is called secondary amenorrhea. A young girl who has yet to experience her first period has primary amenorrhea. Even though menopause is the most common cause of amenorrhea during midlife, other causes should be considered, and a thorough history should be conducted. First, pregnancy must be excluded. Other indications for
Furthermore, temporal life passages, such as a relationship changes and an occupational decisions are common during the years of premenopausal. For these reasons, such conditions contribute to the psychological effects of aging and menopause (Roger et al., 2005). In this connection, amenorrhea, hot flush, nigh sweat and depression are a common multifactorial phenomenon during perimenopause and the menopausal period. An impact of depression from amenorrhea, hot flush and many more of her symptoms can be severe (Jafari et al., 2014). If no proper approach from the doctors then all leads to morbidity and mortality which includes comorbid medical illness, suicide attempts, and increased accidents (Khoshbooii, 2011). All in all, it is medically approved that lifestyles, exercise, diet, good sleep, fun and be kind to herself and many more are the relief management of women who are being observed in their premenopausal and postmenopausal (Burger, 2011, & Shojaelan et al.,