The changes before ‘the change’

Anette Bachmann
In: Postgraduate Medicine · 1994 · vol. 95(4) , pp. 113–124 · doi:10.1080/00325481.1994.11945822 · PMID:29206600 · W2775105994
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⚙ AI-generated summary by claude@2026-06, 2026-06-13 ⓘ

Physicians should discuss perimenopausal symptoms, fertility testing, contraception, and preventive health measures with women transitioning to menopause due to potential adverse consequences of ovarian follicle depletion.

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Abstract

As women enter their fifth decade, the gradual depletion of their ovarian follicles as they make the transition to the menopause can have medically important adverse consequences. Their physicians need to review with them the changes that can occur during this period (including irregular bleeding, sexual dysfunction, and other perimenopausal symptoms) and inform them about available treatments. Patients considering pregnancy should be offered fertility testing, and those who wish to avoid pregnancy should be made aware of the benefits and risks of oral contraceptive therapy. Preventive health measures should be discussed.

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