Menopause is permanent cessation of menstruation >12 months and loss of ovarian follicle devepmen.
Perimenopause is 4 year or more that 4 year during this irregular menstrual cycle, prolonged, heavy mensuration intermated with episode of amenorrn vasomotor symptom, insomnia, and decreased fertility.
Depression: In the United state 1.3 million women reach menopause annually although most women transition to menopause 20% have depression.
Life Stressors: Psychological, Social Condition
- Lack of Social Support
- Unemployment
- Surgical Menopause poor overall health status
- Negative mood Before menopause
- Smoking
- Little or no exercise
- No partner
- Negative feeling toward partner
- interpersonal stress
