In the time leading up to menopause (perimenopause), woman often experience such symptoms as:

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It’s possible, but very unusual, to menstruate every month right up to your last period. More likely, you’ll experience some irregularity or spotting in your periods. One of the most effective treatments for Menopause is Hormone therapy. Estrogen therapy remains, by far, the most effective treatment option for relieving menopausal hot flashes.

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Depending on your personal and family medical history, your doctor may recommend estrogen in the lowest dose needed to provide symptom relief for you. If you still have your uterus, you’ll need progestin in addition to estrogen. Estrogen also helps prevent bone loss. And hormone therapy may benefit your heart if started within five years after your last menstrual period.