Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions

Obstetrics & Gynecology

Answer 3
  1. Irregular menstruation. Decreased frequency of ovulation and erratic levels of ovarian secreted hormones cause irregular menstruation in the perimenopause. Approximately 90% of women experience 4 to 8 years of menstrual irregularities before menopause. The hot flash (or flush) is the second most frequent perimenopausal symptom. The precise etiology of the hot flash is unknown; however, low or withdrawing levels of estrogen are required for a hot flash to occur. Insomnia (ie, inadequate amount or poor quality of sleep) seems to occur more frequently during the perimenopause. Menopausal hot flashes and night sweats may contribute to the increased incidence of insomnia in the perimenopause. Urinary incontinence affects 10% to 30% of women in the United States between the ages of 50 and 64 years.

Click here to return to the questions


Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 1/04/08 • kkj