Abstract
The menopause in women (cessation of menstruation during the climacteric) is as sudden and dramatic an event as menarche (beginning of menstruation during puberty) even though the significance of the last cycle can only be appreciated retrospectively. Hormonal events preceding and succeeding both these phenomena are not discontinuous but probably reflect gradual changes in hypothalamic-pituitary-ovarian relationships over months or years; such changes are intrinsic to both maturation and eventual cessation of normal reproductive and cyclic function. The climacteric years, associated with the end of the fertile era, often bring physical and psychic complaints of varying degrees of severity to some women (Utian, 1972; Jaszmann, 1973). They also herald the arrival of a long postmenopausal period amounting in some societies to almost one third of the lifespan. A post-reproductive period is common to other mammals, but increasing age in these animals is not usually accompanied by complete cessation of reproductive cycles as in women but by a qualitative change in the pattern of these cycles.
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Jones, E.C. (1979). The Post-Fertile Life of Non-Human Primates and other Mammals. In: Haspels, A.A., Musaph, H. (eds) Psychosomatics in Peri-Menopause. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-7698-9_2
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