1. Perimenopause and MenopauseSecond Annual Prevention Health Conference J. Martin Beal DO, FACOOG, Associate Professor of Obstetrics and Gynecologic Surgery, Oklahoma State University Center for Health Sciences

2. Objectives Define menopause & perimenopause Demographics of Aging Health risks Recommended Screening Preventative measures

3. Perimenopause The years leading up to the cessation of menses marked by menstrual irregularity. The only marker is menstrual irregularity. Most women have cycles lasting from 24 to 35 days. In the 4th decade anovulation is common which in turn increases cycle length.

4. Perimenopause Once cycle length exceeds 42 days menopause follows in 1 to 2 years. Taffe JR, Dennerstein L, Menstrual patterns leading to the final period, Menopause 9:32, 2002

5. Menopause Greek derivation Men = month Pausis = cessation Simply the cessation of menses Massachusetts Study average age of 51.5 McKinlay SM, Brambilla DJ, Posner JG, The normal menopause transition, maturitas 14: 103, 1992

6. All of the Problems begin with Men Menopause Menorrhagia Menometrorrhagia Menstrual cycle Menopon Menoxenia Mental Menostaxis Menophania

7. Demographics of Aging The U.S. elderly population will increase to 70 million by the year 2030. In the world this population will increase by 2 fold from 1998 to 2025. Population aging will replace population growth. McDevitt TM, Report WP, World Population Profile: 1998, U.S. Buteau of the Census, U.S. Government Printing Office, Washington, D.C., 1999.

8. Demographics of Aging