Menopause is permanent cessation of menses , usually occurs between 45-55 yrs of age in Indian women .

The interim period from normal menstruation to menopause is called perimenopause, which can involve symptoms like

• Irregular periods and other symptoms like.
• Vasomotor symptoms (night sweats).
• Urogenital symptoms: Vaginal dryness and discomfort.
• Sleep disturbances like Insomnia and other sleep related problems.
• Mood changes: Anxiety, irritability, and depression.
• Other symptoms include, headaches, joint pain, and physical changes.