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Stages/nomenclature of normal reproductive aging in women

Stages: -5 -4 -3 -2 -1 +1 +2
Terminology: Reproductive Menopausal Transition Postmenopause
Early Peak Late Early Late* Early* Late*
  Perimenopause
(aka Climacteric)
 
Duration of Stage: variable variable
1
yr

4
yrs
until
demise
Menstrual Cycles: variable to regular regular variable cycle length (more than 7 days different from normal) more than 2 skipped cycles and an interval of amenorrhea (more than 60 days) A
m
e
n.

x

12
m
o
s
none
Endocrine: normal FSH** ↑FSH ↑FSH ↑FSH
*Stages most likely to be characterized by vasomotor symptoms.
**FSH=follicle stimulating hormone
Source: Stages of Reproductive Aging Workshop (STRAW), Menopause 2001