Outline the Changes Observed During the Perimenopausal Period

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The Answer is The cessation of menses occurs between the ages of 35 and 60 years. Ovarian function declines; the menses become farther apart and produce a lighter flow than usual. The uterus shrinks in size; the ovaries atrophy to 1 to 2 cm and are not palpable after menopause. The sacral ligaments relax, the pelvic musculature weakens, and the uterus droops. The cervix shrinks and looks paler. The vagina becomes shorter, narrower, and less elastic. The vaginal epithelium atrophies, resulting in a fragile mucosal surface that is at risk for bleeding and vaginitis. Vaginal pH becomes more alkaline. Externally, the mons pubis fat pad atrophies and the labia and clitoris gradually decrease in size. Pubic hair becomes thin and sparse.

Outline the Changes Observed During the Perimenopausal Period

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Outline the Changes Observed During the Perimenopausal Period

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Correct Answer:
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