• Patients had continuous health plan enrollment 60 months prior to and 12 months following the earliest endometriosis diagnosis and ≥ 1 pre-diagnosis endometriosis symptom (dyspareunia, generalized pelvic pain, abdominal pain, dysmenorrhea, or infertility). (springer.com)
  • To quantify in adolescents the prevalence of dysmenorrhea and other symptoms found to be suggestive of future diagnosis of endometriosis, in particular their impact on monthly absenteeism from school/work, activity impairment, and sexual life and to quantify the awareness of endometriosis in adolescents. (unboundmedicine.com)
  • 68% (170/250) of the participants complain of dysmenorrhea, 12% (30/250) lose days of school/work monthly because of dysmenorrhea, 13% (33/250) complain of intermenstrual pain which limits daily activities, 27% (56/208) of the adolescents who are sexually active complain of dyspareunia, 82% (203/250) have never heard about endometriosis and 80% (200/250) would like to know more about it. (unboundmedicine.com)
  • The classic triad of symptoms is dysmenorrhea, dyspareunia, and infertility, but symptoms may also include dysuria and pain during defecation. (msdmanuals.com)
  • Recently in the Pelvic Rehab Report blog we discussed the beneficial role of pelvic rehabilitation for symptoms of dysmenorrhea . (hermanwallace.com)
  • While it may not be new to compare fast and slow pranayama techniques with health conditions, this is the first study to address pranayama's effects on symptoms of dysmenorrhea. (hermanwallace.com)
  • Treatment may include medications such as NSAIDs which target the prostaglandins that often lead to symptoms of dysmenorrhea, birth control pills, or surgeries. (hermanwallace.com)
  • A recent literature review asked if physiotherapy can help with symptoms of primary dysmenorrhea. (hermanwallace.com)
  • 2 The condition can cause severe dysmenorrhea, deep dyspareunia and chronic pelvic pain, as well as bowel and bladder symptoms and fatigue. (cmaj.ca)
  • The dysmenorrhea, dyspareunia, and chronic pelvic pain VAS scores all showed significant worsening from month 6 to 24 in the non-user group when compared with those in the continuous OC users. (medscape.com)
  • 3) had the following prevalence and mean values on the VAS scale, respectively: dysmenorrhea in 84.7% (6.9), dyspareunia in 69.1%, (4.5), menstrual dyschezia in 60.7% (4.3) and menstrual dysuria in 35.7% of patients. (bvsalud.org)
  • When there are no visible findings on vulvar exam that would suggest a cause for superficial dyspareunia, a cotton-swab test may be performed. (wikipedia.org)
  • Brauer M, Laan E, ter Kuile MM. Sexual arousal in women with superficial dyspareunia. (hermanwallace.com)
  • Brauer M, ter Kuile MM, Janssen S, Lann E. The effect of pain-related fear on sexual arousal in women with superficial dyspareunia. (hermanwallace.com)
  • Some people experience severe and wide-ranging symptoms, while others may barely notice the change. (healthline.com)
  • Dyspareunia may develop and become severe enough to lead to intolerance of intercourse. (medscape.com)
  • Ovarian cancer may cause severe and persistent symptoms. (momjunction.com)
  • They have severe, persistent or recurrent symptoms of endometriosis. (pulsetoday.co.uk)
  • The U.S. Food and Drug Administration approved Intrarosa (prasterone) to treat women experiencing moderate to severe pain during sexual intercourse (dyspareunia), a symptom of vulvar and vaginal atrophy (VVA), due to menopause. (fda.gov)
  • Efficacy of Intrarosa, a once-daily vaginal insert, was established in two 12-week placebo-controlled clinical trials of 406 healthy postmenopausal women, 40 to 80 years of age, who identified moderate to severe pain during sexual intercourse as their most bothersome symptom of VVA. (fda.gov)
  • Last spring, the federal Centers for Medicare and Medicaid Services sent guidance to Part D plans that they could cover drugs to treat moderate to severe "dyspareunia," or painful intercourse, caused by menopause. (ndtv.com)
  • All patients with Kallmann syndrome have either anosmia or severe hyposmia and may exhibit symptoms of associated conditions including those of congenital heart disease (eg, fatigue, dyspnea, cyanosis, palpitations, syncope) or neurologic manifestations (eg, color blindness, hearing deficit, epilepsy, paraplegia). (medscape.com)
  • 5. Moderate to severe symptom of vaginal pain associated with sexual activity considered the most bothersome vaginal symptom (dyspareunia) of VVA by the patient at screening visit. (who.int)
  • Early cancer symptoms are usually the feelings of fullness, bloating, and urinary urgency. (momjunction.com)
  • Please be aware, we are not an emergency service, therefore if you are experiencing signs and symptoms of urinary retention ( * ), urinary tract infection ( ** ) or wound infection ( *** ), please contact your GP or 111 if out of hours. (enherts-tr.nhs.uk)
  • A similar percentage of postmenopausal women experience genitourinary syndrome of menopause, a term used to describe a host of symptoms related to declining levels of estrogen, including vaginal dryness, itching, soreness and pain during intercourse, as well as increased risk of urinary tract infections. (ndtv.com)
  • Describe the characteristics and outcomes of patients with primary labial adhesion requiring treatment for urinary obstructive symptoms. (ispub.com)
  • While treatment is typically employed for urinary obstructive symptoms, we found vulvar symptoms were not uncommon and improved following separation. (ispub.com)
  • resulting in urinary obstructive symptoms, as demonstrated by urinary difficulty, dysuria, or recurrent urinary tract infection (UTI). (ispub.com)
  • Participants for this non-randomized retrospective chart review included 16 of 3983 new patients seen in a vulvar specialty clinic during the 8-year period from January 1995 through December 2002, for treatment of symptomatic primary labial adhesion, as demonstrated by urinary obstructive symptoms. (ispub.com)
  • Diagnosis of symptomatic labial adhesion was made by the presence of an adhesion involving the labia and urinary obstructive symptoms such as, urinary difficulty, dysuria, or recurrent UTI. (ispub.com)
  • OBJECTIVE: To describe vaginal microbiota classified by community state types (CST) in a diverse cohort of postmenopausal women and evaluate relationships among genitourinary syndrome of menopause (GSM) symptoms (vaginal dryness, vulvovaginal irritation, sexual pain, dysuria, urinary urgency), CSTs, estrogen, vaginal maturation index (VMI), and vaginal pH. (bvsalud.org)
  • According to the Society of Urodynamics, Female Pelvic Medicine, and Urogenital Reconstruction (SUFU), IC/BPS is defined as “an unpleasant sensation (pain, pressure, and discomfort) perceived to be related to the urinary bladder, associated with lower urinary tract symptoms of more than 6 weeks duration, in the absence of infection or other identifiable causes. (cdc.gov)
  • The aim of this study was to evaluate long-term effects of the fractional CO 2 laser for the treatment of vulvovaginal atrophy (VVA) symptoms. (springer.com)
  • Pieralli A, Fallani MG, Becorpi A, Bianchi C, Corioni S, Longinotti M, Tredici Z, Guaschino S (2016) Fractional CO2 laser for vulvovaginal atrophy (VVA) dyspareunia relief in breast cancer survivors. (springer.com)
  • Clinical manifestations may include hot flushes, night sweats, sleep disruption, and genitourinary syndrome of menopause (symptoms and signs due to estrogen deficiency, such as vulvovaginal atrophy). (msdmanuals.com)
  • Depression, anxiety, low self-esteem, loss of sexual desire and psychosexual trauma for example, may lead to dyspareunia. (familiprix.com)
  • Inadequate lubrication may lead to dyspareunia in many middle-aged women after menopause due to low levels of estrogen. (epainassist.com)
  • Exploring the relationship between history of infertility and the experience of menopausal symptoms. (medscape.com)
  • Some symptoms such as infertility may not be immediately apparent unless you are actively trying to get pregnant. (rapidesregional.com)
  • the DE population had a high prevalence of infertility and pain symptoms, which reflect the social impact on these women's quality of life and family planning. (bvsalud.org)
  • The diagnosis of dyspareunia is done by visualization, examining medical history, pelvic exam, and pelvic ultrasound. (mfine.co)
  • Symptoms may be nonspecific, which can lead to delays in the precise diagnosis and prolongs the ill effects of the disease. (medicinenet.com)
  • Painful sex (called dyspareunia) is a feature of the condition in up to 59 percent of all women with endometriosis, and acts as a keynote symptom - something that alerts doctors to a possible diagnosis. (marilynglenville.com)
  • The diagnosis can be made in a woman who has signs and symptoms of vaginitis when either a wet preparation (saline, 10% KOH) of vaginal discharge demonstrates budding yeasts, hyphae, or pseudohyphae, or a culture or other test yields a positive result for a yeast species. (cdc.gov)
  • Patients were assigned to short (≤ 1 year), intermediate (1-3 years), or long (3-5 years) delay cohorts based on the length of their diagnostic delay (time from first symptom to diagnosis). (springer.com)
  • Patients with endometriosis who had longer diagnostic delays had more pre-diagnosis endometriosis-related symptoms and higher pre-diagnosis healthcare utilization and costs compared with patients who were diagnosed earlier after symptom onset, providing evidence in support of earlier diagnosis. (springer.com)
  • Endometriosis diagnosis often presents challenges as symptoms are nonspecific and overlap with other gynecologic, urologic, and gastrointestinal issues resulting in long diagnostic delays. (springer.com)
  • However, most teens may not develop any symptoms, and it can be an accidental diagnosis. (momjunction.com)
  • According to recent studies these patients are at higher risk of further development of endometriosis, whereas the knowledge of the disease is low among the adolescents investigated, so those involved with adolescents both in the health profession and particularly in schools and Family Counseling Services should be educated about endometriosis and its symptoms to reduce the significant lag time between symptoms and diagnosis. (unboundmedicine.com)
  • Although surgery can provide a definitive histopathological diagnosis, most international guidelines now recommend a nonsurgical diagnosis based on symptoms, findings on physical examination and imaging to reduce delays to starting treatment. (cmaj.ca)
  • Fortunately, you can get relief from these symptoms with diagnosis and treatment from a vulvovaginal specialist. (winningwomanpost.com)
  • The experts in vaginal health at Fowler GYN International (FGI) Phoenix, AZ treat dyspareunia to restore your intimate health and enjoyment. (winningwomanpost.com)
  • What Are Symptoms of Endometriosis in the Bowel? (medicinenet.com)
  • The level of bowel involvement in endometriosis varies widely and so do the symptoms. (medicinenet.com)
  • If endometriosis is restricted to the outermost layer of the bowel (bowel serosa), it may not cause symptoms. (medicinenet.com)
  • In some women, endometriosis can cause extremely painful periods and painful sex, but some women experience no symptoms whatsoever. (marilynglenville.com)
  • Endometriosis can be triggered by a combination of factors including hormone imbalances, stress and nutritional deficiencies, so a multi-factorial approach is the quickest way to eliminating the symptoms of endometriosis. (marilynglenville.com)
  • Endometriosis symptoms are nonspecific and overlap with other gynecologic and gastrointestinal diseases, leading to long diagnostic delays. (springer.com)
  • Other outcomes were impairment of daily activities, dyspareunia, and awareness of endometriosis as a pathologic condition. (unboundmedicine.com)
  • 3 Endometriosis can involve multiple organ systems and its symptoms are often chronic, which can affect work productivity, social life, intimate relationships and mental health considerably, 4 , 5 and lead to substantial societal costs. (cmaj.ca)
  • While there is currently no cure for endometriosis, the symptoms can be managed with medication or surgery. (rapidesregional.com)
  • According to the Office on Women's Health, the most common symptom of endometriosis is pain. (rapidesregional.com)
  • If you are experiencing any of the symptoms of endometriosis, it's important to talk to your doctor as soon as possible. (rapidesregional.com)
  • In order to diagnose endometriosis, your doctor will ask you to describe your symptoms, such as the location of pain and when it occurs. (rapidesregional.com)
  • Endometriosis has no cure but the symptoms can be managed well in most cases. (medscape.com)
  • Endometriosis is a benign gynecologic disease, although the associated symptoms can significantly affect a woman's quality of life. (medscape.com)
  • Dyspareunia is physical pain experienced by women upon vaginal penetration during sexual intercourse. (familiprix.com)
  • The pain associated with dyspareunia is divided into different categories, based on where the pain is located. (familiprix.com)
  • Dyspareunia refers to pain occurring during or after sexual intercourse. (mfine.co)
  • Dyspareunia typically feels like menstrual cramps with the addition of a deep, burning pain inside the pelvis. (medicalnewstoday.com)
  • Pelvic floor disorders are conditions that cause pain, cramps, and other symptoms in the pelvic floor muscles, which support the bladder, rectum, and uterus. (medicalnewstoday.com)
  • Other symptoms include lower back pain, fatigue, bloatedness, nausea and diarrhea especially just before or during your menstrual periods. (singhealth.com.sg)
  • The primary symptom of dyspareunia is pain during sex . (gynecology-doctors.com)
  • The term 'dyspareunia' means pain during sex, and it covers a huge category of symptoms. (health.am)
  • Genital response in women with dyspareunia is however, effected by fear of pain. (hermanwallace.com)
  • Symptoms of large cysts include vulvar pressure or pain, dyspareunia, and vulvar asymmetry. (msdmanuals.com)
  • During menopause, levels of estrogen decline in vaginal tissues, which may cause a condition known as VVA, leading to symptoms such as pain during sexual intercourse. (fda.gov)
  • Pain during sexual intercourse is one of the most frequent symptoms of VVA reported by postmenopausal women," said Audrey Gassman, M.D., deputy director of the Division of Bone, Reproductive, and Urologic Products (DBRUP) in the Office of Drug Evaluation III in the FDA's Center for Drug Evaluation and Research (CDER). (fda.gov)
  • There are different treatments for vaginal dryness, it is still important to contact a specialist to avoid a worsening of this disease when we present symptoms like vaginal dryness or soreness, burning, itching or pain during sex. (topdoctors.es)
  • Treatments target symptoms and include hormonal suppression, surgery or a combination of both approaches, as well as multidisciplinary care to address persistent pain arising from central sensitization and nociplastic pain processes, if required. (cmaj.ca)
  • Dyspareunia is a general term for pain with penetration during intimate sexual contact (fingers, toy, penis). (prosayla.com)
  • Fortunately, the symptom of sexual pain with these disorders is far less common. (prosayla.com)
  • Dyspareunia is a general term for pain with penetration. (prosayla.com)
  • I don't usu-al-ly look at Wired for this kind of thing, but the arti-cle When Sex Is a Pain has some good ideas for deal-ing with dyspareunia. (technomom.com)
  • Your vaginal tissues function normally at this pH, but if the pH changes, it can irritate and damage sensitive tissues, causing the pain of dyspareunia. (winningwomanpost.com)
  • Common types of pain include very painful menstrual cramps that worsen over time and pain during or after sex (called dyspareunia). (rapidesregional.com)
  • CONCLUSIONS: Although close relationships exist among estrogen, CSTs, VMI, and pH, sexual pain was the only GSM symptom associated with the structure of vaginal microbiota and atrophy biomarkers. (bvsalud.org)
  • Dyspareunia (pain during sexual intercourse) due to vaginal irritation from the lack of hormones can also have an emotional effect on you and your partner. (medlineplus.gov)
  • The most common symptom is vaginal spotting, which usually results from a break in the thin vaginal mucosa. (medscape.com)
  • The extent and severity of symptoms varies significantly. (medicinenet.com)
  • This study found that among postmenopausal women with no known cardiovascular disease, the severity of individual menopausal symptoms was significantly associated with incident CVD and mortality. (medscape.com)
  • The approach that you and your doctor choose will depend on factors such as the severity of your symptoms, the extent of the endometriotic deposits and whether you hope to become pregnant. (singhealth.com.sg)
  • Severity of symptoms is not related to disease stage. (msdmanuals.com)
  • The symptoms of menopause can vary widely among women, both in type and severity. (bewellbuzz.com)
  • Oral contraceptives (OCs), progesterone preparations, androgens, and gonadotropin-releasing hormone agonists alone or in combination with nonsteroidal anti-inflammatory agents are all effective in reducing the severity of the symptoms. (medscape.com)
  • Symptoms and signs related to the menopausal transition such as irregularities in the menstrual cycle, can begin up to 10 years prior to the last menstrual period. (medicinenet.com)
  • These fluctuations can result in irregular menstrual cycles and a host of other symptoms. (bewellbuzz.com)
  • Most women with mild to moderate vaginal atrophy (60-90%) are asymptomatic or have symptoms that cause no distress. (medscape.com)
  • In acute vulvovaginal candidiasis, vulvar pruritus and burning are the main symptoms. (medscape.com)
  • Pruritus is the cardinal symptom. (medscape.com)
  • It has been estimated that approximately 1 in 5 women suffer from dyspareunia. (familiprix.com)
  • Dyspareunia can develop in women who are already sexually active. (familiprix.com)
  • In 2020, dyspareunia has been estimated to globally affect 35% of women at some point in their lives. (wikipedia.org)
  • Women presenting with VVA symptoms and meeting inclusion criterion were enrolled to fractioned CO 2 laser therapy. (springer.com)
  • For many women, having a tilted or retroverted uterus doesn't cause any symptoms at all. (healthline.com)
  • The symptoms vary between women. (marilynglenville.com)
  • Examination of a wet mount with KOH preparation should be performed for all women with symptoms or signs of VVC, and women with a positive result should be treated. (cdc.gov)
  • Identifying Candida by culture in the absence of symptoms or signs is not an indication for treatment because approximately 10%-20% of women harbor Candida species and other yeasts in the vagina. (cdc.gov)
  • However, half the women who meet clinical criteria for BV have no symptoms. (cdc.gov)
  • Clinical considerations for menopause and associated symptoms in women with HIV: Released November 15, 2022. (medscape.com)
  • IMB occurs in 20% of women in the first three months of starting the combined oral contraceptive pill (COCP) and in 30% with the progesterone-only pill, and some form of initial irregularity occurs in most women with the contraceptive implant or levonorgestrel-releasing intrauterine device, so it does not require further assessment unless it's prolonged or there are red flag symptoms (see part 1 of this series). (pulsetoday.co.uk)
  • This and other studies have shown that genital response in women with dyspareunia is not impaired. (hermanwallace.com)
  • When Brauer and colleagues subjected women with dyspareunia to threat of electrical shock (not actual shock) while watching an erotic movie clip they found that women with dyspareunia had much diminished sexual response including diminished genital arousal. (hermanwallace.com)
  • Intrarosa provides an additional treatment option for women seeking relief of dyspareunia caused by VVA. (fda.gov)
  • The prevalence of aerobic vaginitis has been estimated in different populations as being present in 5-13% of asymptomatic women and affecting a greater proportion of women with vaginal symptoms. (dermnetnz.org)
  • For women, this is about postmenopausal symptoms. (ndtv.com)
  • Over 95% of women who follow through with the entire protocol see results, including a resolution of their dyspareunia. (winningwomanpost.com)
  • Haemoglobin level, postoperative fever, symptoms of dyspareunia and frequency of sexual intercourse were not significantly different between the 2 groups of women. (who.int)
  • Many women report intensified PMS symptoms during perimenopause, including mood swings and bloating. (bewellbuzz.com)
  • For women, symptoms include amenorrhea and dyspareunia. (medscape.com)
  • B A B A B N A N A B B A B A A B A Bm B A A B A N A ABSTRACT To determine symptoms, perceptions and practices after natural menopause by women aged 50-59 years, we conducted a cross-sectional study of 450 women from Alexandria. (who.int)
  • Menopause symptoms usually start about 4 years before the final period. (healthline.com)
  • It's worth seeking medical help if menopause symptoms are affecting your daily life, you have other symptoms not related to menopause, or you're experiencing menopause symptoms and are younger than age 45 years. (healthline.com)
  • What are menopause symptoms? (medicinenet.com)
  • If you had an oophorectomy (surgery to remove the ovaries), or a hysterectomy with an oophorectomy, and are not taking hormones you may experience menopause symptoms sooner. (medlineplus.gov)
  • Estrogen-like to relieve menopausal vasomotor symptoms and vaginal dryness. (rxlist.com)
  • Treatment options of dyspareunia includes medications and certain lifestyle changes. (mfine.co)
  • Treatment can help manage these symptoms. (healthline.com)
  • Treatment with azoles results in relief of symptoms and negative cultures in 80%-90% of patients who complete therapy. (cdc.gov)
  • Treatment The principal goal of therapy is to relieve vaginal symptoms and signs. (cdc.gov)
  • However, because of the risk of osteoporosis and development of symptoms of menopause, treatment is recommended only for a short time, and following discontinuation, the symptoms may recur. (sls.org)
  • Request information about dyspareunia treatment today: Call (424) 365-1800 or contact Dr. Jeremy Fischer online . (gynecology-doctors.com)
  • The best dyspareunia treatment will vary depending on the cause of the problem. (gynecology-doctors.com)
  • The only way to determine the best treatment course is to meet with a dyspareunia doctor or other medical professional. (gynecology-doctors.com)
  • The first focuses on the treatment of sexual dysfunctions such as hypoactive sexual desire , premature ejaculation , male erectile disorder , dyspareunia , and female arousal and orgasmic disorders . (health.am)
  • Dyspareunia is treatable and the proper treatment can assist you in maintaining good sex life while also improving your self-image, confidence, and emotional relationships. (epainassist.com)
  • Dyspareunia can be resolved by treatment, and some symptoms may be relieved only by understanding the cause. (epainassist.com)
  • Request information about dyspareunia treatment today: Call (813) 536-3212 or contact Dr. Christopher Van Benschoten online . (gynecology-doctors.com)
  • With treatment of your dyspareunia, you can. (winningwomanpost.com)
  • Thirteen (of 14) patients endorsed vulvar symptoms prior to treatment of which, 8 noted resolution and 5 noted improvement following labial separation. (ispub.com)
  • Nevertheless, ospemifene was viewed as the therapeutic option with the most efficacy, easiest route of administration, shorter time to symptom improvement, lower percentage of dropouts, and higher treatment adherence. (bvsalud.org)
  • Signs and symptoms of ovarian cancer may not be seen in many teens until the cancer is widespread. (momjunction.com)
  • The following are the usual signs and symptoms of cancerous growth in the ovaries of a teen (2) . (momjunction.com)
  • Patients commonly complain of both symptoms after intercourse or upon urination. (medscape.com)
  • Symptoms of uterine incarceration can be hard to recognize, and they usually don't show up until after the first trimester. (healthline.com)
  • Psychological factors can sometimes be associated with dyspareunia. (familiprix.com)
  • Fear, avoidance, and psychological distress around attempting intercourse can become large parts of the experience of dyspareunia. (wikipedia.org)
  • Some may experience few or no symptoms of menopause, while others experience multiple physical and psychological symptoms. (medicinenet.com)
  • Dyspareunia is not a fatal condition but it can cause serious psychological and relationship issues. (epainassist.com)
  • You may have had a similar experience, with other doctors failing to treat your symptoms or dismiss them as psychological. (winningwomanpost.com)
  • Symptoms of rectal urgency caused by a mass in the pouch of Douglas may also be present. (medscape.com)
  • Depending on the condition and cause behind Dyspareunia your physician will decide on the use of medications or psychotherapy. (epainassist.com)
  • Dyspareunia can be managed by using several therapies without using any medications. (epainassist.com)
  • This type of therapy is even important when you are having medications for dyspareunia. (epainassist.com)
  • Selective estrogen receptor modulators (SERM) are a class of medications used to relieve postmenopausal symptoms and to prevent bone loss ( osteoporosis ) associated with menopause . (rxlist.com)
  • As the hypoestrogenic state becomes chronic, additional symptoms arise. (medscape.com)
  • Your doctor will speak to you about the symptoms that you experience and also do a physical examination. (singhealth.com.sg)
  • Because breast cancer is common and may mimic benign disorders, the approach to all breast symptoms and findings is to conclusively exclude or confirm cancer. (msdmanuals.com)
  • Patients with Kallmann syndrome may have any of these symptoms as manifestations of congenital heart disease such as atrial septal defect (ASD), ventricular septal defect (VSD), Ebstein anomaly, transposition of the great vessels, right aortic arch, atrioventricular block, right bundle-branch block, and Wolff-Parkinson-White (WPW) syndrome. (medscape.com)
  • Symptoms of vaginitis are one of the most common gynecologic complaints. (msdmanuals.com)
  • In my practice I spend time taking a detailed history of bowel habit (consistency, frequency, mucus, blood and bloating) and of potential bladder or ureteric symptoms. (pulsetoday.co.uk)
  • Typically surgery is combined with postoperative medical therapy to delay disease and symptom recurrence. (medscape.com)
  • These medicines typically need to be taken long-term, as stopping them may lead to recurrence of symptoms. (singhealth.com.sg)
  • Symptoms of hormonal imbalance can be a blessing. (nairaland.com)
  • This period is characterized by a range of biological and hormonal changes that can lead to symptoms similar to, but often milder than, those experienced during menopause. (bewellbuzz.com)