RT Book, Section A1 Manson, JoAnn E. A1 Bassuk, Shari S. A2 Jameson, J. Larry SR Print(0) ID 1141275166 T1 Menopause and Postmenopausal Hormone Therapy T2 Harrison's Endocrinology, 4e YR 2017 FD 2017 PB McGraw-Hill Education PP New York, NY SN 9781259835728 LK accessbiomedicalscience.mhmedical.com/content.aspx?aid=1141275166 RD 2024/04/19 AB Menopause is the permanent cessation of menstruation due to loss of ovarian follicular function. It is diagnosed retrospectively after 12 months of amenorrhea. The average age at menopause is 51 years among U.S. women. Perimenopause refers to the time period preceding menopause, when fertility wanes and menstrual cycle irregularity increases, until the first year after cessation of menses. The onset of perimenopause precedes the final menses by 2–8 years, with a mean duration of 4 years. Smoking accelerates the menopausal transition by 2 years.