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Menopause and the time leading up to it – perimenopause – can present a host of issues for women from mood changes, changes in metabolism and weight gain, to painful sex.

“Everyone thinks menopause is hot flashes and night sweats, but it’s more nuanced and complex,” said Monica Christmas, associate professor of obstetrics and gynecology at the University of Chicago. “Symptoms associated with menopause can begin seven to 10 years before a woman goes into menopause.”


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