Menopause occurs 12 months after a woman's last period. The years preceding that point, during which women may experience changes in their monthly cycles, hot flashes, or other symptoms, are referred to as the menopausal transition or perimenopause. Menopause usually begins between the ages of 45 and 55. It usually lasts seven years but can last up to fourteen years. The length of time can vary depending on lifestyle factors such as smoking, the age at which it begins, and race and ethnicity. The body's production of oestrogen and progesterone, two hormones produced by the ovaries, varies greatly during perimenopause. The menopausal transition affects each woman differently and in different ways. The body begins to use energy in new ways.

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