Definition
Menopause is the permanent cessation of menstruation, marked by 12 consecutive months without a period. Postmenopause is a new physiological state, not merely the absence of the previous one.
Why it matters
Postmenopause is a real, distinct biological state deserving specific care — not just a symptom-management interval.
The Science
Long-term consequences include increased cardiovascular and bone risk, changes in cognition, and shifts in body composition. Menopausal hormone therapy is now understood to be appropriate for many women, especially when initiated early in the postmenopausal window, though decisions must be individualized.
The NSI Perspective
NSI treats menopause as a serious life stage worth serious attention — not a decorative topic.
Clinical Implications
Menopause care should be part of every internist’s and family physician’s toolkit. Referral to menopause-specialist clinicians when needed is dignified care.
Practical Application
Menopause is not the end. It is a new physiological stage — with specific care worth demanding.
References
- 1.Manson JE, Chlebowski RT, Stefanick ML, et al. Menopausal hormone therapy and health outcomes during the intervention and extended poststopping phases of the Women’s Health Initiative randomized trials. JAMA. 2013;310(13):1353–1368.