One of the problems with getting an accurate diagnosis of menopause is that the typical signs, including hot flushes, night sweats, heavy irregular bleeding and mood disorders, can sometimes be caused by other health conditions.And it's important to rule these out.'Of course, if a woman is aged over 45 and has tell-tale symptoms that her oestrogen levels are declining, such as these characteristic symptoms, it's probably perimenopause or menopause, but it's not always so straightforward,' says Dr Karen Morton, a consultant gynaecologist who runs a menopause clinic in Guildford, Surrey, and online.
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