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There are tests that can check your ovaries and spot a decrease in fertility. The ovaries don't abruptly stop working, they slow down over time.

The transition to menopause is called perimenopause.

As menopause approaches, a woman's menstrual periods will likely change.

But those changes can vary from woman to woman -- periods may get shorter or longer, heavier or lighter, with more or less time between periods.

Hormone replacement therapy can ease some menopausal symptoms.

Various prescription products are available to treat hot flashes and vaginal symptoms.

Dressing in light layers, using a fan, getting regular exercise, avoiding spicy foods and heat, and managing stress may help you deal with hot flashes.

Custom-compounded bioidentical products aren't FDA approved. Interested in trying alternative or complementary treatments for menopause symptoms?

According to the National Institutes of Health, there hasn't been a lot of well-designed research on this topic, so the research isn't firm enough to draw conclusions about treatments such as black cohosh, dong quai, red clover (shown here), and soy.

Those include surgical removal of the ovaries (bilateral oophorectomy), chemotherapy, and pelvic radiation therapy. are 51 at natural menopause, notes the National Institute on Aging. A few women start menopause as young as 40, and a very small percentage as late as 60.

Having a hysterectomy (surgical removal of the uterus) without removing the ovaries does not lead to menopause, although you will not have periods anymore. Women who smoke tend to go through menopause a few years earlier than nonsmokers. It's only after a woman has missed her periods for 12 straight months, without other obvious causes, that menopause can be confirmed.

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Some doctors claim that compounded bioidentical hormones are safer.