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The transition to menopause begins and ends at different times. Factors like your family history, personal health history, and whether you smoke can all impact menopause onset. Perimenopause is the period of life when you may start experiencing hormonal changes that eventually will lead to menopause. Menopause is when you have completed 12 consecutive months without a period, after which you start postmenopause. If symptoms of perimenopause and menopause are interfering with your quality of life, consider discussing them with a healthcare professional. It is possible to manage many symptoms, and some of these may have a different cause. (责任编辑：) |