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Menopause is the permanent end of a woman’s menstrual periods and child bearing years. For most women this happens in their fifth decade. However, it can occur early secondary to radiation, chemotherapy or surgery. Hormonal changes occur with menopause. Estrogen and progesterone levels decrease as ovarian function declines. For many women, these changes lead to a host of symptoms including night sweats, hot flashes, mood changes, fatigue, weight gain and sleep problems. The symptoms and the severity of the symptoms that each woman experiences are highly variable, but menopause impacts the lives of most women in some way.