The menopause

Epidemiological studies do not demonstrate any increase in major psychiatric morbidity in women of menopausal age. However, mild to moderate depression or anxiety may develop at this time of life; perhaps secondary to hormone changes, perhaps reactive to physical symptoms, or perhaps reflecting life changes such as children leaving home, death of parents, and awareness of ageing.

Again, a variety of treatments has been used (http://www.clinicalevidence. com/ceweb/conditions/woh/0804/0804.jsp), especially hormone replacement therapy (HRT): progesterone alone is 'beneficial', but oestrogen alone or in combination with progesterone causes 'improved menopausal symptoms but increased risk of breast cancer, endometrial cancer, stroke, and venous throm-boembolism after long term use', and there is a 'trade-off between benefits and harms'. Antidepressants are of 'unknown effectiveness'.

From PMS To PPD

From PMS To PPD

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