title: Position of the Spanish Menopause Society regarding the management of perimenopause.
abstract: Perimenopause is an imprecise period in woman over 40 years of age, which comprises the time between the moment that the first changes in the menstrual cycle appear and the year following the definitive cessation of the menses. Besides irregular bleeding, many women also complain of hot flashes and other characteristic symptoms of postmenopause. Moreover, most of them are concerned about the future impact that these events may have on their health, such as needing health exams or continuing to use contraceptive methods. A panel of experts from the Spanish Menopause Society has met to establish diagnostic and therapeutic guidelines for this period based on the best available evidence.
authors: Department of Obstetrics and Gynecology, University of Granada, Granada, Spain. Electronic address: nicomendoza@telefonica.net.
authors: N
authors: N
authors: Mendoza
authors: Clínica Diatros, Barcelona, Spain. Electronic address: rschez.borrego@diatros.com.
authors: R
authors: R
authors: Sánchez-Borrego
authors: Hospital de Guadalajara, University of Alcalá, Guadalajara, Spain. Electronic address: mcanceloh@sego.es.
authors: M J
authors: MJ
authors: Cancelo
authors: Hospital De Manacor, Islas Baleares, Spain. Electronic address: acalvop@hotmail.com.
authors: A
authors: A
authors: Calvo
authors: Hospital Del Mar, Barcelona, Spain. Electronic address: macheca@imas.imim.es.
authors: M A
authors: MA
authors: Checa
authors: Hospital de Mallorca, Islas Baleares, Spain. Electronic address: cortes@ocea.es.
authors: J
authors: J
authors: Cortés
authors: Hospital De Cruces, Vizcaya, Spain. Electronic address: melorriagag@sego.es.
authors: M A
authors: MA
authors: Elorriaga
authors: Hospital De Basurto, Vizcaya, Spain. Electronic address: tdiazm@sego.es.
authors: T
authors: T
authors: Díaz
authors: Hospital de Zaragoza, Zaragoza, Spain. Electronic address: jvgonzal@unizar.es.
authors: J V
authors: JV
authors: González
authors: Hospital Santiago Apostol, Vitoria, Spain. Electronic address: ilete@hsan.osakidetza.net.
authors: I
authors: I
authors: Lete
authors: Hospital Infanta Sofia, San Sebastián De Los Reyes, Madrid, Spain. Electronic address: ploboa@gmail.com.
authors: P
authors: P
authors: Lobo
authors: Hospital De Cruces, Vizcaya, Spain. Electronic address: txanton.martinez-astorquiza@osakidetza.net.
authors: T
authors: T
authors: Martínez-Astorquiza
authors: Hospital Virgen de Arrixaca, Murcia, Spain. Electronic address: anibal.nieto@hotmail.com.
authors: A
authors: A
authors: Nieto
authors: Hospital Clinico, Málaga, Spain. Electronic address: olalla_miguel_angel@hotmail.com.
authors: M A
authors: MA
authors: Olalla
authors: Hospital de Requena, Valencia, Spain. Electronic address: ezepacopc@ono.com.
authors: E
authors: E
authors: Pérez-Campos
authors: Clinica Tres Torres, Barcelona, Spain. Electronic address: rosa.porqueras@santiagodexeus.com.
authors: R
authors: R
authors: Porqueras
authors: Hospital San Juan, Alicante, Universidad Miguel Hernández, Alicante, Spain. Electronic address: fqueredas@sego.es.
authors: F
authors: F
authors: Quereda
authors: Hospital Universitario Virgen de las Nieves, Granada, Spain. Electronic address: asalaman@ugr.es.
authors: A
authors: A
authors: Salamanca
authors: Hospital de Guadalajara, University of Alcalá, Guadalajara, Spain. Electronic address: edelaviuda@telefonica.net.
authors: E
authors: E
authors: De La Viuda
mesh_terms: D000328:Adult; D000367:Age Factors; D001943:Breast Neoplasms / Q000517:prevention & control; D003267:Contraception; D019317:Evidence-Based Medicine; D005260:Female; D019584:Hot Flashes / Q000503:physiopathology; D006801:Humans; D008403:Mass Screening; D008593:Menopause / Q000502:physiology; D008597:Menstrual Cycle / Q000502:physiology; D008599:Menstruation Disturbances / Q000175:diagnosis / Q000628:therapy; D008875:Middle Aged; D047648:Perimenopause / Q000502:physiology*; D017698:Postmenopause / Q000502:physiology; D013030:Spain; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control
keywords: Abnormal bleeding; Perimenopause; Screening