Menopause or "change of life" is defined as the absence of periods for six months or more.  The average age of menopause in the U.S. is around age 51.  For some women this occurs earlier or later and could be affected by many factors such as family history, patient's health, smoking, surgical history etc.  Often menopause is accompanied by hot flashes, night sweats, mood changes, changes in sex drive (or libido), vaginal dryness and skin changes.  Dr. Imtiaz will discuss your symptoms and individualize your treatment.