The 2001 Stages of Reproductive Aging Workshop (STRAW) divided female repoductive aging into various stages.
Patient selection: healthy women with regular cycles during reproductive years
Status
Stage
early reproductive (starts with menarche)
-5
peak reproductive
-4
late reproductive (regular menstrual cycles but rising serum FSH)
-3
early menopausal transition period (variability in menstrual cycle)
-2
late menopausal transition period (onset of skipped cycles or amenorrhea of at least 60 days)
-1
final menstrual period (FMP)
0
early postmenopausal
+1
late postmenopausal
+2
Rahman et al used a somewhat abbreviated form.
Menstrual Cycle
minor changes in cycle length
premenopause
increasing irregularity of menses without skipping periods after a previously regular cycle
early perimenopausal
menstruation in the previous 2 to 12 months but not in past 3 months
late perimenopausal
no menstrual bleeding in the previous 12 months
postmenopausal
This means that the classification of postmenopausal is a retrospective diagnosis.
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Specialty: Obstetrics & Gynecology
