Menopause  usually occurs at a median age of 50 in women. Those going through the transitional period develop hormonal and physiologic changes that lead to  Hot flashes, sleep disturbance and mood changes.

Determining whether in Menopause is important due to the beginning of accelerated bone loss and increase in cardiovascular risk in women from lack of  estradiol production due to ovarian depleption. 

Confirming some of these disabling  symptoms  impacting quality of life such as hot flashes, night sweats, sleep distrubances, are due to menopausal transition can provide reassurance and allow appropriate intervention.