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Your doctor will ask whether you have any menopause-related symptoms, such as hot flushes, irregular periods, headaches or dryness of the vagina. It may also be a good idea to discuss other changes in your life at this time. What are your children up to? How about your parents? Are you content with yourself and your place in the family, at work, in the

community? Are all your important relationships in good-order? How do you see yourself and your future? That sort of thing.

Your doctor will also check your medical history, including any experience of breast disease such as cysts, breast cancer and so on, and diseases of the reproductive system (cancers of the cervix, uterus or ovaries, fibroids, endometriosis, premenstrual syndrome and so on). He or she will also want to know whether you have had any abnormal blood clotting or high blood pressure, including elevated blood pressure during pregnancy (pre-eclampsia).

Your menstrual history is also of interest, and so are any experiences of anorexia, menstrual periods disappearing for longer than six months, and long-term use of steroids — for example, for the treatment of asthma or thyroid disease.

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