A 52-year-old female patient thinks she is "losing her mind" because of her constant anxiety, inability to sleep, and headaches. The nurse realizes that this patient is describing symptoms of which health condition?
1. amenorrhea
2. perimenopause
3. postmenopause
4. dysmennorrhea
Correct Answer: 2
Psychologic symptoms of perimenopause include anxiety, inability to sleep and headaches. Amenorrhea is the absence of menstruation. Primary amenorrhea, absence of menarche by age 16, or by age 14 if secondary sex characteristics fail to develop, may be caused by structural abnormalities, hormonal imbalances, polycystic ovary disease, or an imperforate hymen. The postmenopausal period begins one year after the final menstrual period. No information is given in the question about menstrual flow. Dysmenorrhea is pain or discomfort associated with menstruation.
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