Ovaries begin to decline in hormone production during the mid-30s and typically continue to decline to around the age of 47; this phase is called perimenopause. During this phase, the process accelerates and hormones fluctuate more, causing irregular menstrual cycles and unpredictable episodes of heavy bleeding. By the early to mid-50s, menstruation ends; this phase is called menopause. Two or three years following menopause is the phase called climacteric.
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