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MENOPAUSE

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cours gynécologie intitulé menopause

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Uploaded on
April 25, 2023
Number of pages
27
Written in
2021/2022
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Faculté d e m é d e c i n e
C H U Ti z i O U Z O U
g y n é c o l o g i e obstétri qu e




L A M É N O PA U S E

, Définition
 D u grec « m é n o » = règles et « pa use » = arrêt
 La m é n o p a u se est u n phé nomè ne naturel défini
par la disparition définitive de s règles
(aménorrhée) depuis a u moins u n an, associée
da ns environ 5 0 % de s c a s à un syndrome
climatérique. La majorité de s sym ptôme s sont
liés à une carence ostrogénique qui est
secondaire à l’épuisement du capital folliculaire
ovarien.
 Elle survient en moye nne vers l’âge de 5 0 ans,
dite précoce qua nd elle survient avant 4 0 ans.

, Physiopathologie
 La ménopause est liée à l’épuisement du
stock folliculaire ovarien, Elle est
précédée d’une phase dite de péri-
ménopause qui est caractérisée par une
irrégularité des cycles, d’abord
raccourcis puis allongés, une
dysovulation puis une anovulation, qui
s’installe environ 5 ans avant
l’interruption définitive des règles
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