[ XXXX in perimenopausal period].

@entity1 @entity64 @entity308 @entity5 @entity1316 @entity2531 @entity74 @entity583
In the article are two frequently misused notions are defined: climiacterium and menopause. @entity74 can appear 2 to 6 years before and continue for 2 to 6 years after menopause, with their duration up to 20 years. An attempt of qualitative approach to menopausal ailments is the point scale by Kupperman. The diversity of the symptoms encountered in @entity1 in perimenopausal period is the reason to seek medical advice from experts in various disciplines: internal medicine, cardiology, gynaecology, neurology, rheumatology, and least frequently psychiatry, as it is fairly common for @entity1 to perceive life problems or mental stress as @entity2531 . In Poland, middle-aged @entity1 constitute 30% of all @entity1 . Medical approach to their health problems is focused on somatic diseases like @entity583 , @entity64 , and @entity5 , which are likely to contribute to shortening of life expectancy. Growing awareness of the problem of @entity308 among doctors non-psychiatrists may contribute to desirable change in doctors' and @entity1 ' attitude to this disease. The average prevalence of @entity308 is estimated to be about 17% of the total population. @entity308 is thrice more frequent among @entity1 than among @entity1 . The peak of incidence is seen among middle-aged @entity1 . In this article clinical forms of @entity1316 are discussed according to the current DSM IV classification, main symptoms suggesting @entity308 are given, and @entity308 , the most common and most difficult to detect form of the disease is discussed. Risk factors for @entity308 are presented, and attention is paid to the dramatic fact that @entity308 may not only decrease the quality of life, but may also stand behind the @entity1 's loss of full functional capacity or even death. Suicidal thoughts are experienced by 60% of @entity308 @entity1 , while as many as 15% of them do actually commit suicide. Collective analysis of the @entity308 risk factors and concomitant somatic disorders in a given @entity1 will surely increase the likelihood of correct diagnosis.
