vasomotor and other symptoms usually follow but even precede cessation of menses.
1. Menstrual. Menses stop as already described under menopause. A proportion of premenopausal women come with emotional symptoms, loss of libido and dry vagina during intercourse, Hot flushes and sweats are complained with scanty and delayed menses by some women.
2. Vasomotor. 'Hot flushes' (feeling of warmth) due to cutaneous vasodilatation are commonly experienced by these, women on the face and neck spreading all over the body; this feeling of heat may be followed by sweating. They may come once a day but sometimes every hour; they come particularly at night. These are characteristic manifestations of menopausal syndrome.
3. Emotional. This is manifested by headache, irritability, sleeplessness, giddiness, fatigue, depression, palpitation. There may be sensations of 'pins and needles' in the sole and palm. Disturbed sleep can be due to hot flushes and sweats.
4. Sexual. These are decreased libido and dyspareunia due to atrophic vaginitis and lack of vaginal lubrication during intercourse.
5. Musculoskeletal. These appear as backache, pain in joints due to laxity of ligaments and muscles.
Read More Information ... http://hubpages.com/hub/All-about-menopause