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Dr. Giuseppe Cenzato introduces the topic of premenopause. Premenopause is a physiological phase in a woman's life that marks the transition from fertile age to the absence of menstruation. The change in a woman's hormonal balance causes some imbalances. Among the most frequently reported symptoms, in addition to the delay or partial absence of menstruation, are tiredness, headache, and sleep or falling asleep disorders. On a physical level, a premenopausal woman may also experience a decrease in libido and slight vulvo-vaginal atrophy.