Managing Menopause, Some Symptoms and Treatments Other than fibroids and irregular vaginal bleeding, managing menopause symptoms is perhaps the third most common problem I have encountered in my GYN practice. Managing menopause is a tough issue to deal with in women’s health. It is often a cluster of vague symptoms for many women and is a transition that can occur over many years. It refers to the transitional state as perimenopause and this transition is full of conflicting opinions on how it should best treat. The reason for this is that the symptoms can mimic symptoms of other gynecologic problems that must teste. Irregular bleeding during the transition to menopause is by far the most common problem where management can be difficult for a patient and health care provider. For women in their 50′ the occurrence of irregular bleeding can (though rare) be a manifestation of endometrial cancer (cancer of the uterus). The importance of evaluating abnormal bleeding, especially with...