Menopause rarely occurs as a sudden loss of ovarian function. Ovulation in occurs sporadically or periods may end suddenly, become scantly or irregular or the intermittent heavy before altogether. With the increasing life span of American women, most can expect to live one third of their lives after their reproductive years. As women age many experience transitions hat present challenges and require adaptation such as changing health, work, or marital status. Now where is this more true with the changes associated with menopause. In the United States, menopause usually occurs during the late 40s and early 50s, with the median age. Median age being 51 to 52 years the average age for the onset of the perimenopausal transmission is 46 years, 95% women experience the onset between ages 39 and 51. The average duration of the perimenopause period is 4 to 5 years, with 95% of women postmenopausal by age 58.