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Perimenopause and mental health: Beyond hormonal vs psychological

A clinical commentary in Contemporary OB/GYN argues that mental health symptoms during perimenopause should not be reduced to a simple choice between hormonal causes and psychological ones. It urges clinicians to consider the interaction of fluctuating estrogen and progesterone with life stressors, sleep disruption and a woman's psychiatric history when assessing mood changes in midlife. The piece reflects a broader push in women's health toward more nuanced, individualised care during the menopause transition.

Why now: Growing public and clinical attention to perimenopause and women's midlife mental health is prompting discussion of better diagnostic and treatment approaches.

Contemporary OB/GYNperimenopausemental health

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