Menopause, like puberty, is considered a critical period in a woman’s life. The ongoing age-related neuroendocrine restructuring leads to the extinction of menstrual and reproductive function. This process affects the physical and mental state of the woman and can cause climacteric depression.      

Menopause is a physiological phenomenon, but it can manifest itself as a climacteric or menopausal syndrome. The pathological course of menopause is found in 75-80% of women, but only 10-15% go to the doctor.        

The course of menopause depends on biological, psychological, social and cultural factors. On the one hand, neuroendocrine restructuring leads to the appearance of somatovegetative and mental disorders . On the other hand, climacteric syndrome is a psychosocial illness .        

In the climacteric period, marital status, relationships with children, financial situation, etc. are of great importance for a woman . All these factors contribute to the adaptation of a woman in the transition period, or make it difficult for her, leading to depression.     

The emergence of disorders in menopausal syndrome, their course depends on premorbital personality traits, which determine the ability to cope with difficulties and adapt. Psychologists have found that women with a low level of life satisfaction are more likely to suffer from climacteric syndrome.      

Symptoms of the climacteric syndrome

1. Vegetative-vascular disorders: headache, dizziness, increased blood pressure, chills. The most common signs are hot flashes and sweating.  
2. Endocrine disorders: obesity, dyshormonal hyperplasia of the mammary glands, osteoporosis.
3. Mental disorders.

Also, disorders in menopause include: decreased needs, difficulty concentrating, aggressiveness, irritability, resentment. These disorders can manifest themselves with greater severity under the influence of external and internal factors. Differentiated diagnosis is required to prevent climacteric depression .