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Psychology of sex - Total No. of Records in System :: 2032

Psychology of sex - Total No. of Records in System :: 2032

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MARRIAGEThe MenopauseThe menopause cannot fail to constitute a psychologicalepoch <strong>in</strong> marriage, even though its importance was formerlyexaggerated. <strong>No</strong>wadays the pendulum has swungtowards the opposite extreme. Various medical womennow declare that the attribution <strong>of</strong> ailments to the climactericismerely an "obsession" and that they rarely f<strong>in</strong>ddue to this cause.any symptoms directlyYet we have here a phenomenon which cannot be withoutdirect psychological significance for the woman herselfand an <strong>in</strong>direct bear<strong>in</strong>g on her family and social life.It marks the end <strong>of</strong> her reproductive phase just as pubertymarked its beg<strong>in</strong>n<strong>in</strong>g.The menopause, climacteric,* or "change <strong>of</strong> life," as itis variously termed, is the <strong>in</strong>volutional period <strong>of</strong> the reproductive<strong>sex</strong>ual system, and occurs between wide limits<strong>of</strong> age, 35 to 55, but most commonly between 45 to 50,and iscompleted with<strong>in</strong> two 'or three years; it is said nowto occur on the average some five years later than wasthe average <strong>of</strong> half a century ago. It is associated withchanges <strong>in</strong> the functional activity <strong>of</strong> the endocr<strong>in</strong>e glands,and also <strong>in</strong> the autonomic nervous system, with consequentemotional, vasomotor, and nervous symptoms, <strong>of</strong>which palpitations and flush<strong>in</strong>g are found specially unpleasantand are due not so much to heightened bloodpressure as to oscillations <strong>in</strong> that pressure. We are nothere called upon to consider the possible <strong>in</strong>itial causes<strong>of</strong> these changes. Maran6n long s<strong>in</strong>ce advocated a pluriglandulartheory <strong>of</strong> the menopause, fundamentally <strong>in</strong> theovaries, thyroid, and suprarenals, and secondarily <strong>in</strong> the*The menopause is sometimes dist<strong>in</strong>guished from the climacteric,the former as the time when menstruation ceases, and the latter as thelater period <strong>of</strong> the cessation <strong>of</strong> ovulation.[317]

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