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In 2004, Bochinski et al

10.1016/j.jep.2024.117892 209 ZhuQ.HanY.HeY.MengP.FuY.YangH.et al (2024b)

These red flags include: heavy bleeding bleeding after sex bleeding after menopause chest pain fainting sudden neurological symptoms severe depression thoughts of self-harm new severe pain recurrent UTIs painful sex Another benefit to speaking with a menopaused-trained expert, such as a Midi clinician: They will be able to go over your symptoms and medical history, determine whether you are in perimenopause or have hit menopause, and give advice on the best care options for your unique needs

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The methodology was appropriate for its claims but doesnt translate to clinical use