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This article needs more medical references for verification or relies too heavily on primary sources. Please review the contents of the article and add the appropriate references if you can. Unsourced or poorly sourced material may be challenged and removed. April Italian singer Gianna Nannini was 56 years old when she gave birth in Pregnancy over age 50 has, over recent years, become possible for more women , and more easily achieved for many, due to recent advances in assisted reproductive technology , in particular egg donation. Typically, a woman's fecundity ends with menopause , which by definition is 12 consecutive months without having had any menstrual flow at all.
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Joanna’s First Gynecological Exam

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Premenstrual Syndrome PMS Polycystic ovary syndrome is a clinical syndrome characterized by mild obesity, irregular menses or amenorrhea, and signs of androgen excess eg, hirsutism, acne. Most patients have multiple cysts in the ovaries. Diagnosis is by pregnancy testing, hormone measurement, and imaging to exclude a virilizing tumor. In the US, it is the most common cause of infertility. PCOS is usually defined as a clinical syndrome, not by the presence of ovarian cysts.
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View my most recent research Dr. Shifren's research focuses on menopause, including the effects of estrogens, androgens and alternative therapies on menopausal symptoms, mood, and sexual function. Shifren has served as Principal Investigator and Co-Investigator for several important studies related to the menopause and female sexuality.
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