Perimenopause: an opportunity for health promotion.

Women throughout the world experience menopause, yet the effects of estrogen deficiency, which are more extensive than the commonly reported symptoms of hot flashes, vaginal atrophy, and osteoporosis, are rarely discussed. Using an empathetic approach can enable nurses to teach women more effectively about the multisystem effects of perimenopause and counsel them to implement and maintain the life-style changes necessary for promoting health during this time of life.