What are the symptoms of impending menopause?

Patient's question:

What are the symptoms of menopause approaching? I am 51 years old, and my menstrual cycle sometimes comes every few months, sometimes it doesn't. Is it menopause?

Doctor's answer:

Here is the English translation of the provided content, with line breaks preserved as instructed:
(1) Mental aspects: Changes such as emotional instability, anxiety, suspicion, insomnia, and depression may occur.
(2) Circulatory aspects: Sudden facial flushing, which disappears within seconds, accompanied by palpitations, night sweats, and other symptoms.
(3) Skin aspects: Reduced subcutaneous tissue and moisture, leading to dryness, thinning, and loss of luster. The vaginal epithelium also atrophies, causing degenerative vaginitis, symptoms like vaginal itching, stinging, and dyspareunia. The urethral epithelium may also atrophy, resulting in aseptic urethritis, frequent urination, and incontinence.
Guidelines:
(4) Menstrual aspects: Initially, menstrual cycles become irregular, with menstrual flow either increasing or decreasing, eventually leading to menopause.
(5) Other aspects: Symptoms such as dizziness, headaches, neck and shoulder pain, and lower back pain may occur.

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