29th April 2024

A 52-year-old woman presents with a 6-month history of irregular periods, hot flashes, night sweats, and difficulty sleeping.

A 52-year-old woman presents with a 6-month history of irregular periods, hot flashes, night sweats, and difficulty sleeping. She also reports recent mood swings and a decreased libido. She has no significant past medical history and takes no regular medications.

On examination, her blood pressure is normal, and her pelvic examination is unremarkable.

Which is the most likely diagnosis?