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Finally, if menstrual changes are accompanied by other concerning symptoms such as significant mood disturbance, hot flushes suggesting premature ovarian insufficiency, or signs of androgen excess including excessive hair growth or acne, arrange a comprehensive hormonal assessment with your GP, who may refer you to an endocrinologist or gynaecologist for specialist evaluation and management
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doi:10.2460/javma.22.02.0071 CE Quiz This article has been submitted for RACE approval for 1 hour of continuing education credit and will be opened for enrollment upon approval