Hi. I'm Doctor Joshua Vogel with Carolina OB/GYN, a division of Wilmington Health Associates, and I'm going to talk to you today about early menopause signs and symptoms. What we're talking today is more technically referred to as premature ovarian failure. The low end of normal for the onset of menopause is actually as early as age forty. However, sometimes menopause occurs prior to this. The necessary hallmark of a premature menopause or ovarian failure would include changes, most notably absence of menstrual cycles. Sometimes this may only include frequently missing your menstrual cycles, and perhaps a period every three to four months instead of every month, eventually transitioning to a complete loss of the menstrual cycle. Typically, especially if this is accompanied by hot flashes, there is a very good possibility that you are going into premature ovarian failure or early menopause. Now, of course, early menopause, by definition, may be only those under forty, but I think most women in their early forties are not really expecting menopause and would consider that to be somewhat early. So, if you're having significant menstrual changes accompanied by hot flashes, it is certainly worth exploring with your doctor the possibility of early menopause or premature ovarian failure. This has been a discussion today of signs and symptoms of early menopause.