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Abstract: Climacteric is a biopsychosocial phenomenon in which the transition from the reproductive to the non-reproductive period occurs. In this way, it is one of the cycles of a woman's life. In this phase of fall in ovarian hormones, the physical, psychological and social symptoms that indicate the climacteric syndrome occur, which can compromise the quality of life of the woman, which begins around 40 and 50 years of age.

There are a number of cultural factors that involve women's being and living in society. There are some negative health behaviors that must be known and considered.

There are societies where the climacteric means the end of productive life and the understanding of these phenomena is fundamental for the professional who intends to assist postmenopausal women.

It is critical to perform cross-cultural comparison of climacteric symptoms, health-seeking behavior, and attitudes towards menopause on developing and developed countries once the sociocultural environment can influence the life of postmenopausal women.The physicians have to have a better understanding of these influences to treat these women.



Medical degree from the Pontifícia Universidade Católica de São Paulo - (PUC- SP - 1993), a master's degree in Medicine (Gynecology) from the Universidade Federal de São Paulo (UNIFESP -1999), a PhD in Medicine (Gynecology) from UNIFESP and Yale University (2001) and posdoctoral fellow by Yale University (2005) and Livre Docência degree by the Universidade Federal de São Paulo / Escola Paulista de Medicina (UNIFESP / EPM 2016). CNPq (National Council for Scientific and Technological Development) Research Productivity Scholarship (Level 2). Former head of the discipline of Gynecological Endocrinology (UNIFESP).

Currently associate professor in the Department of Gynecology at the UNIFESP and coordinator of the Extension and Culture Chamber of the São Paulo School of Medicine (UNIFESP). Experience in the area of Medicine, with emphasis in Gynecology, acting mainly on the following subjects: estrogen, synaptic density, tamoxifen, hippocampus, sexuality, depression, quality of life and menopause.