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You may go months without a period during the perimenopause phase.

However, if you miss a period and don’t notice any other menopausal symptoms, see your doctor or take a test to make sure that you aren’t pregnant. Talk to your doctor to confirm a diagnosis and to identify ways to reduce negative symptoms.

Most medical tests the doctor orders for you are necessary to help diagnose your medical problem or determine a treatment's progress. Some would tell you that the reason there are so many tests is because doctors no longer trust their own diagnosing capabilities to assess a patient. However, too often in healthcare, the more prevalent answer to this question is "follow the money."There are actually two ways money affects the amount of testing ordered for patients: First, doctors are paid by insurance companies and Medicare for every patient they see according to why they see the patient and what procedures they perform.

Those tests that we used to go to other testing labs for -- blood tests, MRIs, EKGs, and others -- are now handled even in primary care settings.

They’ll ask about your symptoms, track your cycle, and possibly conduct a few tests.

Menopause usually begins between the ages of 40 and 60.

To encourage and implement best practice for our orders, we will be utilizing these guidelines for all payors.Many patients find that their physicians have ordered a variety of medical lab tests, but they don't understand the reasoning behind them all. More and more, these tests are being done right in the doctor's office. Because insurance companies and Medicare limit the amount of money a doctor can be reimbursed for any given diagnosis and knowing that the real goal is always to stay in business and make money, doctors will often order a variety of tests -- anything they think will be reimbursed for a patient.The more tests doctors run in their own offices, the more they get paid for, whether or not a patient really needs them.Since we patients are rarely paying directly for them, and since we don't really understand why we need them, we don't question them. The second reason doctors order too many tests is called "defensive medicine." Defensive medicine is the way doctors protect themselves from lawsuits.

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She is the author of the Top Black Books of 2007 Award Winning guide to modern dating: "Sucka Free Love - How to Avoid Dating The Dumb, The Deceitful, The Dastardly, The Dysfunctional & The Deranged", "24 Types of Suckas to Avoid" and "The Black Church... more Throughout the black community one will find "the good black woman" who feels the need to give her all and be an all-around giver and supporter of the black men she dates or wants to date.

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