Although sex hormones have been found to play a role in the pathophysiology of BPAD because there is a lack of certainty about the exact contribution they make hence most health care professionals don’t discuss this aspect. However, women with BPAD moving from one reproductive life-stage to the next typically report significant changes in the severity and need for monitoring & management of their BPAD. What do we know about this – so that we can be proactive rather than reactive with our female BPAD clients? Included in this discussion of the evidence is a case study that really demonstrates how potent peri-menopause can be.
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