Bulimia can also lead to endocrine changes, the most common of which is menstrual irregularities in women, who might even develop amenorrhea, where either the normal menstrual cycle stops or menstruation doesn't start by age 15.

暴食症也可导致内异常，最常见的是女的月经失调，甚至会发展成闭经，即月经周期全部停止或15岁仍无月经初潮。

In females, primary sex characteristic dysfunction includes amenorrhea or absence of menstruation, or oligomenorrhea or irregular menstrual cycle.

女中，第一征的功能障闭经，即无月经，或月经减少，即月经周期不规则。

Menopause occurs when a woman has gone 12 months without a period, which means her ovaries have stopped producing hormones and her body is no longer capable of reproduction.

绝经发生于女连续12个月无月经时，这意味着她的卵巢已停止激素， 身体不再具备生育能力。

Technically it is defined as a full year without a menstrual cycle, and then we can diagnose, okay, this is menopause.

从技术上讲， 它被定义为一年内无月经周期，之后我们便可诊断为， 是的，这是更年期。

And we may use different types and different dosages for women who are perimenopausal than when they've had their 12 months of no period.

对于处于围绝经期的女，我们可能会采用不同于那些已经连续12个月无月经女的激素疗法类型和剂量。