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Median body mass index (BMI) was elevated compared with women with FSH30mIU/mL (40.8 vs. 30.5kg/m ). Over a quarter (28.2%) reported severe menopausal symptoms, with no correlation between FSH and severity of menopausal symptoms (p=0.21), or hot flushes (p=0.37). Four women in this small substudy had low FSH despite being amenorrhoeic; all had BMI≥35kg/m . We found that 95% of women with HIV aged 45 years reporting ≥12months' amenorrhoea had elevated FSH, suggesting that menopausal status can be ascertained from m