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That could explain why emotional well-being and romantic relationships were ranked as the two areas most affected by menopause symptoms, ahead of professional life, said James Simon, a menopause specialist at George Washington University in Washington, D.C., who helped design the survey questionnaire.

Earlier studies have examined how menopause affects women in general, Simon said, but "a generation ago, there weren't enough female executives to bother" doing a survey of that group.

Simon said he was not compensated for the survey by Barr Laboratories of Woodcliff Lake, N.J.

The firm makes Cenestin, a synthetic, plant-derived prescription for menopause symptoms.

The survey in February was conducted online by pollster Harris Interactive.

Amy Niles, president of the National Women's Health Resource Center in Red Bank, N.J., said that past educational campaigns about menopause have not targeted working women.

They are more likely than their mothers to have to deal with menopause.

"I think we've made great improvements over the last few years in creating awareness that this is a significant issue" that women should discuss with their doctors, Niles said.

"In an executive position .

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you have to look your best," and project a calm, focused and capable image, said Rosalie Roberts, 61, a survey participant who owns an Omaha, Neb., public relations business.

She had moderate symptoms until sever...

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