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What is menopause?

Menopause is the permanent end of a woman's monthly period. A woman has reached menopause when she has ceased having periods for one year. In North America, women usually go through menopause between the ages of 45 and 55. When menopause occurs before age 40, it is considered premature.

As menopause nears in a healthy woman, the ovaries begin to gradually reduce the amount of estrogen, progesterone and androgens they produce.

Estrogen is the main female sex hormone, and it controls the development of a woman's secondary sex characteristics. Estrogen also prompts the growth of a uterine lining during a woman's menstrual cycle and maintains that lining during pregnancy. However, estrogen is far more than a reproductive hormone, as it has wide-ranging effects on other parts of a woman's body, including her:

  • Urinary tract
  • Heart
  • Blood vessels
  • Bones
  • Breasts
  • Skin
  • Portions of the brain

Progesterone is important in maintaining a regular menstrual cycle.

The role of androgens is less well documented. A reduction in androgen levels may contribute to the decline in energy levels and sexual desire that women sometimes experience during menopause.

See also: Menopause Services at Penn

 


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