2015
DOI: 10.1016/j.ecl.2015.05.010
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Endocrinology of the Menopause

Abstract: In women, age-related changes in ovarian function begin in the mid-30s with decreased fertility and compensatory hormonal changes in the hypothalamus-pituitary-gonadal axis that maintain follicle development and estrogen secretion in the face of a waning pool of ovarian follicles. The menopause transition is characterized by marked variability in follicle development, ovulation, bleeding patterns, and symptoms of hyper- and hypoestrogenism. The menopause, which is clinically defined by the last menstrual perio… Show more

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Cited by 138 publications
(89 citation statements)
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References 93 publications
(79 reference statements)
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“…Anatomical changes in ovary due to aging process selectively occur in females with menopause such as vascular sclerosis, decreasing amount of primordial follicle, and decreasing activity of steroid hormone synthesize. The low level of estrogen can cause 3,6 disturbances of its physiological function.…”
Section: Pathophysiology Of Menopause the Decline Of Ovary Function Imentioning
confidence: 99%
See 2 more Smart Citations
“…Anatomical changes in ovary due to aging process selectively occur in females with menopause such as vascular sclerosis, decreasing amount of primordial follicle, and decreasing activity of steroid hormone synthesize. The low level of estrogen can cause 3,6 disturbances of its physiological function.…”
Section: Pathophysiology Of Menopause the Decline Of Ovary Function Imentioning
confidence: 99%
“…Inhibin B is a hormone measured in the transition phase of early menopause (around 5 years before menopause), about 41% not detected in two years before menopause and 71% not detected in one year 6,10 before menopause (menopause transition end).…”
Section: Inhibin Bmentioning
confidence: 99%
See 1 more Smart Citation
“…Resultant changes in hypothalamic and pituitary hormones to compensate for the falling reserve of ovarian follicles maintain ovulation and fertility, sometimes for decades. The transition to the menopausal state demonstrates highly variable cyclic follicle development and ovulation, along with disrupted menstrual bleeding patterns 1 . The average at menopause is about 51 with later age of menopause correlating with longevity 24 .…”
Section: Introductionmentioning
confidence: 99%
“…In women, the closure of reproductive life is known as menopause, which is characterized by permanent cessation of menstruation due to loss of ovarian function (Greendale, Lee, & Arriola, 1999;Hall, 2015;Nelson, 2008). Females after the 40 years of age generally report menopause symptoms, such as heat waves, mood alteration and low libido, which are secondary to oestrogen levels decline and a part of the natural ageing process (Hall, 2015;Nikolaou & Gilling-Smith, 2004;Walsh & Schiff, 2001).…”
mentioning
confidence: 99%