“…This provides a plausible explanation for the increased frequency of dry eye in postmenopausal women despite the cessation of ovarian oestradiol production. Upon binding to their respective receptors, oestrogen and progesterone, like androgens, modulate the expression of genes that alter biological processes, molecular functions and cellular components in the meibomian gland; 14,98,99 however, oestradiol induces a pattern of gene expression in the meibomian gland that differs from that elicited by testosterone. 100 In particular, testosterone upregulates the expression of genes that support meibomian lipid production, whereas oestradiol suppresses genes associated with these functions and upregulates genes, which have the opposite effect.…”