The multi-year, complex biological and psychological period typically occurring between the late thirties and early sixties, characterized by significant shifts in reproductive, endocrine, and metabolic function. This transition is not solely defined by menopause or andropause but encompasses a broader systemic reorganization, including changes in body composition, cognitive function, and cardiovascular risk profile. It represents a critical phase for preventative health intervention and hormonal optimization to ensure longevity.
Origin
This term is a sociological and clinical descriptor, intentionally broader and more inclusive than terms like “perimenopause” or “andropause,” to reflect the holistic nature of aging changes. The concept acknowledges that biological changes in midlife are a process of transition across multiple physiological systems, not merely a single event. It draws from endocrinology, gerontology, and psychology to capture the full scope of this life phase.
Mechanism
The transition is driven by the gradual decline and fluctuation of key sex hormones, such as estrogen, progesterone, and testosterone, which act as master regulators across numerous organ systems. These hormonal shifts impact the hypothalamic-pituitary-gonadal (HPG) axis feedback loop, leading to downstream effects on metabolism, bone density, mood regulation, and sleep architecture. The neuroendocrine system actively seeks a new, albeit lower, homeostatic set point during this period.
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