The comprehensive physiological and hormonal consequences that arise from the age-related decline and eventual cessation of ovarian function, a process known as ovarian senescence. This impact extends far beyond reproductive capacity, profoundly affecting systemic hormonal balance, bone health, cardiovascular risk, and neurocognitive function due to the loss of endogenous estradiol and progesterone. Clinically, this transition marks the perimenopausal and menopausal phases.
Origin
The term is derived from reproductive endocrinology, combining ‘ovarian,’ relating to the ovaries, with ‘senescence,’ the biological process of aging and deterioration. ‘Impact’ refers to the systemic consequences of this endocrine shift. Understanding this impact guides therapeutic interventions for women’s long-term health.
Mechanism
As the ovarian follicular reserve depletes, the production of estradiol and inhibin decreases, leading to a compensatory rise in pituitary gonadotropins, specifically Follicle-Stimulating Hormone (FSH) and Luteinizing Hormone (LH). This hormonal imbalance disrupts thermoregulation, bone remodeling, and endothelial function. The loss of neuroprotective estrogen signaling in the brain contributes to changes in mood and cognitive performance.
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