The clinical assessment of circulating estrogen levels, predominantly estradiol and estrone, after the cessation of menstrual cycles, reflecting the primary shift in female endocrine output from ovarian to peripheral aromatization sources. This status is critical for managing symptoms related to estrogen withdrawal and long-term bone health maintenance. It quantifies the new hormonal steady state.
Origin
The term combines ‘post-menopausal,’ defining the time period following the final menstrual period, with ‘estrogen status,’ referring to the level of these specific steroid hormones. Its relevance is established in gynecological endocrinology, marking the decline of follicular activity. The measurement reflects the body’s adaptation to ovarian senescence.
Mechanism
Following menopause, ovarian estradiol production significantly decreases, leading to lower circulating levels. The body relies more heavily on peripheral conversion of androgens (like DHEA and testosterone) into estrone via the enzyme aromatase in fat and bone tissue. Monitoring this status helps clinicians determine the necessity and dosage of hormone therapy to support target tissues.
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