Postmenopausal Brain Health encompasses the cognitive, structural, and affective status of the central nervous system following the substantial decline in ovarian steroid hormone production, particularly estradiol. This phase is characterized by altered neurotrophic support and shifts in neurotransmitter balance, increasing vulnerability to cognitive decline and mood instability. Maintaining robust function during this transition is a key clinical focus. We address the physiological consequences of ovarian aging directly.
Origin
This focus area originates from extensive epidemiological studies demonstrating a clear association between estrogen withdrawal and increased incidence of certain neurodegenerative markers and mood disorders in aging women. The term reflects a recognition that hormonal cessation necessitates specific neuro-supportive strategies. It is rooted in reproductive endocrinology applied to neurology.
Mechanism
The mechanism involves the loss of estrogen’s potent anti-inflammatory and antioxidant effects within the brain, coupled with changes in cerebral blood flow regulation and synaptic plasticity dependent on these steroids. Without adequate estradiol, hippocampal function can become less resilient to metabolic or inflammatory challenges, thereby impacting memory consolidation and executive control functions.
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