The profound and irreversible alterations in the endocrine milieu that occur following the cessation of ovarian function, marking the end of a woman’s reproductive years. These shifts are characterized by a dramatic decline in circulating estradiol and progesterone, coupled with compensatory changes in gonadotropin levels. Understanding these changes is crucial for managing associated symptoms and long-term health risks.
Origin
The term is derived from “postmenopause,” meaning after (post) the last menstrual period (menstruation), and “hormonal shifts,” indicating the fundamental changes in hormone production. This transition is a key physiological event in the female life cycle, with widespread systemic consequences.
Mechanism
The core mechanism is ovarian senescence, where the ovaries become refractory to gonadotropin stimulation and cease follicular development. This results in minimal production of estradiol and progesterone, leading to a loss of their regulatory feedback on the pituitary. Consequently, Luteinizing Hormone (LH) and Follicle-Stimulating Hormone (FSH) levels rise significantly as the pituitary attempts to stimulate the unresponsive gonads.
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