Abstract
Menopause represents a significant transitional period in a woman’s life characterized by the cessation of ovarian function and profound endocrine changes. The decline in estrogen and progesterone production leads to systemic physiological alterations, affecting reproductive health, bone density, cardiovascular function, and metabolic balance. These hormonal shifts have direct gynecological implications, including changes in menstrual patterns, increased risk of urogenital atrophy, and susceptibility to gynecological disorders such as endometrial hyperplasia and pelvic organ prolapse. This article reviews the endocrine adaptations during menopause and explores their clinical and gynecological significance, emphasizing the importance of monitoring and managing menopausal symptoms to optimize women’s health and quality of life.
References
1. Santoro, N., & Randolph, J. F. (2011). Reproductive hormones and the menopause transition. Obstetrics & Gynecology Clinics of North America, 38(3), 455–466.
2. North American Menopause Society (NAMS). (2020). The 2020 hormone therapy position statement of The North American Menopause Society. Menopause, 27(9), 973–997.
3. Burger, H. G., Dudley, E. C., Hopper, J. L., et al. (1995). Prospectively measured levels of serum FSH, estradiol, and the risk of menopause. The Journal of Clinical Endocrinology & Metabolism, 80(4), 1393–1398.
4. Lobo, R. A. (2017). Hormone-replacement therapy: current thinking. Nature Reviews Endocrinology, 13, 220–231.
5. Chedraui, P., Pérez-López, F. R., & Mezones-Holguín, E. (2007). Menopause and quality of life: a cross-sectional study in middle-aged women. BMC Women’s Health, 7, 11.
6. Gallagher, J. C. (2007). Effect of early menopause on bone mineral density and fractures. Menopause, 14(3 Pt 2), 567–571.
7. Pinkerton, J. V., & Santoro, N. (2015). Management of menopausal symptoms. Obstetrics & Gynecology, 126(4), 859–876.
8. Faubion, S. S., Kuhle, C. L., Shuster, L. T., & Rocca, W. A. (2015). Long-term health consequences of premature or early menopause and considerations for management. Climacteric, 18(4), 483–491.
9. Shifren, J. L., & Gass, M. L. S. (2014). The North American Menopause Society recommendations for clinical care of midlife women. Menopause, 21(10), 1038–1062.
10. Pal, L., Santoro, N., & Miller, B. L. (2018). Endocrine physiology of the menopause transition. Endocrinology and Metabolism Clinics of North America, 47(3), 523–533.