Menstrual Cycle Hormone Changes Associated with Reproductive Aging and How They May Relate to Symptoms

Obstet Gynecol Clin North Am. 2018 Dec;45(4):613-628. doi: 10.1016/j.ogc.2018.07.004. Epub 2018 Oct 25.

Abstract

Key cycle changes occur as women transition from reproductive life to menopause, and they can be roughly linked to menopausal staging. It is important to understand the types of studies that inform the current knowledge. Patterns of symptoms within menstrual cycles (sleep, headache) generally favor worsening in association with the perimenstrual phase of the cycle, and patterns of chronic symptoms, such as hot flashes and adverse mood, appear to be worse when hormones are more variable.

Keywords: Folliculogenesis; Gonadotropins; Perimenopause; Reproductive aging.

Publication types

  • Review

MeSH terms

  • Aging / metabolism*
  • Aging / physiology
  • Anti-Mullerian Hormone / metabolism
  • Biomarkers / metabolism
  • Depression
  • Estradiol / metabolism
  • Female
  • Follicle Stimulating Hormone / metabolism
  • Hot Flashes
  • Humans
  • Inhibins / metabolism
  • Irritable Mood
  • Longitudinal Studies
  • Luteinizing Hormone / metabolism
  • Menopause / metabolism*
  • Menopause / physiology
  • Menstrual Cycle / metabolism*
  • Menstrual Cycle / physiology
  • Progesterone / metabolism
  • Reproductive Health*
  • Sleep Wake Disorders
  • Women's Health*

Substances

  • Biomarkers
  • Progesterone
  • Estradiol
  • Inhibins
  • Anti-Mullerian Hormone
  • Luteinizing Hormone
  • Follicle Stimulating Hormone