Menopause has long been shrouded in secrecy, spoken of in hushed terms or referenced with euphemisms. Experts share the latest science and best ways to cope
A baby girl is born with every egg cell inside her ovaries that she will need during her lifetime. Surrounding these eggs are granulosa cells that produce hormones, most notably estrogen. In midlife, as egg cells become less numerous and less viable, estrogen production declines.
This stage typically begins in the mid-forties, although a decade earlier or later is normal, and it lasts from between. It is the shifting hormone levels, rather than an absolute drop, that cause the symptoms associated with menopause, Santoro says. Some doctors measure levels of a hormone, follicle stimulating hormone —which ramps up as ovulation lessens—to determine if a woman is in menopause. But since levels fluctuate this is not an accurate marker, says Jackie Thielen, director of the Women’s Health Specialty Clinic at the Mayo Clinic., although anywhere from the forties to sixties is considered normal.
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