What causes menopause?

Dr. Sankar Das Mahapatra

Infertility Specialist
Menopause takes place naturally once the ovaries in a woman’s body stops producing functioning eggs. During birth, the majority of females have anywhere between 1 and 3 million eggs. These are lost gradually over the duration of a woman’s lifetime. Once a girl experiences her first menstrual bleeding, the total egg count drops down to just 400,000 eggs. At the time of menopause, a woman may have less than 10,000 eggs. Thanks to regular ovulation, a small chunk of those eggs are lost while most of the others die off via a process known as atresia. In most cases, follicle-stimulating hormone or FSH causes the premature development of eggs or ovarian follicles during the initial phase of the menstrual cycle. With menopause approaching rapidly, the rest of the eggs start building up resistance against FSH, while the ovaries drastically decrease the production of the estrogen hormone. This estrogen is responsible for changes in various parts of the body, including the heart, breasts, skin, blood vessels, bone, and brain. If you were wondering why menopause causes weight gain, know that the loss of estrogen is the primary reason why this and several other symptoms associated with menopause develop in a woman. Abnormal uterine problems may also develop in some cases. If that’s not all, the ovaries start reducing testosterone production after menopause, which considerably weakens the sex drive.
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