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What is the (essential) role of oestrogen during menopause?

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Last updated on: 
Editors SeeMe-nopause
Author:Editors SeeMe-nopause
Erianys Osepa
Medically reviewed by:Erianys Osepa
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Contents

Oestrogen affects many aspects of your body, from your energy and mood to your skin and bones. During menopause, the production of the sex hormones oestrogen and progesterone gradually decreases, sometimes starting as early as age 35. Because progesterone declines more rapidly than oestrogen, various changes can occur in your body and how you feel. What exactly is the role of oestrogen in your body? And what symptoms can arise due to these fluctuations?

I thought oestrogen only had something to do with menstruation. Now I know how much it affects my energy, mood, and skin—and I take better care of myself.
A woman with shoulder-length brown curly hair wearing a light beige knitted cardigan and a thin necklace expresses a gentle and relaxed demeanor. She is situated in an indoor environment with soft lighting and blurred decorative elements, creating a warm and comfortable atmosphere.
Sanne49 years

What role does oestrogen play in your body?

Oestrogen is one of the most important female sex hormones and is produced primarily in the ovaries. It plays a role in the development of female characteristics, the menstrual cycle, and pregnancy.

In addition, the hormone has other functions:

  • Oestrogen promotes bone health.
  • Oestrogen stimulates collagen production for firm skin.
  • Oestrogen protects the cardiovascular system by keeping blood vessels elastic.

Oestrogen is a key hormone that influences both the physical and mental health of a woman throughout her life. When oestrogen levels decline during menopause, this brings about changes. But more on that later.

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How do oestrogen and progesterone work together?

In addition to oestrogen, the sex hormone progesterone also plays an important role in a woman's body. These two hormones work closely together, for example, during the menstrual cycle.

Oestrogen takes the lead in the first half of the cycle, helping to build up the uterine lining and stimulating ovulation. Progesterone stabilises the uterine lining in the second half of the cycle and prepares the body for a possible pregnancy. Read more about progesterone during menopause.

Oestrogen during the stages of menopause

A woman goes through different stages during menopause: perimenopause, menopause (officially not a phase but a single day), and postmenopause. What happens to oestrogen levels during these stages?

  • During perimenopause, which for many women begins around age 45, the production of oestrogen and progesterone in the ovaries gradually decreases. In this phase, oestrogen levels often remain relatively high compared to progesterone. This can lead to oestrogen dominance, which may cause various menopausal symptoms.
  • As menopause progresses, the production of sex hormones continues to decline. If you have not had a period for a year, you are officially in menopause.
  • In the phase that follows, postmenopause, the ovaries produce almost no oestrogen or progesterone. Oestrogen levels stabilise at a lower level, and the adrenal glands take over the production of substances that are then converted into small amounts of oestrogen in fat and muscle tissue. These small amounts of hormones remain essential for various bodily functions.

What symptoms can oestrogen cause during menopause?

Because progesterone declines more rapidly than oestrogen, oestrogen dominance can occur during perimenopause. Typical signs of oestrogen dominance include mood swings and weight gain, but also fluid retention, tender breasts, headaches and migraines, and sleep problems, which may indicate elevated oestrogen levels relative to progesterone.

When oestrogen production stops completely, these symptoms diminish for many women. However, because oestrogen levels remain low afterwards, new symptoms can arise during postmenopause.

Common menopausal symptoms in postmenopause include dry skin and mucous membranes, such as the eyes and vagina, because oestrogen helps maintain moisture and elasticity. The risk of osteoporosis also increases, as oestrogen is essential for bone density. Additionally, low oestrogen levels can affect the cardiovascular system and raise cholesterol levels, increasing the risk of heart disease.

What can you do yourself?

By staying active and adopting other healthy habits, symptoms can be alleviated and sometimes even disappear. Some key points include:

  • Eat a healthy and balanced diet. Consume plenty of fruits, vegetables, whole grains, healthy fats (such as avocados, nuts, and seeds), and proteins to support your hormonal balance.
  • Reduce stress. Stress can disrupt hormonal balance, worsening menopausal symptoms. Therefore, it is particularly important to incorporate relaxation techniques such as yoga, meditation, or breathing exercises into this new phase of life.
  • Exercise regularly. Try to move every day, whether it’s a walk or a workout. Exercise not only helps reduce stress but also stimulates the production of endorphins.
  • Consider supplements. Certain nutrients, such as hyaluronic acid, collagen, and vitamin C, can help maintain firmness, hydration, and elasticity of the skin during menopause*. Read more about supplements.

*Health claims pending approval by the European Commission.

Can hormone therapy help?

Do you experience severe menopausal symptoms, and the above tips don’t provide enough relief? Hormone therapy can be an effective way to alleviate symptoms. This applies to issues such as hot flushes and night sweats during perimenopause, as well as osteoporosis or vaginal dryness in postmenopause.

The best treatment for you (the forms of administration and the composition of the hormones progesterone and oestrogen vary) depends on your symptoms, the stage you are in, and any other conditions.

Through SeeMe-nopause, you can easily seek advice from a doctor at home. Choose your preferred medication, and a doctor will assess whether the treatment is safe and suitable for you. 

FAQ

Can the use of oestrogen have side effects?
How long does it take for hormone therapy to relieve symptoms?
Why does oestrogen dominance occur at the beginning of menopause?