What happens to my reproductive hormones at my menopause?
- The amount of hormones produced by your ovaries (oestrogens, progesterone and androgens including testosterone; Q 2.9) will fall.
- Your pituitary gland (menstrual cycles) will respond by increasing gonadotrophin (FSH and LH -sex hormones) output in a futile attempt to gain a response from the ovaries (Figure 2.5).

Figure 2.5
To the reproductive endocrinologist (doctor specialising in reproductive hormone problems) there is increased gonadotrophin and decreased sex hormone output a state termed hypergonadotrophic hypogonadism (hyper increased; hypo decreased; female gonads are the ovaries).
After the menopause, a small amount of oestrogen is still produced mostly from tissues other than the ovaries. The adrenal glands (sited above the kidneys) and ovaries still contribute to produce oestrogen albeit to a minor degree.
Please click on the required question.
- 1 What will happen to me at my menopause?
- 2 Why does nature put women through the menopause?
- 3 Is life-expectancy changing?
- 4 What happens to my reproductive hormones at the menopause?
- 5 What non-hormonal changes occur at the menopause?
- 6 What problems might I have as a result of my menopause?
- 7 When am I likely to reach my menopause?
- 8 What is a premature menopause?
- 9 What are hot flushes and will HRT reduce them?
- 10 What causes hot flushes and night sweats?
- 11 Can my bladder problems be related to the menopause?
- 12 Can the menopause be associated with psychological problems.
- 13 How long can my menopausal (climacteric) symptoms last?
- 14 Is there a test that will accurately determine when my menopause has occurred?
- 15 Is it normal to experience heavy periods before the menopause?
- 16 How are heavy periods around the time of the menopause treated?
- 17 Is there a need to investigate vaginal bleeding after the menopause (postmenopausal bleeding)?
- 18 What could be the cause of vaginal bleeding after the menopause?
- 19 What is atrophic vaginitis?
- 20 What local genital symptoms can be associated with the menopause?
- 21 I have gone through the menopause and now have some bleeding (postmenopausal bleeding PMB). What will my gynaecologist wish to do?
- 22 Could I have any other long-term medical problems resulting from my menopause?
- 23 What is coronary heart disease?
- 24 What is osteoporosis?
- 25 Where else can I obtain further information?
- 26 Could I have some recommended menopause support groups.
Thank you for choosing to visit us.
This is the personal website of David A Viniker MD FRCOG, Consultant Obstetrician and Gynaecologist at Whipps Cross University Hospital, London - Specialist Interests - Reproductive Medicine including Infertility, PCOS, PMS, Menopause and HRT.
I do hope that you find the answers to your women's health questions in the patient information and medical advice provided.



