What causes menopause?

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    Last Updated: May 16, 2025

    Menopause is a natural process that occurs as women age; it is characterized by the decline of ovarian follicles and granulosa cells, which lead to decreased levels of estrogen and progesterone. This hormonal shift results in irregular menstrual cycles that eventually cease.

    Menopause is a natural condition that occurs as women age. Over time, a woman’s ovarian follicles and granulosa cells diminish. Given these cells are the main producers of estradiol and inhibin[1] (a hormone that tells the pituitary gland to make less follicle-stimulating hormone), the body’s hormonal balance shifts toward lower estrogen and progesterone levels and increased follicle-stimulating hormone and luteinizing hormone levels. This hormonal profile results in irregular menstrual cycles, which ultimately stop altogether.

    Hormonal variations across a woman's lifetime

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    What causes menopause? - Examine