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Analysis

Grey matter followed a different path through menopause than puberty and pregnancy

A comparison of repeated MRI scans found that cortical grey matter declined during puberty and pregnancy but showed no similar loss across the menopausal transition. Comparisons with age-matched controls indicate that the three hormonal periods do not produce one uniform pattern of structural change. The researchers say the menopause result could reflect a temporary slowing of age-related decline, but the mechanism remains open because hormone levels were not measured directly across all cohorts.

Science··Midday
In a bright MRI suite, a radiographer adjusts the head coil around a middle-aged woman on the scanner table while a third researcher sits behind the control-room window.

Three transitions were compared with one method

Researchers compared structural brain changes during puberty, pregnancy and menopause within a common analytical framework. Repeated MRI scans from 1,095 participants were assessed alongside age-matched control groups that were not undergoing each hormonal transition. The peer-reviewed Nature Communications paper and ANSA report that cortical grey-matter volume declined during puberty and pregnancy, with some regions following shared patterns while more than half showed different patterns between the two transitions.[1], [2]

Menopause did not show the same loss

The group moving from pre- to post-menopause showed no significant decline in total or cortical grey matter. By contrast, age-related decline continued in control groups whose pre- or post-menopausal status remained stable throughout the study. This difference means menopause was not a third instance of the volume loss seen in puberty and pregnancy. The researchers interpret the result as a possible temporary slowing of age-related decline during the transition, not as direct evidence of a biological mechanism.[1], [2]

Structure changed; function remains unknown

MRI measures changes in brain structure; it does not establish what those changes mean for cognition, mood or health outcomes. The paper also notes that menopausal status was self-reported and that directly comparable hormone measurements were unavailable across all groups. Group sizes were unequal as well. The findings therefore establish a new comparative basis for studying hormonal transitions and brain structure, but they do not by themselves explain the cause or individual consequences of the grey-matter patterns.[1]

References

  1. News sourceNature CommunicationsMenopause leaves cortical grey matter steady, unlike the losses of puberty and pregnancy↩1↩2↩3
  2. News sourceANSAMenopause changes the brain differently from puberty and pregnancy↩1↩2