4.6 Article

Hot flushes and reproductive hormone levels during the menopausal transition

Journal

MATURITAS
Volume 89, Issue -, Pages 43-51

Publisher

ELSEVIER IRELAND LTD
DOI: 10.1016/j.maturitas.2016.03.017

Keywords

Menopause; Reproductive hormones; Vasomotor symptoms; Hot flushes; Hot flashes; Ethnicity

Funding

  1. NSF [0548393]
  2. Commonwealth Scholarship and Fellowship Plan (CSFP, UK)
  3. Sigma Xi
  4. Wolfson Research Institute, Durham University
  5. Institute for Advanced Study, Durham University
  6. Division Of Behavioral and Cognitive Sci
  7. Direct For Social, Behav & Economic Scie [0548393] Funding Source: National Science Foundation

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Introduction: Evidence suggests that hot flushes are associated with fluctuating levels of oestradiol (E2) during menopause, as well as changes in the levels of follicle-stimulating hormone (FSH) and inhibin B. The relationship between hot flushes and anti-Mfillerian hormone (AMH) is unknown. Aim: To examine specific hormone levels and ethnic differences in relation to hot flushes. Methods: Data were drawn from 108 women aged 40-59 years. There were three groups of participants: European women in London, UK; Bangladeshi women in Sylhet, Bangladesh; and Bangladeshi women who had migrated to London as adults. Symptom information was collected via questionnaires. Serum blood samples were collected to detect inhibin B, AMH, FSH, and E2. Results: AMH and FSH were significantly associated with the experience of hot flushes in the past 2 weeks. Inhibin B and E2 were not associated with hot flushes. Body mass index (BMI), ethnicity, and education level were associated with both the occurrence and the frequency hot flushes. Menopausal status was also associated with the frequency of hot flushes. Conclusion: Relationships between AMH, FSH and symptoms are indicative of women's progress through the menopausal transition. The influence of BMI and education suggest that lifestyle changes may contribute to the management of symptoms. This merits further research. (C) 2016 Elsevier Ireland Ltd. All rights reserved.

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