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During and after menopause, the level of
estrogen production declines dramatically, but it never stops
altogether. Estrogen levels drop only 40-60% at menopause while
progesterone levels can drop to almost zero. Other glands and body
cells pitch in to help produce the missing hormones once the ovaries
stop functioning.
The fat cells play a
major role in production of estrogen after menopause. The fat cells
can take androgens and convert them into estrone, a weak form of
estrogen.
Androgens include
testosterone, dihydrotestosterone, androstanediol and DHEA among
others. The pre-cursor hormone to the androgens is pregnenolone.
Pregnenolone follows a pathway either through progesterone or DHEA.
At menopause, when ovary function slows down, the adrenal DHEA
pathway becomes more active. The body fat of a woman becomes a
reservoir for the major androgens and some of them are converted
into the estrone.
As you can see from
the chart below, androgens circulate through a woman’s body during
the reproductive years and are produced in the ovaries and adrenal
glands. The ovaries secrete a small amount of androgens while the
adrenal glands contribute to the bulk of the supply.
Another important
factor determining the amount of estrone in a woman’s body is her
weight. The heavier a woman is, the higher percent of body fat, the
more likely she is to have high levels of estrone. Therefore obese
women tend to have less severe menopausal symptoms than thinner
women.
Keep in mind that
estrogen production in the body from fat cells is not released
cyclically, but instead in a stable and steady manner.

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