Causes of
menopause
The causes of menopause can be considered from complementary perspectives coming (mechanistic) (as is) or (adaptive evolutionary) perspectives end (why it happens). The last group are only hypotheses.
Proximate
Perspective
Natural or
physiological menopause occurs as part of the normal aging process of a woman.
It is the result of the eventual depletion of almost all of the oocytes and
ovarian follicles in the ovaries. This causes an increase in circulating
follicle stimulating hormone (FSH) and luteinizing hormone levels (LH), because
there is a decrease in the number of oocytes and follicles that respond to
these hormones and estrogen production. This decrease in estrogen production
leads to symptoms of pre-menopausal hot flashes, mood swings and sleeplessness.
The long-term effects may include osteoporosis and vaginal atrophy.
Depletion of
ovarian reserve
Titus et al.
proposed an explanation for decreased ovarian reserve during aging. They found
that as women age, double-strand breaks in DNA accumulate their primordial
follicles. Primordial follicles are immature primary oocytes surrounded by a
single layer of granulosa cells. An enzyme system is present in oocytes that
normally need repair double-strand DNA breaks. This repair system called "homologous
recombination repair", and is especially effective during meiosis. Meiosis
is the general process by which stem cells are formed in all eukaryotes sex,
and appears to be adapted to the removal of damaged efficiently in germline
DNA.
Human primary oocytes
are present in an intermediate bachelor meiosis called prophase I (see
Oogenesis). Titus et al. Also demonstrated that the expression of four genes
key DNA repair are required for homologous recombination repair during meiosis
(BRCA1, MRE11, Rad51 and ATM) decrease with age in the oocytes. This
age-related decline in the ability to repair the damage of double-strand DNA
may account for the accumulation of damages then probably contributes to
decreased ovarian reserve.
Evolutionary
theories of menopause
Unlike men,
women invest more in their gametes, so that a very valuable resource. Selection
therefore theoretically should favor a number of eggs to be sufficient to
female life. Excess investment is a waste of resources, while the lack of
investment leads to reduced fitness. Human females, however, spend more than a
third of your life in a post-reproductive phase. Possible evolutionary
explanations for survival beyond reproductive maturation range of
non-adaptation to adaptation.
Adaptive hypothesis
The high cost
of investment in female offspring may lead to physiological changes that
amplify susceptibility to becoming infertile. This hypothesis suggests the
reproductive lifespan in humans has been optimized, but it has proven more
difficult in females and thus their reproductive span is shorter. If this
hypothesis were true however, age at menopause should be negatively correlated
with reproductive effort and the available data do not support this.
A recent
increase in female longevity due to improvements in the standard of living and
social care has also been suggested. It is difficult for selection, however, in
favor of aid to offspring from parents and grandparents Irrespective of living
standards, adaptive responses are limited by physiological mechanisms. In other
words, senescence is programmed and regulated by specific genes.
Adaptive hypotheses
Adaptive hypotheses
The mother
hypothesis
The mother hypothesis suggests that menopause
has been selected to humans due to the long period of development of human
offspring and high costs of reproduction so that mothers gain an advantage in
reproductive fitness by redirecting their effort new offspring with a low
probability of survival of existing children a greater chance of survival.
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