The hallmark of the early menopausal transition is this dramatic reduction in estradiol levels. With this reduction, there is a progressive shift toward androgen dominance in the hormonal mix. Available studies suggest a link between increased androgens and cardiovascular disease risk (CVD) factors. (2)

You can see what happens to the different menstrual hormones during menopause summarized in this diagram. In theory, the estrogen levels during, and after menopause should diminish significantly, and therefore, in healthy women, the symptoms of menopause in a healthy woman should be negligible if not none at all. So why are estrogens still found in excess, and causing symptoms in so many women? We will find this out soon, so keep reading.