Calleja-Agius · Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology 2012 · narrative review · n=?

The effect of menopause on the skin and other connective tissues.

Cited 69 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review without systematic search or quantitative data synthesis

PubMed 21970508 · doi:10.3109/09513590.2011.613970 · record verified 2026-08-29

What was done

This is a narrative review summarizing the physiological effects of menopause and estrogen deficiency on cutaneous ageing and other connective tissues, including carotid artery media, intervertebral discs, and bones.

What was found

The abstract provides qualitative summaries without specific numerical data or statistics. It reports that menopausal estrogen deficiency strongly correlates with skin collagen loss, increased skin extensibility, decreased elasticity, increased skin fragility and susceptibility to trauma, and impaired wound healing. It also notes that postmenopausal estrogen therapy increases collagen content, dermal thickness, and elasticity, while reducing dry skin.

Why it matters

It highlights the systemic impact of estrogen on connective tissue metabolism, outlining dermatologic manifestations of menopause and the biological rationale for hormone therapy.

Limits

The abstract provides no quantitative data, effect sizes, or methodology for study selection. It is a broad narrative overview, and the authors explicitly note that large-scale clinical trials are still required to substantiate recommendations for postmenopausal estrogen use in preventing skin ageing.

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