Modern menstruation: Is it abnormal and unhealthy?

Abstract:

:The menstrual cycle appears to have evolved in humans and some other species to improve reproductive efficiency by enabling progesterone production without the presence of the fetus. This phenomenon is termed spontaneous decidualization. Repeated menstruation is produced in modern women because of better general health and having fewer pregnancies later in life and limiting breast feeding. The repeated breakdown of a progesterone primed endometrium releases an inflammatory cascade which appears to have short and long term adverse consequences. Repetitive modern menstruation is no longer a sign of good general and reproductive health but a harbinger of possible future health problems. Cyclical menstruation has no intrinsic biological value or necessity in modern life. Spontaneous decidualization can be prevented by using estrogen-progestin combinations or progestins on their own. Newer and safer hormonal products are now available and should become even safer in the future. Hormonal suppression of spontaneous decidualization should be encouraged in adolescent and young women as a health promotional option.

journal_name

Med Hypotheses

journal_title

Medical hypotheses

authors

Goldstuck ND

doi

10.1016/j.mehy.2020.109955

subject

Has Abstract

pub_date

2020-11-01 00:00:00

pages

109955

eissn

0306-9877

issn

1532-2777

pii

S0306-9877(20)31244-5

journal_volume

144

pub_type

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