Understanding weight gain at menopause.

Weight gain is a major problem for most menopausal women(and not only in menopause!) and hormonal changes often get the blame for this weight gain. This blame game is accurate, as the weight gain is due to a lack of oestrogen, which has been shown to be the cause of the weight gain in many studies over the years.
Climacteric. 2012 Oct;15(5):419-29. doi: 10.3109/13697137.2012.707385.

Understanding weight gain at menopause.

Author information

  • 1Women’s Health Research Program, Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia.



The aim of this review was to summarize the literature regarding the impact of the menopause transition on body weight and body composition.


We conducted a search of the literature using Medline (Ovid, 1946-present) and PubMed (1966-2012) for English-language studies that included the following search terms: ‘menopause’, ‘midlife’, ‘hormone therapy’ or ‘estrogen’ combined with ‘obesity’, ‘body weight’ or ‘body composition’.


Whereas weight gain per se cannot be attributed to the menopause transition, the change in the hormonal milieu at menopause is associated with an increase in total body fat and an increase in abdominal fat. Weight excess at midlife is not only associated with a heightened risk of cardiovascular and metabolic disease, but also impacts adversely on health-related quality of life and sexual function. Animal and human studies indicate that this tendency towards central abdominal fat accumulation is ameliorated by estrogen therapy. Studies mostly indicate a reduction in overall fat mass with estrogen and estrogen-progestin therapy, improved insulin sensitivity and a lower rate of development of type 2 diabetes.


The hormonal changes across the perimenopause substantially contribute to increased abdominal obesity which leads to additional physical and psychological morbidity. There is strong evidence that estrogen therapy may partly prevent this menopause-related change in body composition and the associated metabolic sequelae. However, further studies are required to identify the women most likely to gain metabolic benefit from menopausal hormone therapy in order to develop evidence-based clinical recommendations.

About Dr Colin Holloway

Gp interested in natural hormone treatment for men and women of all ages

Posted on February 1, 2017, in Uncategorized. Bookmark the permalink. 3 Comments.

  1. Email me privately and I will see if I can get you in any earlier.

  2. Good morning Dr Holloway,

    My neighbour in Bargara( one of your patients- Marrie) recently spoke to you and told you I have been waiting for ages to see you. When I received your email just after Christmas saying you were taking appointments for new patients I called but was put on your waiting list. Would love to be able to make an appointment if possible (re menopause)

    Kind Regards Kellie Sheehy 0408462247

    Sent from my iPhone

  3. Yes,i’ve put on 50 kilos since menopause..how does one lose it though..or gat the motivation to do it..especially as the road to losing it seems so long and never ending

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