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The workshop, "Non-Human Primate Models of Menopause," was held on the National Institutes of Health campus in January 2001. The purpose of this workshop, sponsored by the National Institute on Aging, was to review what is known about the female reproductive aging process in various species of monkeys (particularly rhesus, baboons, cynomolgus and chimpanzees), including hormone profiles during the menopausal transition, the occurrence of hot flashes, the extent of age-related and menopause associated changes in hormone levels on metabolism, bone loss, and impaired cardiovascular and cognitive function. While many aspects of the female reproductive aging process appear to be concordant between humans and these monkey species, several important features may be species specific. Those features that appear to parallel the human menopause and aging include general similarity of hormone profiles across the menopausal transition, progression to cycle termination through irregular cycles, declining fertility with age, age-related gains in weight and percent body fat content with tendencies to insulin resistance and glucose intolerance, increased LDL- and decreased HDL-cholesterol, declines in serum DHEA, similarities in temperature regulation systems, protective responses to estrogen replacement following ovariectomy in terms of bone metabolism, lipid profiles and cognitive changes. Important differences include relatively short postmenopausal lifespan, timing in menopause-related changes in hormone secretion, and seasonal menstrual cycles. In addition, the question of whether ovariectomy in young adults is an appropriate model for the consequences of menopause, or even ovariectomy, in middle-aged and older adults is unresolved, and the numbers of older female animals available for research on menopause are very limited. The use of animal models is seen by workshop participants to be crucial for a mechanistic understanding of the human menopausal process and its connections to postmenopausal health problems; however, extensive in-depth and broad-based research is required to determine if non-human primates are appropriate models of the human menopause.
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