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Thank you for visiting nature. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser or turn off compatibility mode in Internet Explorer. In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript. Menopausal hormone therapy MHT in women can reduce troublesome menopause symptoms and prevent cognitive decline.

This cross-sectional study investigated the MHT-related effect on brain morphology and its association with sex hormones in menopausal women by using an optimized diffeomorphic anatomical registration through exponentiated Lie algebra DARTEL -based voxel-based morphometry VBM method.

The association between MHT treatment period, hormones levels and brain volume variations were analyzed by Spearman correlation. The volumes of the angular gyrus and hypothalamus in MHT women positively correlated with treatment period. On the other hand, the hypothalamic volume negatively correlated with FSH and LH levels, and the volumes of the inferior frontal gyrus, and angular gyrus negatively correlated with progesterone levels, respectively.

The anatomical structures that showed greater volume in association with MHT included the deep brain areas, frontal, temporal, parietal, and occipital gyri. Menopause is a natural biophysiological event associated with an age-related reduction in hormone secretion that results in follicular recession 1 , 2.