Gonadal Hormone Changes with Aging and Their Impact on Chronic Pain

Chronic pain, pain that lasts beyond three months, is a common finding in the elderly. It is often due to musculoskeletal conditions but can be precipitated by other factors as well. While physiological systems decline with aging, chronic pain is influenced by changes in hormone profiles as men and...

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Main Authors: Onella Athnaiel, Nicholas Davidson, Jaskaran Mangat, Ned F. Nasr, Nebojsa Nick Knezevic
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Cells
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Online Access:https://www.mdpi.com/2073-4409/14/2/123
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author Onella Athnaiel
Nicholas Davidson
Jaskaran Mangat
Ned F. Nasr
Nebojsa Nick Knezevic
author_facet Onella Athnaiel
Nicholas Davidson
Jaskaran Mangat
Ned F. Nasr
Nebojsa Nick Knezevic
author_sort Onella Athnaiel
collection DOAJ
description Chronic pain, pain that lasts beyond three months, is a common finding in the elderly. It is often due to musculoskeletal conditions but can be precipitated by other factors as well. While physiological systems decline with aging, chronic pain is influenced by changes in hormone profiles as men and women enter into andropause and menopause, respectively. Research on gonadal hormones is limited, especially when it comes to their relationship with chronic pain. Women tend to experience less pain with aging compared to their premenopausal years, and this is partially explained by the fact that estrogen enhances pain sensitivity and its decline during menopause decreases it. However, hormone replacement therapy (HRT) seems to increase pain tolerance post-menopause. There is some evidence that testosterone plays a protective factor in pain perception. Men on the other hand, have higher pain tolerance as testosterone is considered to be a protective factor. With aging and decreasing testosterone, older men tend to be less tolerant to pain. This paper explores how hormonal changes with aging impact pain perception in both men and women, highlighting several pain conditions influenced by hormones. Although research remains limited, the potential of HRT as a treatment for common pain conditions is examined.
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spelling doaj-art-002fddef92714ef2af1d99e6c32286642025-01-24T13:26:45ZengMDPI AGCells2073-44092025-01-0114212310.3390/cells14020123Gonadal Hormone Changes with Aging and Their Impact on Chronic PainOnella Athnaiel0Nicholas Davidson1Jaskaran Mangat2Ned F. Nasr3Nebojsa Nick Knezevic4Advocate Illinois Masonic Medical Center, Department of Anesthesiology, Chicago, IL 60657, USAAdvocate Illinois Masonic Medical Center, Department of Anesthesiology, Chicago, IL 60657, USAAdvocate Illinois Masonic Medical Center, Department of Anesthesiology, Chicago, IL 60657, USAAdvocate Illinois Masonic Medical Center, Department of Anesthesiology, Chicago, IL 60657, USAAdvocate Illinois Masonic Medical Center, Department of Anesthesiology, Chicago, IL 60657, USAChronic pain, pain that lasts beyond three months, is a common finding in the elderly. It is often due to musculoskeletal conditions but can be precipitated by other factors as well. While physiological systems decline with aging, chronic pain is influenced by changes in hormone profiles as men and women enter into andropause and menopause, respectively. Research on gonadal hormones is limited, especially when it comes to their relationship with chronic pain. Women tend to experience less pain with aging compared to their premenopausal years, and this is partially explained by the fact that estrogen enhances pain sensitivity and its decline during menopause decreases it. However, hormone replacement therapy (HRT) seems to increase pain tolerance post-menopause. There is some evidence that testosterone plays a protective factor in pain perception. Men on the other hand, have higher pain tolerance as testosterone is considered to be a protective factor. With aging and decreasing testosterone, older men tend to be less tolerant to pain. This paper explores how hormonal changes with aging impact pain perception in both men and women, highlighting several pain conditions influenced by hormones. Although research remains limited, the potential of HRT as a treatment for common pain conditions is examined.https://www.mdpi.com/2073-4409/14/2/123menopauseandropausehormone changesagingpain perceptionhormone replacement
spellingShingle Onella Athnaiel
Nicholas Davidson
Jaskaran Mangat
Ned F. Nasr
Nebojsa Nick Knezevic
Gonadal Hormone Changes with Aging and Their Impact on Chronic Pain
Cells
menopause
andropause
hormone changes
aging
pain perception
hormone replacement
title Gonadal Hormone Changes with Aging and Their Impact on Chronic Pain
title_full Gonadal Hormone Changes with Aging and Their Impact on Chronic Pain
title_fullStr Gonadal Hormone Changes with Aging and Their Impact on Chronic Pain
title_full_unstemmed Gonadal Hormone Changes with Aging and Their Impact on Chronic Pain
title_short Gonadal Hormone Changes with Aging and Their Impact on Chronic Pain
title_sort gonadal hormone changes with aging and their impact on chronic pain
topic menopause
andropause
hormone changes
aging
pain perception
hormone replacement
url https://www.mdpi.com/2073-4409/14/2/123
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AT nicholasdavidson gonadalhormonechangeswithagingandtheirimpactonchronicpain
AT jaskaranmangat gonadalhormonechangeswithagingandtheirimpactonchronicpain
AT nedfnasr gonadalhormonechangeswithagingandtheirimpactonchronicpain
AT nebojsanickknezevic gonadalhormonechangeswithagingandtheirimpactonchronicpain