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While the ovaries begin to shrink after menopause, they are still very important to the body. Vital hormones such as testosterone are produced by the ovaries. Female testosterone is a vital hormone for maintaining sex drive, bone and muscle strength, and energy.
During perimenopause your hormones wreak havoc on your body. If you are lucky, you may experience only mild symptoms of your body working to shut down your ovaries. It may take as long as ten years for your periods to stop completely, and during this time, your fluctuating estrogen and progesterone levels will cause unpleasant symptoms, including menstrual pain.