OSCR

Structural Brain Changes Across the Female Lifespan: Puberty, Pregnancy, and Menopause Show Shared and Distinct Trajectories

Overview

  1. Pregnancy Brain Lab, Amsterdam University Medical Center (AUMC), location University of Amsterdam, Department of Psychiatry, Amsterdam Neuroscience, Amsterdam Reproduction and Development, Amsterdam, the Netherlands
  2. Leiden Institute for Brain and Cognition, Leiden University, Leiden, the Netherlands
  3. Erasmus School of Social and Behavioral Sciences, Erasmus University Rotterdam, Rotterdam, the Netherlands
  4. Department of Developmental and Educational Psychology, Institute of Psychology, Leiden University, The Netherlands
Institutions: Amsterdam University Medical Centers (Netherlands); University of Amsterdam (Netherlands); Amsterdam Neuroscience (Netherlands); Amsterdam Reproduction Development (Netherlands); Leiden University (Netherlands); Erasmus University Rotterdam (Netherlands)
Dates: published online 7 April 2026
Type: Preprint
License: CC BY
Identifiers: DOI 10.21203/rs.3.rs-9235100/v1 · OpenAlex W7151543894
Open access: green, a free copy (OpenAlex)
Status: data only
Categories: human (organism), developmental (subfield)
Methods: Statistics, Smoothing, state filtering, decompositions, Connectivity
Topic: Menopause: Health Impacts and Treatments (Endocrinology, Diabetes and Metabolism, Medicine), according to OpenAlex
Funding: European Research Council (948031)
Citations: not cited yet (Europe PMC); 35 references in the paper

Abstract

The female brain undergoes substantial reorganization during major hormonal transitions, yet whether puberty, pregnancy, and menopause engage shared or distinct neuroplastic mechanisms remains unknown. We conducted the first study comparing longitudinal structural brain changes across all three transitions using identical analytical methods (n=1292), with stable control groups to isolate transition-specific effects. Both pubertal girls transitioning through menarche and women transitioning to motherhood showed cortical gray matter reductions across the majority of examined regions, with cross-cohort comparisons confirming broad mostly convergence but also regional divergence across the cortex. The menopausal transition showed a fundamental divergence from both puberty and pregnancy, as women transitioning through menopause showed no accelerated volumetric loss, while stable pre- and postmenopausal control groups did. These findings demonstrate that puberty and pregnancy share a broadly convergent signature of cortical remodeling, while menopause represents a qualitatively distinct neuroplastic state defined by the absence rather than acceleration of volumetric change.

Reproduced under the paper's license (CC BY), from the paper cited above.

Code

The paper links to its data, not to its authors' code: see the Data section.

Tracing map

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Data

Datasets cited

Data availability

The data used from the menopause cohort are available through the UK BioBank. For the pregnancy cohort, the raw MRI data along with the relevant variables and demographic information for the participants who have provided permission to share their data are provided in the Open Science Framework repository. These data have been deposited in the Open Science Framework repository under the following DOI: https://doi.org/10.17605/OSF.IO/5MT8Z. For the pubertal cohort, research data of the BrainLinks cohort is uploaded to the Erasmus University Rotterdam’s Data Repository https://dataverse.nl/dataset.xhtml?persistentId=doi:10.34894/CPARII and can be accessed by request.

Reproduced under the paper's license (CC BY), from the paper cited above.

Versions

The history of this record: each version stored by the harvester or made by a correction of its authors or of the maintainers of its code, and what changed in its facts. The texts of the paper (its abstract, its availability statements) are not part of it; versions that changed only those are not listed.

Version 1, 29 September 2026: the first record

Recorded: type, journal, dates, 5 authors, 1 funder, 35 references.

Cite

This paper

van ‘t Hof, S., Bos, M., Straathof, M., Crone, E., & Hoekzema, E. (2026). Structural Brain Changes Across the Female Lifespan: Puberty, Pregnancy, and Menopause Show Shared and Distinct Trajectories. Research Square (preprint). https://doi.org/10.21203/rs.3.rs-9235100/v1

BibTeX

@article{vanthof2026structural,
author = {van ‘t Hof, S.R. and Bos, M.G.N. and Straathof, M. and Crone, E.A. and Hoekzema, E.},
title = {{Structural Brain Changes Across the Female Lifespan: Puberty, Pregnancy, and Menopause Show Shared and Distinct Trajectories}},
journal = {Research Square (preprint)},
year = {2026},
month = apr,
publisher = {Research Square},
issn = {2693-5015},
doi = {10.21203/rs.3.rs-9235100/v1},
url = {https://doi.org/10.21203/rs.3.rs-9235100/v1}
}

RIS

TY - JOUR
AU - van ‘t Hof, S.R.
AU - Bos, M.G.N.
AU - Straathof, M.
AU - Crone, E.A.
AU - Hoekzema, E.
TI - Structural Brain Changes Across the Female Lifespan: Puberty, Pregnancy, and Menopause Show Shared and Distinct Trajectories
T2 - Research Square (preprint)
J2 - Res Sq
PY - 2026
DA - 2026/04/07
SN - 2693-5015
PB - Research Square
DO - 10.21203/rs.3.rs-9235100/v1
UR - https://doi.org/10.21203/rs.3.rs-9235100/v1
ER -

CSL-JSON

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"given": "S.R."
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