Evidence map›Paper›PMID 39601490›Full record

ArticleEuropean journal of neurology2025

The influence of menopause on multiple sclerosis.

Cecilia Smith Simonsen, Heidi Øyen Flemmen, Line Broch, Harald Myklebust, Pål Berg-Hansen, Cathrine Brunborg, Elisabeth Gulowsen Celius

Abstract read
In one paragraph

Article in European journal of neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. The Neurology of Menopause.Current neurology and neuroscience reports · 2026
    Review
  2. Article
  3. Review
  4. Menopause is a physiological progression event for women with multiple sclerosis: No.Multiple sclerosis (Houndmills, Basingstoke, England) · 2026
    Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Impact of sex on multiple sclerosis therapy.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Review
  10. The influence of menopause on multiple sclerosis.European journal of neurology · 2025
    Article
  11. Article
  12. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Cecilia Smith SimonsenDepartment of Neurology, Vestre Viken Hospital Trust, Drammen, Norway.ORCID 0000-0002-9408-7199
Heidi Øyen FlemmenDepartment of Neurology, Hospital Telemark HF, Skien, Norway.ORCID 0000-0002-8382-4464
Line BrochDepartment of Neurology, Vestre Viken Hospital Trust, Drammen, Norway.ORCID 0000-0002-9317-4901
Harald MyklebustDepartment of Neurology, Vestre Viken Hospital Trust, Drammen, Norway.ORCID 0009-0002-6064-5129
Pål Berg-HansenDepartment of Neurology, Oslo University Hospital, Oslo, Norway.ORCID 0000-0003-0925-8879
Cathrine BrunborgOslo Centre for Biostatistics and Epidemiology, Research Support Services, Oslo University Hospital, Oslo, Norway.
Elisabeth Gulowsen CeliusDepartment of Neurology, Oslo University Hospital, Oslo, Norway.ORCID 0000-0002-9127-6488

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOne third of the multiple sclerosis (MS) population consists of peri- or postmenopausal women. Many symptoms of menopause overlap those of MS. Some studies show increased speed of disability progression after menopause, while others indicate an unaltered trajectory.

objectiveDetermine the association between menopause and MS disease course.

methodsCohort study with clinical data collected prospectively. Self-reported age of menopause, smoking and parity collected retrospectively.

resultsWe included 559 peri-/postmenopausal women and 386 similarly aged men. There was no significant difference in EDSS progression (slope coef 0.03, 0.02-0.08, p = 0.208) or annual relapse rate (ARR) (0.10, 0.29-0.10, p = 0.324) in the 5 years before and after menopause. Women's EDSS progressed slower than men's after menopause (coef -0.02, 95% CI -0.04 to -0.002, p = 0.032), but there was no difference in ARR [coef. -0.01, 95% CI -0.04 to -0.01, p = 0.262]. Women who reached menopause before MS onset had shorter time to diagnosis than women who reached menopause after onset (3.1 years (3.1) vs. 7.4 years (8.1), p < 0.001). Women who reached menopause before diagnosis had an even longer time to diagnosis (8.8 (9.3) vs. 5.5 (6.3), p < 0.001).

conclusionsThere were no significant differences in EDSS progression or ARR before and after menopause. In fact, men progressed faster than women, suggesting there is no negative impact of menopause on disease progression, as measured by EDSS and relapses.

Indexed as

Disease ProgressionMenopauseMultiple SclerosisAdultCohort StudiesFemaleHumansMaleMiddle AgedRetrospective Studiesannual relapse rateEDSS progressionlate onset MS (LOMS)menopausemultiple sclerosis

Identifiers

PMID39601490
PMCPMC11625929

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.