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Previously, we found that participants with BSO had lower volume in the hippocampal dentate gyrus and cornu ammonis 2\/3 composite subfield (DG\u2010CA2\/3). We sought to extend those hippocampal subfield findings by assessing whether BSO affected volumes along the anteroposterior hippocampal axis, anterolateral entorhinal cortex, and perirhinal cortex subregions (Brodmann area (BA) 35 and 36). We also correlated volumes with key demographic and wellbeing\u2010related factors (age, depressive mood, education), hormone therapy characteristics, and recognition memory performance. Early midlife participants with BSO (with and without 17\u03b2\u2010estradiol therapy (ET)) and age\u2010matched control participants with intact ovaries (AMC) completed high\u2010resolution T2\u2010weighted structural magnetic resonance imaging (MRI). Medial temporal lobe volumes and Remember\u2010Know task recognition memory performance were compared between groups\u2014BSO (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200923), BSO\u2009+\u2009ET (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200928), AMC (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200934) using univariate analyses. Multivariate Partial Least Squares (PLS) analyses were used to examine how volumes related to demographic and wellbeing\u2010related factors, as well as hormone therapy characteristics. Relative to BSO\u2009+\u2009ET, BSO had lower posterior hippocampal and DG\u2010CA2\/3 volumes but greater perirhinal BA 36 volumes. Compared to age, depressive mood, and education, ET was the strongest positive predictor of hippocampal volumes and negative predictor of perirhinal BA 36 volumes. For BSO\u2009+\u2009ET, hippocampal volumes were negatively related to ET duration and positively related to concurrent progestogen therapy. Relative to AMC, BSO had greater anterolateral entorhinal cortex and perirhinal BA 35 and BA 36 volumes. BSO groups (with and without ET) relied more on familiarity than recollection for successful recognition memory. BSO and ET may have distinct effects on medial temporal lobe volumes, with potential implications for memory processes affected by Alzheimer's disease risk.\n                  <\/jats:p>","DOI":"10.1002\/hipo.70012","type":"journal-article","created":{"date-parts":[[2025,3,31]],"date-time":"2025-03-31T08:25:54Z","timestamp":1743409554000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Effects of Early Midlife Ovarian Removal on Medial Temporal Lobe Gray Matter Volume and Recognition Memory"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1237-1314","authenticated-orcid":false,"given":"Alana","family":"Brown","sequence":"first","affiliation":[{"name":"Department of Psychology University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole J.","family":"Gervais","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Toronto  Toronto Ontario Canada"},{"name":"Groningen Institute for Evolutionary Life Sciences University of Groningen  Groningen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Gravelsins","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0462-768X","authenticated-orcid":false,"given":"Sophia","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annie","family":"Duchesne","sequence":"additional","affiliation":[{"name":"Department of Psychology Universit\u00e9 du Qu\u00e9bec \u00e0 Trois\u2010Rivi\u00e8res  Trois\u2010Rivi\u00e8res Qu\u00e9bec Canada"},{"name":"Department of Psychology University of Northern British Columbia  Prince George British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenny","family":"Rieck","sequence":"additional","affiliation":[{"name":"Baycrest Academy for Research and Education, Baycrest Health Sciences  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Mouzenian","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noelia","family":"Calvo","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Negar","family":"Mazloum\u2010Farzaghi","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Toronto  Toronto Ontario Canada"},{"name":"Baycrest Academy for Research and Education, Baycrest Health Sciences  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2918-4152","authenticated-orcid":false,"given":"Rosanna","family":"Olsen","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Toronto  Toronto Ontario Canada"},{"name":"Baycrest Academy for Research and Education, Baycrest Health Sciences  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morgan","family":"Barense","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhuo","family":"Shao","sequence":"additional","affiliation":[{"name":"Genetics Program, North York General Hospital  Toronto Ontario Canada"},{"name":"Department of Pediatrics University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcus","family":"Bernardini","sequence":"additional","affiliation":[{"name":"Division of Gynecologic Oncology Princess Margaret Hospital  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Jacobson","sequence":"additional","affiliation":[{"name":"Department of Gynecology Women's College Hospital  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. 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