Atrophy is the shrinkage of cells and tissues due to loss of cell substance. There are two types of atrophy: physiologic and pathologic. Physiologic atrophy occurs normally, such as the uterus after childbirth. Pathologic atrophy is caused by factors like decreased blood supply, nutrition, or innervation. At the cellular level, atrophy occurs through decreased protein synthesis and increased protein degradation via the ubiquitin-proteasome pathway and autophagy. While cells may have reduced function during atrophy, they are not dead, and atrophy can sometimes be reversed.