About this trial
This prospective, single-center, observational controlled cohort study aims to evaluate the effects of menopausal hormone therapy (MHT) on breast imaging findings and carotid intima-media thickness in postmenopausal women.
A total of 120 postmenopausal women will be enrolled. Participants will be observed in two groups according to their clinical management: women receiving systemic menopausal hormone therapy (n=70) and women not receiving systemic menopausal hormone therapy (n=50). Breast imaging findings, breast density, menopausal symptoms, endometrial findings, cardiometabolic parameters, and carotid intima-media thickness will be prospectively evaluated during a 12-month follow-up period.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Women aged 45-60 years
Postmenopausal status, defined as at least 12 months of amenorrhea since the final menstrual period
Presentation with menopausal symptoms
Baseline breast ultrasonography available
Disqualifiers
Perimenopausal status
Use of any menopausal hormone therapy within the previous 6 months
History of breast cancer or active breast cancer
Suspicious breast lesion at baseline imaging (BI-RADS category 4 or higher)
Trial population
Postmenopausal women aged 45-60 years, including women receiving systemic menopausal hormone therapy and a control cohort not receiving systemic menopausal hormone therapy.
Trial design
Cohort
Prospective
Treatments tested in this trial
Menopausal Hormone Therapy
DrugSystemic menopausal hormone therapy prescribed as part of routine clinical care according to individual clinical indications. Treatment is not assigned by the study protocol.
Treatment groups
Trial outcomes
Primary outcomes
Change in Breast Density From Baseline to Month 3
Change in breast density from baseline to Month 3 will be evaluated using breast imaging. Breast density will be classified according to the ACR BI-RADS breast composition categories (a: almost entirely fatty, b: scattered areas of fibroglandular density, c: heterogeneously dense, and d: extremely dense). A categorical change will be defined as an increase or decrease of at least one BI-RADS breast density category compared with baseline.
Secondary outcomes
Change in Breast Density From Baseline to Month 12
Change in Carotid Intima-Media Thickness
Sponsors and contacts
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Sanliurfa Mehmet Akif Inan Education and Research Hospital
Lead sponsor
Acibadem Bursa Hospital
Sponsor institution