About this trial
The purpose of this study is to understand how changes in menopausal hormones like estradiol and follicle-stimulating hormone (FSH) impact sympathetic nervous system function. To do so, the investigators will use a medication to control the production of estradiol and FSH, and in some participants, add-back estradiol to isolate its effects. The investigators will measure sympathetic activation centrally (in the brain using MRI), peripherally in the nervous system, and also examine adrenergic receptor mediated control of vascular function.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Perimenopausal (based on changes in menstrual cycle)
Ages 40-58 years
Disqualifiers
History of CVD, blood clots, stroke
History of Cancer
History of Liver or Kidney disease
History of Neurological disease
Trial design
Parallel
Treatments tested in this trial
Estrogen
DrugEstradiol patch (0.1mg) All women will use a GnRH antagonist for 8 days. Some women will receive an estradiol patch for to wear on days 3-8, whereas other women will receive a placebo patch to wear on days 3-8. Measurements of sympathetic activation will occur on days 6-8.
Placebo
Other interventionAll women will use a GnRH antagonist for 8 days. Some women will receive an estradiol patch for to wear on days 3-8, whereas other women will receive a placebo patch to wear on days 3-8. Measurements of sympathetic activation will occur on days 6-8.
Treatment groups
Trial outcomes
Primary outcomes
sympathetic nerve activity
Sympathetic nerve activity will be measured using a technique called microneurography and reported as burst frequency (number of bursts per minute) and burst area (height / size of bursts).
Secondary outcomes
BOLD fMRI
functional connectivity
Other outcomes
Adrenergic Receptor Control of Vascular Function
changes in cutaneous vascular conductance during norepinephrine perfusions with and without beta blockade.
Locations
Sponsors and contacts
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