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Investigation of Female Reproductive Hormone Dynamics During Adolescence

Early Phase 1
Completed
Conditions
Menstruation Disturbances
Interventions
Registration Number
NCT02486757
Lead Sponsor
Massachusetts General Hospital
Brief Summary

Irregular menstrual cycles are common in girls for several years after their first menstrual period. The cause of abnormal menstrual cycles during this time is not well-understood. The purpose of this study is to: 1) monitor girls during a menstrual cycle (with blood and urine sampling and serial pelvic ultrasounds) to identify those girls who do not ovulate (release of an egg from the ovary), and 2) determine whether cycles can be corrected by treating girls with a short course of low-dose estrogen and progesterone.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
9
Inclusion Criteria
  • no more than 3 ½ years postmenarchal
Exclusion Criteria
  • Subjects currently on or previously treated with medications that may affect reproductive hormones (eg birth control pills).
  • Subjects with severe acne or hirsutism
  • Subjects who exercise excessively (running > 20 miles/week or its equivalent)
  • Subjects with any of the following medical conditions: diabetes, hypertension, hyperlipidemia, valvular heart disease, lupus, rheumatoid arthritis, migraine headaches with aura, undiagnosed breast mass, inflammatory bowel disease, gallbladder disease, sickle cell disease, or thrombophilia.
  • Current smoker
  • History of deep venous thrombosis or pulmonary embolism in subject or first-degree relative

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Interventionaltransdermal estradiolestradiol 50 mcg transdermal patch x 7 days oral micronized progesterone 0.5 mg/kg/dose TID x 7 days
Interventionalmicronized progesteroneestradiol 50 mcg transdermal patch x 7 days oral micronized progesterone 0.5 mg/kg/dose TID x 7 days
Primary Outcome Measures
NameTimeMethod
Ovulation in Cycle 220-40 days

serum progesterone \> 3 ng/ml or presence of corpus luteum on pelvic ultrasound

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Reproductive Endocrine Unit, Massachusetts General Hospital

🇺🇸

Boston, Massachusetts, United States

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