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Impaired Endothelial Function in Young Women with Premature Ovarian Failure: Normalization with Hormone Therapy
Abstract
Normal menopause is associated with vascular endothelial dysfunction, an early stage of atherosclerosis. The effect of premature ovarian failure (or premature menopause) on endothelial function in young women is unknown. Endothelial function was assessed in 18 women with premature ovarian failure before and after 6 months of hormone therapy and was compared with the endothelial function of 20 age- and body mass index-matched premenopausal women. Brachial artery diameter was measured both during hyperemia (an index of endothelium-dependent vasodilation) and in response to glyceryl trinitrate (an index of endothelium-independent vaso-dilation). Flow-mediated dilation was significantly lower in women with premature ovarian failure at baseline (increase in brachial artery diameter during hyperemia by 3.06 +/- 4.33%) than in control women (increase by 8.84 +/- 2.15%; P < 0.0005). Glyceryl trinitrate-induced vasodilation did not differ between the groups. After hormone therapy for 6 months, flow-mediated dilation was improved in women with premature ovarian failure, increasing by more than 2-fold (7.41 +/- 3.86%; P < 0.005 compared with pretreatment) and reaching normal values (P not significant compared with control women). Glyceryl trinitrate-induced vasodilation did not change after treatment in women with premature ovarian failure. Young women with premature ovarian failure have significant vascular endothelial dysfunction. Early onset of endothelial dysfunction associated with sex steroid deficiency may contribute to the increased risk of cardiovascular disease and mortality in young women with premature ovarian failure. Hormone therapy restores endothelial function within 6 months of treatment.
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“Endothelial dysfunction, which has been found in women with premature menopause and in those with adverse pregnancy outcomes, might trigger pregnancy complications and remain beyond these complications to predispose women to future cardiovascular disease”
From Association between the reproductive health of young women and cardiovascular disease in later life: umbrella review (2020) · cites this paper as [147]
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Metadata
- Authors
- Kalantaridou, S. N., Naka, K. K., Papanikolaou, E., Kazakos, N., Kravariti, M., Calis, K. A., Paraskevaidis, E. A., Sideris, D. A., Tsatsoulis, A., Chrousos, G. P., & Michalis, L. K.
- Affiliations
- University of Ioannina (GR)
- University Hospital of Ioannina (GR)
- National Institutes of Health (US)
- Corresponding author
- Kalantaridou, Sophia N.
- Venue
- The Journal of Clinical Endocrinology & Metabolism
- Publisher
- The Endocrine Society
- Published
- 2004-08
- Volume
- 89
- Issue
- 8
- Pages
- 3907-3913
- ISSN
- 0021-972X (ISSN-L)
- 1945-7197
- OpenAlex
- W2104874274
- Cited by
- 284
- References
- 45
- Citations by year
- 2026: 9 · 2025: 15 · 2024: 19 · 2023: 19 · 2022: 16 · 2021: 20 · 2020: 20 · 2019: 18 · 2018: 10 · 2017: 17 · 2016: 19 · 2015: 7 · 2014: 11 · 2013: 3 · 2012: 14
- FWCI
- 5.01
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Menopause: Health Impacts and Treatments
- Health Sciences › Medicine › Physiology (medical) › Nitric Oxide and Endothelin Effects
- Keywords
- premature ovarian failure, endothelial dysfunction, hormone therapy, estrogen replacement therapy, flow-mediated dilation, endothelium-dependent vasodilation, nitroglycerin, premature menopause, sex hormone deficiency, cardiovascular risk, young women
- MeSH terms
- Adult, Brachial Artery, Constriction, Endothelium, Vascular, Female, Nitroglycerin, Hand, Humans, Hyperemia, Regional Blood Flow, Ultrasonography, Vasodilation, Vasodilator Agents, Cohort Studies, Estrogen Replacement Therapy, Primary Ovarian Insufficiency
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