At a glance
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Fat Mediated Modulation of Reproductive and Endocrine Function in Young Athletes
In Brief
A Phase 3 clinical trial evaluating Transdermal 17Beta-estradiol, progesterone, Ethinyl Estradiol + Desogestrel, and 1 other intervention for Exercise-related Amenorrhea. Completed, enrolled 121 participants across 1 site.
Detailed Summary
One aim of this study is to determine changes in body composition and hormones that differentiate athletes who stop getting their periods versus those who continue to get their periods and non-athletes. The second aim of this study is to determine whether transdermal or oral estrogen (versus no estrogen) is effective in increasing bone density and improving bone microarchitecture in adolescent athletes who are not getting their periods and are thus estrogen deficient. The investigators hypothesize that transdermal estrogen will be more effective than oral estrogen or no estrogen in improving bone health in amenorrheic adolescent athletes.
Study Details
Timeline
Interventions
100 mcg/day 17Beta-estradiol; transdermal twice weekly application for 12 months (with cyclic micronized progesterone pills (Prometrium): 200 mg taken orally daily Day 1 to Day 12 each month) + Elemental calcium 1200 mg and Vit D 400 IU taken orally daily
Oral ethinyl estradiol (0.03 mg) + desogestrel (0.15 mg) + Elemental calcium 1200 mg and Vit D 400 IU taken once daily
Elemental calcium 1200 mg and Vit D 400 IU taken orally daily