Estrogen raises the sweating threshold in postmenopausal women with hot flashes.

Abstract:

OBJECTIVE:To determine if estrogen ameliorates hot flashes by raising the core body temperature sweating threshold, by reducing core body temperature fluctuations, and/or by reducing sympathetic activation (as measured by plasma 3-methoxy-4-hydroxyphenylglycol). DESIGN:Laboratory physiological study. SETTING:University medical center. PATIENT(S):Twenty-four healthy postmenopausal women reporting frequent hot flashes. INTERVENTION(S):Participants were randomly assigned, in double-blind fashion, to receive 1 mg/d 17beta-estradiol orally or placebo for 90 days. MAIN OUTCOME MEASURE(S):Core body temperature, core body temperature fluctuations, mean skin temperature, sternal sweat rate, laboratory hot flash counts (sternal skin conductance), plasma 3-methoxy-4-hydroxyphenylglycol. RESULT(S):The E(2) group had significant increases in plasma E(2) (8 +/- 2 vs. 132 +/- 22 pg/mL) and core body temperature sweating threshold (37.98 +/- 0.09 vs. 38.14 +/- 0.09 degrees C) and decreases in plasma FSH (58.8 +/- 8.9 vs. 40.1 +/- 7.6 mIU/mL) and hot flashes (1.4 +/- 0.5 vs. 0.6 +/- 0.6). These changes did not occur in the placebo group. There were no significant changes in any other measure. CONCLUSION(S):E(2) ameliorates hot flashes by raising the core body temperature sweating threshold, but does not affect core temperature fluctuations or plasma 3-methoxy-4-hydroxyphenylglycol.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Freedman RR,Blacker CM

doi

10.1016/s0015-0282(01)03009-6

keywords:

subject

Has Abstract

pub_date

2002-03-01 00:00:00

pages

487-90

issue

3

eissn

0015-0282

issn

1556-5653

pii

S0015028201030096

journal_volume

77

pub_type

临床试验,杂志文章,随机对照试验
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