Therapeutics · Hormonal Agents

Estrogen acutely increases peripheral blood flow in postmenopausal women

Volterrani M, Rosano G, Coats A, Beale C, Collins P

Published August 1995 The American Journal of Medicine, 99(2), 119-122
DOI 10.1016/s0002-9343(99)80130-2 PMID 7625415

Abstract

Purpose

To test the acute effect of estrogen on peripheral blood flow and vascular resistance in postmenopausal women.

Patients and Methods

Eleven normotensive, post-menopausal female volunteers (mean age 53 +/- 6 years) were studied. Six women were in natural menopause and 5 had had a hysterectomy (mean age of the menopause 49 +/- 3 years). We used a double-blind, randomized protocol to assess the acute response to sublingual estradiol-17 beta (1 mg) on the forearm resistance vessels, compared with sublingual placebo. Blood flow was measured by strain-gauge plethysmography, and mean peripheral vascular resistance was then calculated. Mean blood pressure was also measured.

Results

The mean blood flow induced by estradiol-17 beta after 40 minutes was significantly greater than that induced by placebo (3.9 +/- 0.5 mL/100 mL per minute versus 2.4 +/- 0.4 mL/100 mL per minute, respectively, P < 0.05). The forearm resistance was significantly reduced at 40 minutes after estradiol-17 beta compared with placebo (25.7 +/- 4.4 resistance units (RU) to 44.4 +/- 6.4 RU, respectively, P < 0.05). Mean blood pressure 40 minutes after the administration of estradiol-17 beta was no different when compared with placebo (91 +/- 1.5 mm Hg versus 90 +/- 2.5 mm Hg, respectively, P = NS).

Conclusions

These results indicate that the acute administration of estradiol-17 beta affects blood flow in the peripheral vasculature in human subjects. The mechanism of this effect has not been determined, but it may explain some of the beneficial effects of estrogen on the vascular system and have future therapeutic potential in postmenopausal women.

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Therapeutics › Hormonal Agents › Estrogen Preparations · Perimenopause and Menopause › Hormone Therapy › Benefits and Risks
Maurizio Volterrani, Giuseppe Rosano, Andrew Coats, Carolyn Beale, Peter Collins
M Volterrani, G Rosano, Andy Coats, Drew Coats, A Coats, C Beale, Pete Collins, P Collins
PMID 7625415 7625415 DOI 10.1016/s0002-9343(99)80130-2 10.1016/s0002-9343(99)80130-2 Volterrani et al. 1995, Volterrani 1995