Disorder of Endocrine Ovary, Hypersecretion; Cortisol, Metabolic Disturbance, Stress, Psychological
Conditions
Keywords
functional hypothalamic amenorrhea, stress induced anovulation
Brief summary
This is a randomized pilot study of the use of cognitive behavior therapy versus observation to treat functional hypothalamic amenorrhea, often termed stress-induced anovulation.
Detailed description
The study enrollment was completed in 2003. The study results are being analyzed.
Interventions
16 sessions of 45 minutes each to review stress management
Sponsors
Study design
Eligibility
Inclusion criteria
* women with functional hypothalamic amenorrhea * day awake / night asleep schedule
Exclusion criteria
* eating disorders, depression, excessive exercise or any other cause of amenorrhea and anovulation other than functional hypothalamic amenorrhea * weight loss greater than 10 pounds when amenorrhea developed * running more than 10 miles per week or exercising more than 10 hours per week
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| ovarian function | Change before and after 20 weeks of CBT or observation | The change in ovarian function was assessed by comparing ovarian function before and after 20 weeks of CBT or observation using menses and serial estradiol and progesterone level as indices of ovarian function |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| metabolism | Change before and after 20 weeks of CBT or observation | The change in metabolism was assessed by measuring levels of cortisol, TSH, T4, free T4, T3, free T3, leptin in blood and by measuring weight before and after 20 weeks of CBT or observation |
Other
| Measure | Time frame | Description |
|---|---|---|
| psychological inventories | Change before and after 20 weeks of CBT or observation | Attitudes were assessed before and after 20 weeks of CBT or observation using psychological inventories |
Countries
United States