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Evolution of Menstruation

Evolution and Genetic Basis of Menstruation in Women

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT04085835
Acronym
EVOMENS
Enrollment
21
Registered
2019-09-11
Start date
2020-10-27
Completion date
2025-04-27
Last updated
2025-10-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Menstruation

Keywords

endometrium, comparative genomics

Brief summary

This study examines gene expression and gene regulation in the uterine lining during menses in women, for evolutionary comparison with other primates which do or do not menstruate. Samples will be obtained by non-invasive collection of menstrual fluid from healthy donors.

Detailed description

Menstruation corresponds to the shedding of the uterine lining when fecundation has not occurred. This is a recent evolutionary innovation in primates, and the cellular and genetic changes that led to the acquisition of menstruation are not well understood. Additionally, the uterine lining is poorly characterized in humans at the menstrual time point, which hinders both evolutionary and medically-relevant analyses. In this study, the research team are collecting menstrual fluid samples from healthy female volunteers to profile gene expression and gene regulatory elements in the major cell types that compose the uterine lining during menstruation. The investigators will compare this data to similar samples collected from other primates at the same time point in the female hormonal cycle. The objective is to identify genes that have acquired novel regulation and/or expression patterns and which may be involved in menstruation.

Interventions

None listed

Sponsors

Institut National de la Santé Et de la Recherche Médicale, France
Lead SponsorOTHER_GOV

Study design

Observational model
COHORT
Time perspective
OTHER

Eligibility

Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
Yes

Inclusion criteria

* having regular periods * being comfortable using silicone menstrual hygiene devices (cup) * having giving consent in writing

Exclusion criteria

* use of an internal contraception method (hormone or non-hormone based) during or within three months before the study * pregnancy during or within three months before the study * amenorrhea (absent periods) during or within three months before the study * gynaecological intervention or surgery within three months before the study * hormonal treatment during or within three months before the study * absence of written consent * breastfeeding * medical treatment during the study * low (\< 18.5) or high (\> 30) body mass index (BMI)

Design outcomes

Primary

MeasureTime frameDescription
Gene expression levels measured by RNA-seqAverage to study completion 30 monthsGene expression levels measured in the different cell types of the endometrial tissue during menstruation using RNA extraction and sequencing (RNA-seq)
Active regulatory elements profiled by ATAC-seqAverage to study completion 30 monthsProfiling of the genetic elements accessible to transposase assays and sequencing (putative active regulatory elements; ATAC-seq) in the different cell types of endometrial tissue during menstruation

Countries

France

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026