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The variations in small vascular function and arterial compliance during the menstrual cycle in young healthy women (De cyclus afhankelijke variatie in de microcirculatie bij jonge gezonde ovulerende vrouwen)
ISRCTN ISRCTN32882895
ClinicalTrials.gov identifier
Public title The variations in small vascular function and arterial compliance during the menstrual cycle in young healthy women (De cyclus afhankelijke variatie in de microcirculatie bij jonge gezonde ovulerende vrouwen)
Scientific title
Acronym MCycle
Serial number at source N/A
Study hypothesis It has been suggested in literature that insulin sensitivity and determinants of the blood pressure vary according to the past ovulation cycle. Since microcirculation plays a large role in the transport and supply of insulin to the muscle fibres, it can be assumed that the microcirculatory function cycle will be dependent on the ovulation cycle. Indeed from literature it has been suggested that this is true, however another group of researchers found no cycle dependent pattern. Moreover in the Vrije University the most unique method has been developed to measure the microcirculation (capillary microscope) and this measuring has never been examined in women in their ovulation cycle. The results of this research are very important for the interpretation of cardiovascular events in women during their ovulation cycle.

Hypothesis:
Microcirculatory function is cycle dependent in healthy ovulating women.
Lay summary
Ethics approval Ethics approval received from the local medical ethics committee
Study design Non-randomised clinical trial
Countries of recruitment Netherlands
Disease/condition/study domain Small vascular function, arterial compliance
Participants - inclusion criteria 1. Healthy as judged by history and physical examination
2. Regular ovulatory menstrual cycles between 21 - 35 days (proven by biphasic basal temperature curve [BTC] or midluteal progesterone more than 10 nmol/l)
3. Aged 18 to 35 years
4. No medication including oral conceptive or hormonal intra-uterine device (IUD) for at least three months
5. Informed consent
Participants - exclusion criteria 1. Cardiovascular disease (hypertension [more than 160/90 mmHg], stroke, coronary artery disease, peripheral vascular disease, heart failure)
2. Diabetes mellitus (according to American Diabetes Association [ADA] criteria)
3. Smoking for the last three months
4. Alcohol use more than 4 units/day
5. Pregnancy
6. Diseases that influence reproductive hormone status
Anticipated start date 23/10/2006
Anticipated end date 01/04/2007
Status of trial Completed
Patient information material
Target number of participants 16
Interventions Microcirculation measured by means of:
1. Microscopic examination of the nail bed (assessment of the refill after temporary occlusion of the finger)
2. Ionthophoresis with acetylcholine (ACH) (endothelium dependent) and sodiumnitroprusside (SNP) (endothelium independent vasodilatation)
3. Blood pressure
Primary outcome measure(s) Microcirculatory function measured in three phases of the cycle (early and late follicular, and luteal).
Secondary outcome measure(s) Blood pressure.
Sources of funding Institute for Cardiovascular Research of the Vrije University of Amsterdam (ICaR-VU) (The Netherlands)
Trial website
Publications
Contact name Dr  I J G  Ketel
  Address VU University Medical Center
Department of Reproductive Medicine (Poli H)
P.O. Box 7057
  City/town Amsterdam
  Zip/Postcode 1007 MB
  Country Netherlands
  Tel +31 (0)20 444 0041
  Fax +31 (0)20 444 0045
  Email ijg.ketel@vumc.nl
Sponsor VU University Medical Center (The Netherlands)
  Address Department of Reproductive Medicine
Postbus 7057
  City/town Amsterdam
  Zip/Postcode 1007 MB
  Country Netherlands
  Sponsor website: http://www.vumc.nl/
Date applied 28/12/2006
Last edited 04/03/2008
Date ISRCTN assigned 28/12/2006
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