Evidence map›Paper›PMID 28368525›Full record

ArticleThe Journal of clinical endocrinology and metabolism2017

Menstrual Cycle Hormone Changes in Women Traversing Menopause: Study of Women's Health Across the Nation.

Nanette Santoro, Sybil L Crawford, Samar R El Khoudary, Amanda A Allshouse, Sherri-Ann Burnett-Bowie, Joel Finkelstein, Carol Derby, Karen Matthews, Howard M Kravitz, Sioban D Harlow and 10 more

Abstract readMulticenter Study
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed.

  1. Critical Appraisal of Personalized Reference Intervals.International journal of laboratory hematology · 2026
    Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Understanding the menopause journey.Climacteric : the journal of the International Menopause Society · 2025
    Review
  14. One size does not fit all: how type of menopause and hormone therapy matters for brain health.The British journal of psychiatry : the journal of mental science · 2025
    Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. Premenstrual Mood Symptoms in the Perimenopause.Current psychiatry reports · 2021
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Nanette SantoroDepartment of Ob/Gyn, University of Colorado School of Medicine, Aurora, Colorado 80045.
Sybil L CrawfordDepartment of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts 01655.
Samar R El KhoudaryDepartment of Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania 15213.
Amanda A AllshouseDepartment of Ob/Gyn, University of Colorado School of Medicine, Aurora, Colorado 80045.
Sherri-Ann Burnett-BowieDepartment of Medicine, Massachusetts General Hospital, Boston, Massachusetts 02114.
Joel FinkelsteinDepartment of Medicine, Massachusetts General Hospital, Boston, Massachusetts 02114.
Carol DerbyDepartments of Neurology and Epidemiology & Population Health, Albert Einstein College of Medicine, New York, New York 10461.
Karen MatthewsDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania 15213.
Howard M KravitzDepartments of Psychiatry and Preventive Medicine, Rush University Medical Center, Chicago, Illinois 60612.
Sioban D HarlowDepartment of Epidemiology, University of Michigan, Ann Arbor, Michigan 48109-5624.
Gail A GreendaleDepartment of Medicine, University of California, Los Angeles Medical Center, Los Angeles, California 90095.
Ellen B GoldDepartment of Public Health Sciences, University of California Davis Health, Davis, California 95817.
Rasa KazlauskaiteDepartments of Psychiatry and Preventive Medicine, Rush University Medical Center, Chicago, Illinois 60612.
Dan McConnellDepartment of Epidemiology, University of Michigan, Ann Arbor, Michigan 48109-5624.
Genevieve Neal-PerryUniversity of Washington School of Medicine, Seattle, Washington 98195.
Jelena PavlovicDepartments of Neurology and Epidemiology & Population Health, Albert Einstein College of Medicine, New York, New York 10461.
John RandolphDepartment of Epidemiology, University of Michigan, Ann Arbor, Michigan 48109-5624.
Gerson WeissDepartment of Obstetrics and Gynecology, Rutgers-New Jersey Medical School, Newark, New Jersey 07103.
Hsiang-Yu ChenDepartment of Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania 15213.
Bill LasleyDepartment of Public Health Sciences, University of California Davis Health, Davis, California 95817.

Funding

National Institute on Aging (NIA) ColonyP51OD011107 · OD · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Simon J. Atkinson · 2012 to 2026
$191.5M
WOMENS HEALTH ACROSS THE NATION--COORDINATING CENTERU01AG012553 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BROOKS, MARIA MORI · 1994 to 2019
$37.7M
PILOT STUDY--SUBSTRATE METABOLISM IN EXTREMELY LOW BIRTH WEIGHT INFANTSP30DK048520 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI Edward L Melanson · 1995 to 2026
$32.6M
WOMENS HEALTH ACROSS THE NATION--ENDOCRINE LABU01AG012495 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MCCONNELL, DANIEL S · 1994 to 2018
$18.8M
WOMENS HEALTH ACROSS THE NATION--PITTSBURGHU01AG012546 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MATTHEWS, KAREN · 1994 to 2019
$16.2M
WOMENS HEALTH ACROSS THE NATION--UCDAVISU01AG012554 · NIA · UNIVERSITY OF CALIFORNIA DAVIS · PI GOLD, ELLEN B. · 1994 to 2019
$14.5M
WOMENS HEALTH ACROSS THE NATION--UCLAU01AG012539 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI GREENDALE, GAIL A · 1994 to 2018
$13.7M
THE STUDY OF WOMEN'S HEALTH ACROSS THE NATION-MICHIGANU01NR004061 · NINR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HARLOW, SIOBAN D · 1994 to 2018
$12.9M
WOMENS HEALTH ACROSS THE NATION--CHICAGOU01AG012505 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI KRAVITZ, HOWARD M · 1994 to 2019
$11.9M
WOMENS HEALTH ACROSS THE NATION--MASSACHUSETTS GENERAL HU01AG012531 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI FINKELSTEIN, JOEL S · 1994 to 2019
$10.7M
Women's Health Across the Nation-New Jersey SiteU01AG012535 · NIA · UNIV OF MED/DENT OF NJ-NJ MEDICAL SCHOOL · PI DERBY, CAROL A. · 1994 to 2019
$9.2M
NIA NIH HHS U01 AG012495NIA NIH HHS U01 AG012505NIA NIH HHS U01 AG012531NIA NIH HHS U01 AG012535NIA NIH HHS U01 AG012539NIA NIH HHS U01 AG012546NIA NIH HHS U01 AG012553NIA NIH HHS U01 AG012554NIDDK NIH HHS P30 DK048520NIH HHS P51 OD011107NINR NIH HHS U01 NR004061
6 · The paper itself

Abstract

Context: Menstrual cycle hormone patterns in women approaching menopause are inadequately studied. Objective: To describe day-to-day menstrual cycle hormones in women as they approach menopause from the Study of Women's Health Across the Nation Daily Hormone Study (DHS). Design: DHS enrollees collected daily urine for one entire menstrual cycle or up to 50 days, whichever came first, annually, up to the final menstrual period (FMP) or for up to 10 years. Setting: Seven sites across the United States. Participants: A total of 511 premenopausal or early perimenopausal women at enrollment, within 10 years before menopause. Intervention: Time-to-FMP measurement. Main Outcome Measures: Evidence of luteal activity (ELA), determined using objective algorithms. Menstrual cycle/segment length; whole cycle, and segment integrated urinary luteinizing hormone, follicle-stimulating hormone, estrone conjugates, and pregnanediol glucuronide (Pdg) for each year, organized around the FMP. Results: Mean menstrual cycle length was remarkably preserved at 26 to 27 days in ELA cycles; non-ELA cycles had greater variability. The percentage of cycles that were ELA remained high until 5 years before the FMP (87.9%); only 22.8% of cycles within 1 year of the FMP were ELA. Whole cycle hormones remained relatively stable up to 3 years before the FMP, when gonadotropins began to increase. Pdg excretion declined slowly with progress to the FMP, but Pdg patterns of ELA cycles remained distinguishable from non-ELA. Conclusions: Menstrual cycle hormone patterns in perimenopausal women resemble those of midreproductive-aged women until 5 years before menopause, and presumably ovulatory cycles retain a potentially fertile pattern up to the end of reproductive life.

Indexed as

Asian PeopleBlack or African AmericanBody Mass IndexCorpus LuteumEstradiolEstroneFemaleFollicle Stimulating HormoneHormonesHumansLuteinizing HormoneMenstrual CycleMiddle AgedPerimenopausePregnanediolPremenopauseEstradiolEstroneFollicle Stimulating HormoneHormonesLuteinizing HormonePregnanediolpregnanediol-3 alpha-glucuronide

Identifiers

PMID28368525
PMCPMC5505186

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.