The cognitive effects of conjugated equine estrogens depend on whether menopause etiology is transitional or surgical.
The question of whether to take hormone therapy (HT) will impact every woman as she enters reproductive senescence. In women, studies suggest that ovarian hormone loss associated with menopause has deleterious cognitive effects. Results from clinical studies evaluating whether estrogen-containing HT mitigates these effects, and benefits cognition, are discrepant. Type of menopause, surgical vs. transitional, impacts cognitive outcome in women. However, whether type of menopause impacts cognitive effects of HT has not been methodically tested in women or an animal model. We used the 4-vinylcyclohexene diepoxide rodent model of ovarian follicle depletion, which mimics transitional menopause, and the traditional rat model of menopause, ovariectomy, to cognitively test the most commonly prescribed estrogen therapy in the United States, conjugated equine estrogens (Premarin). Here we show conjugated equine estrogens benefited cognition in surgically menopausal rats, but, in contrast, impaired cognition in transitionally menopausal rats. Androstenedione, released from the residual transitional menopausal ovary, was positively associated with impaired performance, replicating our previous findings in 4-vinylcyclohexene diepoxide animals. The current findings are especially salient given that no clinical study testing cognition has methodically separated these two populations of menopausal women for analysis. That we now show surgical vs. transitional modes of menopause result in disparate cognitive effects of HT has implications for future research and treatments optimizing HT for menopausal women.
Acosta
Jazmin I
JI
Department of Psychology, Arizona State University, Tempe, Arizona 85287, USA.
Mayer
Loretta P
LP
Braden
B Blair
BB
Nonnenmacher
Sean
S
Mennenga
Sarah E
SE
Bimonte-Nelson
Heather A
HA
D000818:Animals; D003071:Cognition / Q000187:drug effects* / Q000502:physiology; D003072:Cognition Disorders / Q000097:blood / Q000139:chemically induced / Q000209:etiology; D015914:Estrogen Replacement Therapy / Q000009:adverse effects; D004966:Estrogens, Conjugated (USP) / Q000494:pharmacology* / Q000627:therapeutic use; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects* / Q000534:rehabilitation; D018782:Maze Learning / Q000187:drug effects; D008568:Memory / Q000187:drug effects / Q000502:physiology; D008593:Menopause / Q000187:drug effects* / Q000502:physiology; D008594:Menopause, Premature / Q000187:drug effects / Q000502:physiology; D010052:Ovariectomy / Q000009:adverse effects / Q000534:rehabilitation; D016649:Primary Ovarian Insufficiency / Q000209:etiology* / Q000503:physiopathology; D051381:Rats; D011916:Rats, Inbred F344; D013550:Swimming / Q000502:physiology
D004966:Estrogens, Conjugated (USP)