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The Effect of Deydroepiandrosterone Supplementation to Symptomatic Perimenopausal Women on Serum Endocrine Profiles, Lipid Parameters, and Health-Related Quality of Life¹

Departments of Obstetrics and Gynecology (K.T.B., E.F.) and Medicine (J.A.G., D.J.R., S.K.), and Center for Clinical Epidemiology and Biostatistics (K.T.B., J.A.G., M.S.), University of Pennsylvania Medical Center, Philadelphia, Pennsylvania 19104; and Division of Endocrinology and Metabolism Medical College of Virginia (J.E.N.), Virginia Commonwealth University, Richmond, Virginia 23298

Address correspondence and requests for reprints to: Kurt T. Barnhart, M.D., M.S.C.E., University of Pennsylvania Medical Center, Department of Obstetrics and Gynecology, 106 Dulles, 3400 Spruce Street, Philadelphia, Pennsylvania 19104.

Dehydroepiandrosterone (DHEA), an androgenic steroid hormone, exhibits an age-related decline. Perimenopausal women have only approximately 50% of peak DHEA levels. Despite limited scientific data, DHEA has gained recognition as a dietary supplement to reduce the symptoms of aging and improve well-being. This randomized, double-blind placebo-controlled trial examined the effects of 50 mg/day of oral DHEA supplementation, for 3 months, on 60 perimenopausal women with complaints of altered mood and well-being.

Changes in the serum endocrine profile of women in the DHEA group were significantly greater than the placebo group, including a 242% [95% confidence interval (CI) +60.1, +423.9] increase in DHEAS, a 94.8% (95% CI +34.2, +155.4) increase in testosterone, and a 13.2% (95% CI -27.88, +0.5) decline in cortisol compared to baseline. Women receiving DHEA had a 10.1% (95% CI -15.0, -5.1) decline in high-density lipoprotein and an 18.1% (95% CI -32.2, -3.9) decline in Lp(a) from baseline, but these declines did not significantly differ from women who received placebo. Women receiving DHEA did not have any improvements significantly greater than placebo in the severity of perimenopausal symptoms, mood, dysphoria, libido, cognition, memory, or well-being.

DHEA supplementation significantly effects the endocrine profile, may affect the lipid profile, but does not improve perimenopausal symptoms or well-being compared to placebo.

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