ClinicalTrials.gg
RecruitingNCT06583408REVEALUpdated Nov 21, 2025

The REgistry of Very Early Estrogen and AnovuLation

An observational study in Hypothalamic Amenorrhea, Functional, Hypothalamic Amenorrhea and Functional Hypogonadotropic Hypogonadism, sponsored by Mayo Clinic. Recruiting at 2 sites in United States. Open to female participants aged 18 Years to 40 Years. Per ClinicalTrials.gov, last updated 2025-11-21.

Sponsored by Mayo Clinic · Observational

From the registry’s dates

  • Started Jul 2024; still recruiting 2 years 4 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
100,000
Ages
18 Years to 40 Years
Sex
Female
01

Study summary

The purpose of this study is to to build a registry of women with early estrogen loss due to Functional Hypothalamic Amenorrhea (FHA) to understand the prevalence, racial and ethnic diversity of this condition.

02

Conditions studied

  • Hypothalamic Amenorrhea, Functional
  • Hypothalamic Amenorrhea
  • Functional Hypogonadotropic Hypogonadism

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Keywords

  • Anovulation
  • Estrogen Loss
  • Hypoestrogenemia
03

In context

Anovulation

75 studies on the registry are indexed under Anovulation; 7 are open to participants now.

This study's planned enrollment of 100,000 is above the median of 300 across 17 observational studies indexed under Anovulation.

Browse Anovulation studies →

Lead sponsor

Mayo Clinic is the lead sponsor of 3,269 studies on the registry; 672 are open to participants now.

Of its 452 completed or terminated interventional studies of FDA-regulated products, 321 (71%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 40 Years
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study subjects are women aged 18-40 years old with a diagnosis of Functional Hypothalamic Amenorrhea (FHA) or lab results that are within the inclusion criteria. To ensure accurate case ascertainment before enrollment into the study, volunteers must have a diagnosis of FHA from a provider with previously performed lab tests, which will be reviewed and adjudicated by a women's health expert to confirm a diagnosis of FHA. If the potential participant doesn't have access or cannot obtain the required lab results, they can contact the study team to receive an at-home finger-stick hormone test (U.S. Specialty Labs) paid for by the study.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • 3 or more months of consecutive amenorrhea with a diagnosis of functional hypothalamic amenorrhea or screening hormones consistent with functional hypothalamic amenorrhea including but not limited to:

    • Estradiol: \< 50pg/mL
    • LH: \< 10 IU/mL
    • FSH: \< 10 IU
    • Testosterone: 2 - 45 ng/dL
    • Free Testosterone: 0.1 - 6.4 pg/mL
    • FT4: 0.93 - 1.70 ng/dL
    • Prolactin: \< 20 ng/mL
    • AMH: > 1 ng/mL
    • Urine or serum human chorionic gonadotropin: Negative
  • LH:FSH Ratio \<1
  • No signs of male-like hair growth on the upper lip, chin, chest, abdomen, buttocks, or back
  • Does not have a diagnosis for secondary amenorrhea, including prolactinoma, PCOS, premature ovarian insufficiency, pituitary surgery, infection, or infarction
  • Premenopausal status determined by WISE criteria
  • Able to give
  • Able to read English

Exclusion criteria

Exclusion Criteria:

  • Parturition/lactating in the last 6-12 months
  • Lack of consent
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
100,000 participants (estimated)
Target follow-up
5 Years
Patient registry
Yes

Groups and cohorts

  • Women with > 3 months amenorrhea

    Women aged 18-40 years old with a diagnosis of functional hypothalamic amenorrhea, or lab results that are within the inclusion criteria.

    Other: Automated Self-Administered 24-hour Dietary Assessment Tool (ASA24) · Other: REVEAL Questionnaire

Interventions

  • OtherAutomated Self-Administered 24-hour Dietary Assessment Tool (ASA24)

    Subjects will complete the ASA food diary for 2 weekdays and 1 weekend day

  • OtherREVEAL Questionnaire

    Subjects will complete the REVEAL questionnaire form. This form includes questions about current and past medical history, including reproductive history, lifestyle specifics, and assessment of current health status.

06

What researchers measure

Primary outcomes

  1. Study Participants

    Establish and maintain a comprehensive registry of patients diagnosed with Functional Hypothalamic Amenorrhea (FHA). This registry will include detailed demographic information, clinical data, and longitudinal follow-up to track the prevalence, underlying causes, risk factors, and prognosis of FHA. It will also facilitate the collection of data on racial and ethnic disparities, lifestyle factors, psychological stressors, hormonal imbalances, and the impact of various treatment interventions on long-term health outcomes collected through questionnaires done at baseline and yearly.

    Time frame: 5 years

Secondary outcomes

  1. Assessing the Impact of Amenorrhea on Women's Health: Symptoms, Care Experiences, and Work Productivity

    Improve understanding of women's overall experience of Functional Hypothalamic Amenorrhea (FHA) by documenting the types of care received, frequency and quality of healthcare interactions, and patient satisfaction with the care provided. This includes detailed assessments of specific treatments or therapies received, the involvement of multidisciplinary care approaches, and the extent of follow-up care. Additionally, to quantify the impact of FHA on lost work productivity, including the number of workdays missed, impact on work performance, and economic burden associated with amenorrhea-related issues, measured at baseline and then yearly using questionnaires.

    Time frame: 5 years

  2. Impact of Social, Early Life, and Pregnancy Factors on Functional Hypothalamic Amenorrhea

    Enhance the understanding of how social determinants of health-such as socioeconomic status, education, access to healthcare, and community environment-contribute to the development of Functional Hypothalamic Amenorrhea (FHA). Additionally, the study will explore the impact of childhood adversity, including exposure to trauma, abuse, neglect, or chronic stress, on the likelihood of developing FHA. The relationship between pregnancy complications, such as preterm birth, miscarriage, or gestational conditions, and the onset of FHA will also be analyzed. Data will be collected through baseline and annual questionnaires throughout the study, providing a comprehensive understanding of these factors' roles in the development of FHA.

    Time frame: 5 years

07

Study locations

2 of 2 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jul 2024 (actual). Primary completion is estimated for Aug 2029, 61 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 22, 2024
First posted
Sep 4, 2024
StartActual
Jul 1, 2024
Primary completionEst.
Aug 1, 2029
CompletionEst.
Aug 1, 2029
Last update
Nov 21, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 21, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06583408
Lead sponsor
Mayo Clinic
Responsible party
Chrisandra L. Shufelt, MD (Chair and Professor of Medicine, Mayo Clinic) — Principal investigator
First posted
Sep 4, 2024
Start date
Jul 1, 2024
Primary completion
Aug 1, 2029 (estimated)
Completion
Aug 1, 2029 (estimated)
Last update
Nov 21, 2025

Study contacts

Chandler E. Palmer, MHA
Contact
palmer.chandler@mayo.edu
904-953-5438
Chrisandra L Shufelt, MD
Contact
DLREVEAL@exchange.mayo.edu
904 953-7224
Chrisandra Shufelt, MD
principal investigator · Mayo Clinic

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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