Hypotheses and Specific Aims: There is limited data on the long-term consequences of cancer therapy on young, reproductively aged cancer survivors. The investigators objective is to characterize some of these effects in the cancer population.
Specific Aim 1: To compare markers of ovarian reserve between cancer survivors and healthy controls. Hypothesis: Cancer survivors will have lower serum Anti-Mullerian Hormone (AMH) and antral follicle count (AFC), and higher Follicle Stimulating Hormone (FSH) than healthy controls. Specific Aim 2: To compare cardio-metabolic, endocrine and bone profiles between cancer survivors and controls using a combination of anthropometric measures, fasting serum markers, and urinary markers of bone health. Hypothesis: Cancer survivors will have higher total cholesterol and lower 25-OH vitamin D than healthy controls. Specific Aim 3: To evaluate potential associations between ovarian reserve and markers of metabolism, obesity, and tumor bone health in young female cancer survivors. Hypothesis: As BMI and total cholesterol increases, serum AMH will decrease. Specific Aim 4: To compare quality of life markers, as assessed by validated instruments, between cancer survivors and controls using recommended scoring techniques. Hypothesis: Cancer survivors will have lower quality of life markers as compared to controls. The investigators will conduct a prospective study to characterize the quality of life and cardio-metabolic, endocrine, and bone profiles of female cancer survivors using a combination of anthropometric, serum, urinary, and ultrasonographic markers in combination with QOL instruments.
Study Type
OBSERVATIONAL
University of Colorado Clinical and Translational Research Center
Aurora, Colorado, United States
Serum anti-Mullerian hormone (AMH)
Test of ovarian reserve via a blood sample.
Time frame: Day 0 - 1 time measurement
Body Mass Index (BMI)
Height and weight will be measured to calculate BMI.
Time frame: Day 0 - 1 time measurement
Antral Follicle Count
Measure of ovarian reserve via a transvaginal ultrasound.
Time frame: Day 0 - 1 time measurement
Hemoglobin A1c
Will measure the percentage of hemoglobin that is coated with sugar (glycated).
Time frame: Day 0 - 1 time measurement
High sensitivity C reactive protein (hsCRP)
We will measure low levels of C-reactive protein (CRP) by blood test. The test will be done to determine risk for heart disease.
Time frame: Day 0 - 1 time measurement
Follicle-stimulating hormone (FSH)
We will measure the amount of follicle-stimulating hormone (FSH) in a blood sample.
Time frame: Day 0 - 1 time measurement
25-OH vitamin D
We will measure how much vitamin D is present via a blood test.
Time frame: Day 0 - 1 time measurement
Estrone
We will measure the amount of estrone (form of estrogen) by testing a urine sample.
Time frame: Day 0 - 1 time measurement
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Pregnanediol
We will measure the amount of pregnanediol by testing a urine sample. This is an indirect way to measure progesterone levels in the body.
Time frame: Day 0 - 1 time measurement
Testosterone
We will measure the amount of the steroid hormone testosterone by testing a blood sample.
Time frame: Day 0 - 1 time measurement
Ovarian volume
Ovarian volume will be measured via a transvaginal ultrasound.
Time frame: Day 0 - 1 time measurement
Quality of Life
Validated instruments will be used to compare quality of life markers between cancer survivors and healthy controls.
Time frame: Day 0 - 1 time measurement