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Trial registered on ANZCTR
Registration number
ACTRN12625000819426
Ethics application status
Approved
Date submitted
14/07/2025
Date registered
31/07/2025
Date last updated
31/07/2025
Date data sharing statement initially provided
31/07/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
Reproductive Health and Your Menstruation: an observational study looking at endometrial ageing in menstrual fluid.
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Scientific title
An observational study exploring circRNAs and key hallmarks of endometrial ageing in menstrual fluid from women of different reproductive ages and/or with polycystic ovary syndrome (PCOS).
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Secondary ID [1]
314859
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None
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Universal Trial Number (UTN)
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Trial acronym
RHYM
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Menstrual Health
338136
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Condition category
Condition code
Reproductive Health and Childbirth
334420
334420
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0
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Menstruation and menopause
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
This pilot study will explore endometrial health using menstrual fluid and how it may differ between women of different age and reproductive health.
A minimum of 30 women will be recruited for this study who are of different ages, have healthy menstrual cycles or have a reproductive condition, Polycystic Ovary Syndrome (PCOS). Group 1 are 18-25 within reproductive age with typical menstrual cycles. Group 2 are 35-43 within reproductive age with typical menstrual cycles. Group 3 will be with varied reproductive age and have a self-reported diagnosis of PCOS. Menstrual fluid samples will be self collected once only on day 2 of menses for 4-6 hours. Peripheral blood will be taken once only on the day before the next predicted period begins. Participation is for one menstrual cycle only. Data generated will be used for a power analysis for a future study.
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Intervention code [1]
331462
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Not applicable
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Comparator / control treatment
The younger age group of 18-25 are the control group. They will have typical menstrual cycles, with no known reproductive disorders.
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Control group
Active
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Outcomes
Primary outcome [1]
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Successful identification of circRNA in endometrial cells isolated from menstrual fluid.
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Assessment method [1]
342119
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RNA sequencing for identification of circRNAs in endometrial cells
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Timepoint [1]
342119
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Day 2 of menstruation for one menstrual cycle only
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Primary outcome [2]
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Successful quantification of circRNA in endometrial cells isolated from menstrual fluid.
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Assessment method [2]
342352
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qPCR for specific circRNAs in endometrial cells
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Timepoint [2]
342352
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Day 2 of menstruation for one menstrual cycle only
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Secondary outcome [1]
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Measures of DNA damage in endometrial cells from menstrual fluid
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Assessment method [1]
449604
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Biochemical, histochemical and immunofluorescence tests
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Timepoint [1]
449604
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Day 2 of menstruation for one menstrual cycle only
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Secondary outcome [2]
450461
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Measures of lipid peroxidation in endometrial cells from menstrual fluid
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Assessment method [2]
450461
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Biochemical, histochemical and immunofluorescence tests
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Timepoint [2]
450461
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Day 2 of menstruation for one menstrual cycle only
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Eligibility
Key inclusion criteria
Group 1:
Individuals who are assigned female at birth
18-25 years who have typical menstrual cycles
Willing to complete questionnaires and use a menstrual cup to collect their own menstrual fluid
Group 2:
Individuals who are assigned female at birth
35-43 years who have typical menstrual cycles
Willing to complete questionnaires and use a menstrual cup to collect their own menstrual fluid
Group 3:
Individuals who are assigned female at birth
18-43 years who have been diagnosed with PCOS
Willing to complete questionnaires and use a menstrual cup to collect their own menstrual fluid
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Minimum age
18
Years
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Maximum age
43
Years
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Participants will be excluded if they:
(i) Are on any hormonal contraception/therapy
(ii) Have severe chronic pelvic pain
(iii) Have other reproductive disorders (excluding PCOS)
(iv) Have a history of infertility (excluding PCOS group)
(v) Have a sexually transmitted infection
(vi) Have been taught by one of our researchers in the past 12 months.
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
A two-way ANOVA with BMI and age of menarche as covariates, followed by Tukey's post hoc for multiple comparisons. This is a pilot study to generate data for a power analysis for a future appropriately powered study.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
4/08/2025
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Actual
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Date of last participant enrolment
Anticipated
29/08/2025
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Actual
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Date of last data collection
Anticipated
30/09/2025
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Actual
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Sample size
Target
30
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
SA
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Funding & Sponsors
Funding source category [1]
319417
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Government body
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Name [1]
319417
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NHMRC
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Address [1]
319417
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Country [1]
319417
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Australia
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Primary sponsor type
University
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Name
Flinders University
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Address
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Country
Australia
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Secondary sponsor category [1]
321903
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None
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Name [1]
321903
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Address [1]
321903
0
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Country [1]
321903
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Flinders University Human Research Ethics Committee
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Ethics committee address [1]
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https://staff-projects.flinders.edu.au/research-support/integrity/human-ethics
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Ethics committee country [1]
317988
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Australia
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Date submitted for ethics approval [1]
317988
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31/03/2025
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Approval date [1]
317988
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27/05/2025
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Ethics approval number [1]
317988
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8459
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Summary
Brief summary
This project aims to understand how certain factors like age and PCOS impact the endometrium by using menstrual fluid. Like all tissues in the body, the endometrium also changes over time. In Australia, more women are getting pregnant for the first time later in life. However, as we age, fertility naturally declines and the endometrium changes as well. As the endometrium plays a key role in pregnancy, we want to understand how aging affects it and the impacts this may have. Similarly, people who have been diagnosed with PCOS, typically have longer, irregular menstrual cycles. We think this could impact the endometrium in a similar way to aging. We will assess markers of ageing in endometrial cells isolated from menstrual fluid. This research is important because if the endometrium isn’t functioning properly, it can impact fertility, regular menstruation and reproductive health overall.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Claire Roberts
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Address
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Level 4, HMRB Building, Flinders University, Bedford Park, SA 5042
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Country
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Australia
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Phone
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+61406381575
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Claudia Belmonte
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Address
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Level 4, HMRB Building, Flinders University, Bedford Park, SA 5042
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Country
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Australia
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Phone
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+61424757646
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Fax
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Email
142795
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[email protected]
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Contact person for scientific queries
Name
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Claire Roberts
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Address
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Level 4, HMRB Building, Flinders University, Bedford Park, SA 5042
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Country
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Australia
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Phone
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+61406381575
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Fax
142796
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Email
142796
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
What supporting documents are/will be available?
No Supporting Document Provided
Type
Citation
Link
Email
Other Details
Attachment
Ethical approval
20250630 RHYM Approval Letter.pdf
Ethical approval
20250527 RHYM Approval Letter.pdf
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF