How estrogen (estradiol) affects brain reward signals in women whose loss of pleasure or psychotic symptoms started around menopause

Examining the Effects of Estradiol on Neural and Molecular Response to Rewards in Perimenopausal-Onset Anhedonia and Psychosis

NIH-funded research Univ of North Carolina Chapel Hill · NIH-11248771

This project looks at whether estradiol changes how the brain responds to rewards in women who developed loss of pleasure (anhedonia) or psychotic symptoms during the menopause transition.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniv of North Carolina Chapel Hill NIH-funded
Lab location1 site (Chapel Hill, United States)
Project IDNIH-11248771 on NIH RePORTER

What this research studies

If you join, you would be asked to undergo combined PET and MRI brain scans while doing tasks that involve rewards so researchers can see how your striatum (a reward area) activates. The team will use a radioactive tracer ([11C]raclopride) to measure dopamine signaling patterns (tonic and phasic) at the same time as functional MRI. They will compare these brain and molecular signals with symptom severity and estradiol levels in women whose symptoms began during perimenopause. The goal is to link hormone changes to measurable brain differences in reward processing in this specific group.

Who could benefit from this research

Good fit: Women who developed new or worsening anhedonia or psychotic symptoms during the menopause transition and who can safely undergo PET-MR imaging would be the best fit.

Not a fit: People whose mood or psychotic symptoms began well before menopause, men, or anyone unable to have PET-MR scans or radioactive tracer exposure are unlikely to benefit from participating.

Why it matters

Potential benefit: If successful, this work could point toward hormone-based or dopamine-targeted approaches tailored for women with perimenopausal-onset anhedonia or psychosis.

How similar studies have performed: Previous research shows estrogen can influence mood and reward processing and PET/MR dopamine imaging links striatal dopamine to anhedonia, but combining estradiol focus with simultaneous PET-MR in perimenopausal-onset cases is relatively novel.

Where this research is happening

Chapel Hill, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions Affective DisordersDepressive SyndromesDepressive disorder
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.