To investigate the influence of estrogen replacement on serotonergic a
ctivity in postmenopausal women, the serotonin agonist meta-chlorophen
ylpiperazine (m-CPP) (0.5 mg/kg) was given orally to 18 normal postmen
opausal women, 11 of whom were also tested following 30 days' treatmen
t with estrogen transdermal patches (estraderm 0.1 mg). Fifteen normal
healthy women of reproductive status sewed as a control group, Cortis
ol and prolactin responses to m-CPP were measured, Without estrogen, t
he prolactin and cortisol responses of postmenopausal women to m-CPP w
ere blunted compared to those of reproductive women. Estrogen replacem
ent increased the hormonal responses, It is suggested that decreased s
erotonergic activity in postmenopausal women might contribute to their
vulnerability to affective disorders, Estrogen replacement therapy mi
ght decrease this vulnerability and might add to the efficacy of serot
onergic antidepressants when warranted