Reproductive dysfunction in female rats with renovascular hypertension

Hypertension is a major public health epidemic that is highly associated with sexual dysfunction in both men and women. Despite its high prevalence, clinical and animal literature on the underlying mechanisms of sexual dysfunction in hypertensive women is remarkably limited.

Using a well-established rodent model of renovascular hypertension-the 2-kidney, 1-clip (2K1C) Goldblatt model-we investigated possible reproductive deficits in female rats. We evaluated several aspects of reproductive function in hypertensive female rats: estrous cycle, sexual behavior, ovulation, and plasma levels of luteinizing hormone (LH), follicle-stimulating hormone (FSH), and estradiol at proestrus afternoon.

Clipping of the left renal artery resulted in dramatic elevations in systolic blood pressure and heart rate. Renovascular hypertension was associated with a delay for reestablishing estrous cyclicity (50% of 2K1C rats failed to resume cycling by 15 days after surgery). In rats that resumed cycling, 2K1C female rats showed a decrease in sexual behavior, evidenced by a decreased lordosis quotient and a reduction in ovulation, as demonstrated by a decreased number of oocytes. Moreover, plasma levels of LH on the proestrus afternoon were reduced in hypertensive female rats, but no changes in estradiol or FSH were observed.

Our results demonstrate that renovascular hypertension induces an overall decrease in reproductive function in female rats. Most important, our results indicate that the animal model of renovascular hypertension could be used as a relevant tool to understand better the pathophysiological mechanisms involved in the reproductive deficits in women with renovascular hypertension.