Perinatal growth restriction is associated with heightened sympathetic tone and hypertension. We have previously shown that naturally occurring neonatal growth restriction (GR) programs hypertension in male but not female mice. We therefore hypothesized that intact ovarian function or post-ovariectomy estrogen administration protects GR female mice from hypertension. Utilizing a non-interventional model that categorizes mice with weanling weights below the 10(th) percentile as GR, control and GR adult mice were studied at three distinct time points: baseline, post-ovariectomy (OVX), and post-OVX with oral estrogen replacement. OVX elicited hypertension in GR mice that was significantly exacerbated by psychomotor arousal (systolic blood pressure at light to dark transition: control 122+/-2; GR 119+/-2; control-OVX 116+/-3; GR-OVX 126+/-3 mmHg). Estrogen partially normalized the rising blood pressure surge seen in GR-OVX mice (23+/-7% reduction). GR mice had left ventricular hypertrophy, and GR-OVX mice in particular had exaggerated bradycardic responses to sympathetic blockade. For GR mice, a baseline increase in baroreceptor reflex sensitivity and high frequency spectral power support a vagal compensatory mechanism, and that compensation was lost following OVX. For GR mice, the OVX-induced parasympathetic withdrawal was partially restored by estrogen (40+/-25% increase in high frequency spectral power, P<0.05). In conclusion, GR alters cardiac morphology and cardiovascular regulation. The hemodynamic consequences of GR are attenuated in ovarian-sufficient or estrogen replete females. Further investigations are needed to define the role of hormone replacement therapy targeted towards young women with estrogen deficiency and additional cardiovascular risk factors, including perinatal growth restriction, cardiac hypertrophy and morning surge hypertension.