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PubMed1992

The aetiology of galactorrhoea in women with regular menstruation and normal prolactin levels.

Fourteen primary infertile women with expressible galactorrhoea associated with regular ovulatory cycles and normal basal prolactin levels (group A) were matched for age and weight with 14 infertile women with regular menstruation but no galactorrhoea (group B). Both groups showed equivalent increases in prolactin levels after stimulation with 200 micrograms thyrotrophin-releasing hormone (TRH) during the follicular and luteal phases of the menstrual cycle. Patients in group A had a greater increase in luteinizing hormone levels after 100 micrograms i.v. injection of a luteinizing hormone-releasing hormone during the follicular phase (P less than 0.05). Following a 60 mg oral dose of buspirone hydrochloride on day 22 of the menstrual cycle, patients in group A had a greater increase in prolactin levels than patients in group B (P less than 0.01). This reflects hyper-responsive 5-hydroxytryptamine type 1A (5HT1A) receptors in group A patients and may explain the presence of galactorrhoea in these patients despite normal basal and post-TRH prolactin levels.

Adult↗
PubMed1992

Effect of menstruation on serum CA125 levels.

CA125 levels were measured in the sera of 54 women with normal menstrual cycle and without infectious, benign and malignant gynecologic disorders. In 54 subjects studied, 13 (24%) had no significant variations in serum CA125 levels throughout the menstrual cycle. In contrast, there 41 (76%) had significant variations in serum CA125 with peak levels (51.8 +/- 6.5 U/ml, mean +/- SEM) during menstruation. The concentration reached a normal value (17.7 +/- 1.6 U/ml, mean +/- SEM) at proliferative phase, and remained low throughout the rest phases of the cycle. The mean peak level was significantly higher than that at proliferative phase (P < 0.001), where as no significant difference in mean concentration was detected between sequential phases from proliferative phase to premenstrual phase (P > 0.1). Among 41 with variable CA125 levels in the menstrual cycle, more than half of them, namely 39% of the total (21/54), had the levels of the upper limit or normal values.

Adult↗
PubMed2003

Luteinizing hormone pulsatility is disrupted at a threshold of energy availability in regularly menstruating women.

To investigate the dependence of LH pulsatility on energy availability (dietary energy intake minus exercise energy expenditure), we measured LH pulsatility after manipulating the energy availability of 29 regularly menstruating, habitually sedentary, young women of normal body composition for 5 d in the early follicular phase. Subjects expended 15 kcal/kg of lean body mass (LBM) per day in supervised exercise at 70% of aerobic capacity while consuming a clinical dietary product to set energy availability at 45 and either 10, 20, or 30 kcal/kg LBM.d in two randomized trials separated by at least 2 months. Blood was sampled daily during treatments and at 10-min intervals for the next 24 h. Samples were assayed for LH, FSH, estradiol (E2), glucose, beta-hydroxybutyrate, insulin, cortisol, GH, IGF-I, IGF-I binding protein (IGFBP)-1, IGFBP-3, leptin, and T3. LH pulsatility was unaffected by an energy availability of 30 kcal/kg LBM.d (P > 0.3), but below this threshold LH pulse frequency decreased, whereas LH pulse amplitude increased (all P < 0.04). This disruption was more extreme in women with short luteal phases (P < 0.01). These incremental effects most closely resembled the effects of energy availability on plasma glucose, beta-hydroxybutyrate, GH, and cortisol and contrasted with the dependencies displayed by the other metabolic hormones (simultaneously P < 0.05). These results demonstrate that LH pulsatility is disrupted only below a threshold of energy availability deep into negative energy balance and suggest priorities for future investigations into the mechanism that mediates the nonlinear dependence of LH pulsatility on energy availability.

Adult↗
PubMed1990

Bone mineral content of cyclically menstruating female resistance and endurance trained athletes.

The bone mineral content (BMC) at four sites on the axial and appendicular skeleton was compared among four groups of young adult (age = 17-38 yr) cyclically menstruating athletes (N = 40) who regularly performed either weightlifting resistance exercise (body builders) or nonresistance endurance exercise (runners, swimmers) and an inactive group of females (N = 18) of about equal age. Forearm BMC was measured using single photon absorptiometry at proximal (shaft) and distal sites on the radius. Dual photon absorptiometry was used to measure BMC at the lumbar vertebrae (L2-4) and femur at the femoral neck, Ward's triangle, and greater trochanter. Fat-free body mass (FFBM) was estimated from densitometry. Body builders had greater BMC than swimmers, collegiate runners, recreational runners, and controls. Mean differences in BMC among runners, swimmers, and controls were not significant (P less than or equal to 0.05). FFBM was correlated significantly with BMC (r = 0.35-0.56) at each site in the combined group of athletes (N = 39), whereas total body weight and BMC were correlated significantly at the distal radius site (r = 0.38) only. The results suggest that weight training may provide a better stimulus for increasing BMC than run and swim training.

Adolescent↗
PubMed1987

A relationship between sex hormone binding globulin and dehydroepiandrosterone sulfate in normally menstruating females.

Blood samples were collected from 120 normally menstruating women throughout the menstrual cycle. Serum was assayed for sex hormone binding globulin (SHBG), dehydroepiandrosterone sulfate (DHEAS), estradiol (E2) and testosterone (T). There was an inverse relationship between SHBG and DHEAS, but no relationship between T or E2 and SHBG levels. There is at present no model which readily explains this inverse relationship between SHBG and DHEAS in normal subjects.

Adolescent↗
PubMed1991

The Athlete and Menstruation.

In the past 20 years, a large number of female children and adolescents have begun participating in sports and physical activities previously not open to them. Female athletes may present with disorders of menstruation, such as delayed menarche, amenorrhea, oligomenorrhea, dysmenorrhea, and anovulation with irregular cycles. This chapter addresses these clinical situations and methods of treatment.

Journal Article↗
PubMed1992

Plasma 3 alpha, 17 beta-androstanediol glucuronide concentrations in normally menstruating Chinese women.

Hirsutism is rare in oriental women. In order to define the androgen metabolism in these women, plasma levels of androstanediol glucuronide (AG) along with testosterone (T), androstenedione (delta 4A), dehydroepiandrosterone sulfate (DHAS) and sex hormone binding globulin (SHBG) were determined in samples collected from 22 normally menstruating Chinese women. Their ages were 37.7 +/- 7.2 years (mean +/- S. D.) with a range of 27 to 46 years. All were born of Chinese parents. None were on any hormonal medication for at least one year. Compared to our local controls, no significant differences were observed in plasma androgens and SHBG concentrations. Comparable levels of AG, delta 4A and T in these two groups suggest that in Chinese women, under basal conditions, the androgen metabolism is comparable to their north american counterparts.

Adult↗
PubMed2005

Serum leptin and erythropoietin during menstruation.

OBJECTIVE: The potential influence of leptin and erythropoietin on the angiogenesis and bleeding of the endometrium during normal menstrual cycles and possible correlations between them. STUDY DESIGN: Serum concentrations of leptin and erythopoietin were measured at menstrual days 20, 1 and 3 or 4 in healthy, non-obese, normal menstruating women. RESULTS: Mean leptin and erythropoietin concentrations showed no significant alteration over time (F = 0.588, p = 0.563 and F = 0.654, p = 0.528, respectively). There was, however, a strong negative linear relationship between the concentration of the two substances on days 1 and 3 or 4 (p = 0.018 and p = 0.028, respectively). CONCLUSIONS: If the two substances affect endometrial angiogenesis, they may do this in a locally limited way, so that peripheral concentration changes cannot be observed. Their inverse correlation prompts further study with receptor determination.

Adult↗
PubMed1989

[Menstruation and postoperative complications. A review of the literature].

Because of a Toxic Shock Syndrome following an urgent knee operation during the premenstrual period we reviewed the available literature. There is no indication that the physiological process in woundhealing is influenced by menstruation. Increased woundinfection after operations during the perimenstruum were--except for inner female genitals--not observed. But more and more TSS is described after any kind of operation, so traumatologists should be well acquainted with the symptoms.

Female↗
PubMed1987

Oxytocin enhances thyrotropin-releasing hormone-induced prolactin release in normal menstruating women.

The effects of oxytocin (OT) on basal thyrotropin-releasing hormone (TRH)-stimulated thyrotropin (TSH) and prolactin (PRL) secretion were evaluated in normal menstruating women during follicular, periovulatory, and luteal phases. Two different studies were performed. In one study, 15 subjects were treated with OT or saline; in the other study, 20 women were tested with TRH alone or in combination with OT. Results during follicular, periovulatory, and luteal phases were similar. OT did not produce any effect on basal serum TSH and PRL levels and on the TRH-stimulated TSH secretion, whereas it significantly enhanced the PRL response to TRH. At all examined phases during the menstrual cycle, the mean peak PRL response was reached within 20 minutes after TRH injection, and the peak was about three times higher than basal value when TRH was given alone and about four times when OT was present. These data suggest that in normal women OT is not involved in the control of basal and TRH-stimulated TSH secretion and of basal PRL release. In contrast, the enhancement of the TRH-induced PRL release suggests that OT plays a role in the control of the acutely stimulated PRL secretion. Because results were similar regardless of the phase of the menstrual cycle, estrogen and/or progesterone do not appear to be involved in the effect of OT on the TRH-induced PRL release.

Adult↗
PubMedDate not supplied

Induction of ovulation for gamete intrafallopian transfer (GIFT) using a gonadotropin-releasing hormone agonist and "pure" FSH: results obtained in 30 normally menstruating women.

About 30% of the ovulation induction cycles in GIFT and FIVET programmes are cancelled due to an inadequate response of patients to gonadotropins and/or clomiphene citrate. GnRH agonist-gonadotropins and/or "pure" FSH combination has been successful in inducing ovulation in patients with a previous history of cycle cancellation and/or alterations in the menstrual cycles. In order to reduce the number of cycle cancellations and obtain more homogeneous oocytes, GnRH agonist-gonadotropins and/or "pure" FSH combination in all candidates for GIFT and FIVET has been recently hypothesised. The Authors report results obtained from GnRH agonist-"pure" FSH combination in 30 normally menstruating patients of the GIFT programme: in 93% of cases the harvested oocytes were preovulatory, in 27.6% of cycles and in 28.6% of the GIFTs respectively an ongoing pregnancy was obtained. While the results obtained must be considered preliminary, they nevertheless suggest that the use of a combination of GnRH-agonist "pure" FSH in all patients in the GIFT programme may be of real clinical validity.

Adult↗
PubMed1997

Metallic ion concentration during menstrual cycle in normally menstruating women.

Plasma concentration of metallic ions levels during menstrual cycle of twenty normally menstruating women were observed in four phases i.e. menses, follicular, ovulatory and luteal. The concentration of magnesium, zinc, selenium and manganese was highest during menses and lowest at ovulatory phase. There was rise in ionic levels of magnesium and selenium, while fall in zinc and manganese during luteal phase. Findings demonstrate changes in metallic ions (Magnesium, zinc, selenium and manganese) level in relation to hormonal status during menstrual cycle in women.

Adult↗