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枸橼酸氯米芬对卵巢功能障碍不孕女性血清催乳素的影响。

Effect of clomiphene citrate on serum prolactin in infertile women with ovarian dysfunction.

作者信息

Seki K, Seki M, Okumura T, Huang K

出版信息

Am J Obstet Gynecol. 1976 Jan 15;124(2):125-8. doi: 10.1016/s0002-9378(16)33286-0.

DOI:10.1016/s0002-9378(16)33286-0
PMID:1247048
Abstract

Serum prolactin (PRL) levels were determined by radioimmunoassay in 12 normal, menstruating women and in 26 infetile women with ovarian dysfunction for one cycle or for about 30 days in amenorrheic women. Galactorrhea was not observed. No significant change in serum PRL levels was observed throughout the normal, menstrual cycle. Of the 26 patients with ovarian dysfunction, seven showed PRL levels higher than normal. Twelve of the 26 patients were treated with clomiphene citrate (Clomid), 100 mg, daily for 5 days. Ovulation occurred in seven, and pregnancy was achi-ved in two of them. Serum PR;, follicle-stimulating hormone, and luteinizing hormone were measured for a preceding control cycle and during the cycle following Clomid treatment in the 12 patients. The serum PRL levels were normal during the control cycle in five of the patients who ovulated with Clomid and high in four patients who failed to ovulate. Although serum PRL levels were not significantly changed by Clomid in the patients who ovulated with the drug, they were markedly decreased during and immediately after Clomid treatment in patients who failed to ovulate with Clomid.

摘要

采用放射免疫分析法测定了12名正常月经女性以及26名卵巢功能障碍的不孕女性的血清催乳素(PRL)水平,其中闭经女性检测一个周期或约30天。未观察到溢乳现象。在整个正常月经周期中,血清PRL水平未观察到显著变化。在26名卵巢功能障碍患者中,7名患者的PRL水平高于正常。26名患者中的12名接受了枸橼酸氯米芬(克罗米芬)治疗,每日100毫克,共5天。7名患者排卵,其中2名患者怀孕。对12名患者在服用克罗米芬前的对照周期以及治疗后的周期中测量了血清PRL、促卵泡激素和促黄体生成素。在服用克罗米芬后排卵的5名患者中,对照周期血清PRL水平正常,而4名未排卵患者的血清PRL水平较高。虽然服用克罗米芬后排卵的患者血清PRL水平无显著变化,但未排卵患者在服用克罗米芬期间及之后血清PRL水平显著降低。

相似文献

1
Effect of clomiphene citrate on serum prolactin in infertile women with ovarian dysfunction.枸橼酸氯米芬对卵巢功能障碍不孕女性血清催乳素的影响。
Am J Obstet Gynecol. 1976 Jan 15;124(2):125-8. doi: 10.1016/s0002-9378(16)33286-0.
2
A prospective, double-blind, randomized, placebo-controlled clinical trial of bromocriptine in clomiphene-resistant patients with polycystic ovary syndrome and normal prolactin level.一项关于溴隐亭治疗多囊卵巢综合征且催乳素水平正常但对氯米芬耐药患者的前瞻性、双盲、随机、安慰剂对照临床试验。
Int J Fertil Womens Med. 2002 Nov-Dec;47(6):272-7.
3
Galactorrhea and the defective luteal phase of the menstrual cycle.溢乳与月经周期黄体期缺陷
Int J Gynaecol Obstet. 1978;16(2):124-7. doi: 10.1002/j.1879-3479.1978.tb00411.x.
4
[Experiences and results in the treatment of menstrual disorders with Clomid].[克罗米酚治疗月经紊乱的经验与结果]
Gynaecologia. 1968;165(2):195-7.
5
Bromocriptine in the treatment of hyperolactinemic amenorrhea.溴隐亭治疗高泌乳素血症性闭经
Fertil Steril. 1979 Feb;31(2):124-9. doi: 10.1016/s0015-0282(16)43810-0.
6
Circulating pituitary-gonadal hormones in clomiphene-induced cycles.克罗米芬诱导周期中的循环垂体-性腺激素
Obstet Gynecol. 1978 Oct;52(4):445-50.
7
Induction of ovulation with clomiphene and estradiol benzoate in anovulatory women refractory to clomiphene alone.对单独使用克罗米芬无效的无排卵女性,采用克罗米芬和苯甲酸雌二醇诱导排卵。
Fertil Steril. 1978 May;29(5):496-9. doi: 10.1016/s0015-0282(16)43271-1.
8
Clomiphene citrate in the management of infertility associated with shortened luteal phases.枸橼酸氯米芬用于治疗与黄体期缩短相关的不孕症。
Fertil Steril. 1979 Apr;31(4):373-7. doi: 10.1016/s0015-0282(16)43930-0.
9
Ultrasound scanning of ovaries to detect ovulation in women.对女性卵巢进行超声扫描以检测排卵。
Fertil Steril. 1980 Aug;34(2):99-105.
10
Serum prolactin levels in normal women and in women with disorders of menstruation.
Med J Aust. 1977 Jan 22;1(4):85-9. doi: 10.5694/j.1326-5377.1977.tb130529.x.

引用本文的文献

1
Use of blockers and stimulators of prolactin secretion in persistent lactorrhea-amenorrhea syndrome.
Neurosci Behav Physiol. 1980 Nov-Dec;10(6):476-80. doi: 10.1007/BF01195513.
2
Comparison of Nb2 lymphoma cell bioassay with immunoassay for human prolactin: the role of estrogen.Nb2淋巴瘤细胞生物测定法与人类催乳素免疫测定法的比较:雌激素的作用
J Endocrinol Invest. 1992 Apr;15(4):303-5. doi: 10.1007/BF03348737.