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输卵管绝育术后中国女性月经周期的激素概况。

Hormonal profile of the menstrual cycle in Chinese women after tubal sterilization.

作者信息

Wu E, Xiao B, Yan W, Li H, Wu B

机构信息

Reproductive Endocrinology Laboratory, National Research Institute for Family Planning, Beijing, China.

出版信息

Contraception. 1992 Jun;45(6):583-93. doi: 10.1016/0010-7824(92)90109-7.

Abstract

Ten women after tubal sterilization were studied for the hormonal profile of the menstrual cycle. They had undergone sterilization procedures, on the average 5.3 years (range 1.5-10 years) earlier. The serum concentrations of LH, FSH, prolactin, estradiol and progesterone were measured by RIA in daily blood samples of a complete menstrual cycle. Another ten normal women were studied at the same time and were used as the control group. There were no significant differences in the hormonal patterns of the menstrual cycle between the two groups. There was a significantly lower LH level in the early luteal phase of the tubal ligation group compared to the control group. Also, a significantly lower E2 luteal peak compared to the preovulatory peak was observed in the tubal ligation group. The physiological significance of these minor changes is not clear. Only one out of ten women in the tubal ligation group, who had undergone sterilization 1.5 years prior, showed a deficiency in luteal function, but her ovulatory function and menstrual cycle appeared normal. This study indicates that normal hormonal profiles are retained after tubal sterilization.

摘要

对10名输卵管绝育术后的女性进行了月经周期激素谱研究。她们平均在5.3年前(范围为1.5至10年)接受了绝育手术。通过放射免疫分析法(RIA)测定完整月经周期每日血样中的促黄体生成素(LH)、促卵泡生成素(FSH)、催乳素、雌二醇和孕酮的血清浓度。同时对另外10名正常女性进行了研究,并将其作为对照组。两组月经周期的激素模式没有显著差异。与对照组相比,输卵管结扎组黄体早期的LH水平显著较低。此外,输卵管结扎组观察到黄体期雌二醇峰值与排卵前峰值相比显著降低。这些微小变化的生理意义尚不清楚。在输卵管结扎组的10名女性中,只有1名在1.5年前接受了绝育手术,其黄体功能存在缺陷,但她排卵功能和月经周期看起来正常。本研究表明,输卵管绝育术后激素谱保持正常。

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