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猕猴长期接受左炔诺孕酮治疗:对会阴肿胀大小及粪便中性类固醇排泄的影响。

Chronic levonorgestrel treatment in Macaca sylvanus: effects on perineal swelling size and fecal sex steroid excretion.

作者信息

Wallner Bernard, Möstl Erich, Dittami John

机构信息

Department of Anthropology, University of Vienna, Austria.

出版信息

Neuro Endocrinol Lett. 2007 Jun;28(3):326-32.

Abstract

OBJECTIVE

Administered levonorgestrel enables contraception under normal cyclicity of the ovaries and does not suppress the development of cyclic perineal swellings. This study investigated the influence of levonorgestrel on fecal gonadal steroid excretion rates and the expression of perineal swelling size.

SETTINGS

Two groups of Barbary macaque females were observed: Twenty-four implanted individuals under semifree conditions and five non-implanted individuals under caged conditions. Eight of the implanted females had large expressions of the perinea and sixteen reduced. The non-implanted group had no perineal swellings.

METHODS

To determine the individual steroid excretion rates and exzymeimmunoassay for decal samples was established.

RESULTS

Estradiol excretion rates did not differ in distinctively swollen implanted females, but were increased when compared to non-implanted individuals (df=2; p=0.0002). Implanted females with large perineal swellings had lower progesterone concentrations in the feces compared to individuals with reduced swellings and did not differ from the non-swollen group (df=2; p=0.054). Females with large perineal swellings showed a higher calculated estradiol to progesterone ratio index than the other groups (df=2; p=0.0005). Non-implanted individuals showed increased testosterone excretion rates (df.=2; p=0.0001).

MAIN FINDINGS

The results indicate a positive relationship between the perineal swelling size and levonorgestrel implantation.

CONCLUSION

The ratio of fecal estradiol and progesterone titers can be judged as an endocrine indicator for the expression rate of perineal swelling size.

摘要

目的

服用左炔诺孕酮可在卵巢正常周期性的情况下实现避孕,且不会抑制周期性会阴肿胀的发展。本研究调查了左炔诺孕酮对粪便中性腺类固醇排泄率以及会阴肿胀大小表达的影响。

设置

观察了两组巴巴里猕猴雌性:24只在半自由条件下植入的个体和5只在笼养条件下未植入的个体。植入的雌性中有8只会阴肿胀明显,16只肿胀减轻。未植入组没有会阴肿胀。

方法

建立了用于测定个体类固醇排泄率的粪便样本酶免疫分析方法。

结果

明显肿胀的植入雌性的雌二醇排泄率没有差异,但与未植入个体相比有所增加(自由度=2;p=0.0002)。会阴肿胀大的植入雌性粪便中的孕酮浓度低于肿胀减轻的个体,且与未肿胀组无差异(自由度=2;p=0.054)。会阴肿胀大的雌性计算出的雌二醇与孕酮比值指数高于其他组(自由度=2;p=0.0005)。未植入个体的睾酮排泄率增加(自由度=2;p=0.0001)。

主要发现

结果表明会阴肿胀大小与左炔诺孕酮植入之间存在正相关。

结论

粪便中雌二醇和孕酮滴度的比值可作为会阴肿胀大小表达率的内分泌指标。

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