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健康绝经后女性的雌二醇和血清睾酮水平及其与症状的关系

[Levels of estradiol and serum testosterone in healthy postmenopausal women and its relationship with symptoms].

作者信息

Carranza Lira Sebastián, Orozco Ortiz Mayra Elizabeth, Olivares Segura Aleida, Chán Verdugo Rosario, Cárdenas León Mario

机构信息

Hospital de Ginecoobstetricia Luis Castelazo Ayala.

出版信息

Ginecol Obstet Mex. 2009 Oct;77(10):465-8.

Abstract

BACKGROUND

Several studies have tried to evaluate in which estradiol (E2) and testosterone (T) levels the climacteric symptoms appear, but this has not been possible at all.

OBJECTIVE

To evaluate in which E2 and T levels climacteric symptoms appear, as well as its relation with T/E2 ratio.

MATERIAL AND METHODS

Twenty nine healthy climacteric women [perimenopausal (n = 13) or postmenopausal (n = 16)] which have not received nor were receiving hormone therapy were studied. Age, body mass index, waist hip ratio and menstrual status were documented. An analog visual scale was used to evaluate the intensity of 13 climacteric symptoms. A blood sample was taken for the measurement of E2 and T measurement by radioimmunoassay. Pearson's correlation analysis was done between the sum of scores of all climacteric symptoms and with the score obtained from each of the climacteric symptoms and E2, T levels and T/E2 ratio. All patients gave their consent to participate in the study.

RESULTS

The average age of women was 49.9 +/- 5.1 years and the time since menopause 43.9 +/- 53.2 months. The sum of the magnitudes of the symptoms was 71.2 +/- 24.9. The average level of E2 and T was 65.5 +/- 101.1 pg/ml and 14.5 +/- 10.7 ng/ml respectively. No correlation was observed between the sum of the magnitudes of the symptoms neither with the magnitude of each symptom with E2 and T levels and T/E2 ratio.

CONCLUSIONS

It was not possible to determine with precision in which E2 and T levels climacteric symptoms appear and T/E2 ratio also was not useful for this purpose.

摘要

背景

多项研究试图评估在何种雌二醇(E2)和睾酮(T)水平时会出现更年期症状,但这根本无法做到。

目的

评估在何种E2和T水平时会出现更年期症状,以及其与T/E2比值的关系。

材料与方法

对29名未接受过且未正在接受激素治疗的健康更年期女性[围绝经期(n = 13)或绝经后(n = 16)]进行研究。记录年龄、体重指数、腰臀比和月经状况。使用视觉模拟量表评估13种更年期症状的强度。采集血样,通过放射免疫测定法测量E2和T。对所有更年期症状的得分总和与每种更年期症状的得分、E2、T水平以及T/E2比值进行Pearson相关性分析。所有患者均同意参与本研究。

结果

女性的平均年龄为49.9±5.1岁,绝经时间为43.9±53.2个月。症状严重程度总和为71.2±24.9。E2和T的平均水平分别为65.5±101.1 pg/ml和14.5±10.7 ng/ml。未观察到症状严重程度总和与每种症状的严重程度与E2、T水平以及T/E2比值之间存在相关性。

结论

无法精确确定在何种E2和T水平时会出现更年期症状,并且T/E2比值在此方面也无用处。

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