Kauppila A, Pakarinen A, Kirkinen P, Mäkilä U
Department of Obstetrics and Gynecology, University of Oulu, Finland.
Gynecol Endocrinol. 1987 Jun;1(2):137-50. doi: 10.3109/09513598709030678.
To evaluate the effects of season on the function of the pituitary-ovarian axis and the adrenal cortex in a northern area with great seasonal variation in the length of daylight, 10 healthy women were investigated over 1 menstrual cycle in spring (May-June), autumn (August-September), early winter (November-December) and late winter (February-March). Serum concentrations of LH, FSH, prolactin, estradiol, progesterone, total and free testosterone, cortisol, sex hormone binding globulin (SHBG) and cortisol binding globulin (CBG) were measured, and the indices of free estradiol (FEI), free androgen (FAI) and free cortisol (FCI) were calculated on cycle days 3-4, 6-7, 10-11, on the presumed day of ovulation, and 6-7 and 9-10 days after the presumed ovulation. Spring was the season that most significantly differed from the other seasons. It was characterized by a significantly decreased concentration of SHBG and an increased FAI throughout the whole menstrual cycle, an increased FSH concentration during the follicular phase, significantly increased estradiol concentration and an increased FEI, and significantly decreased concentrations of FSH and LH during the luteal phase of the cycle. The concentration of cortisol and the FCI were significantly increased in the autumn compared with late winter, both seasons having similar day-length. The present data demonstrate that spring, with a long photoperiod, seems to be associated with increased pituitary-ovarian axis activity and androgenic activity, whereas adrenal cortex function did not show any association with day-length.
为了评估季节对日照时长季节性变化极大的北方地区垂体 - 卵巢轴及肾上腺皮质功能的影响,对10名健康女性在春季(5 - 6月)、秋季(8 - 9月)、初冬(11 - 12月)和晚冬(2 - 3月)的1个月经周期内进行了调查。测量了血清中促黄体生成素(LH)、促卵泡生成素(FSH)、催乳素、雌二醇、孕酮、总睾酮和游离睾酮、皮质醇、性激素结合球蛋白(SHBG)和皮质醇结合球蛋白(CBG)的浓度,并在月经周期的第3 - 4天、6 - 7天、10 - 11天、推测的排卵日以及推测排卵后的6 - 7天和9 - 10天计算游离雌二醇指数(FEI)、游离雄激素指数(FAI)和游离皮质醇指数(FCI)。春季是与其他季节差异最为显著的季节。其特点是在整个月经周期中SHBG浓度显著降低、FAI升高,卵泡期FSH浓度升高,雌二醇浓度显著升高且FEI升高,黄体期FSH和LH浓度显著降低。与晚冬相比,秋季皮质醇浓度和FCI显著升高,这两个季节的日照时长相似。目前的数据表明,日照时间长的春季似乎与垂体 - 卵巢轴活性增加和雄激素活性增加有关,而肾上腺皮质功能与日照时长没有任何关联。