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使用宫内节育器的女性在月经周期后半期的妊娠特异性β1-糖蛋白和绒毛膜促性腺激素样免疫反应性。

Pregnancy-specific beta 1-glycoprotein and chorionic gonadotropin-like immunoreactivity during the latter half of the cycle in women using intrauterine contraception.

作者信息

Seppälä M, Rutanen E M, Jalanko H, Lehtovirta P, Stenman U H, Engvall E

出版信息

J Clin Endocrinol Metab. 1978 Dec;47(6):1216-9. doi: 10.1210/jcem-47-6-1216.

DOI:10.1210/jcem-47-6-1216
PMID:318094
Abstract

In a cross-sectional study, the serum levels of pregnancy-specific beta 1-glycoprotein (PSBG), hCG, human LH, and progesterone were measured by RIAs during 94 mid or late luteal phases of 69 women using oral contraceptives. Subsequent spontaneous menstruation took place in every cycle. None of the women using oral contraceptives had any PSBG or hCG-like immunoreactivity in serum. In women with intrauterine devices, PSBG was found in six cycles (6.4%) and hCG-like immunoreactivity was demonstrated in one cycle only, where PSBG also was present. In two out of six PSBG-positive cycles, menstruation was delayed by 5 and 16 days. Although rare, the transient occurrence of trophoblastic antigens in women using intrauterine contraception is taken as evidence for an occult pregnancy in these apparently infertile cycles.

摘要

在一项横断面研究中,在69名使用口服避孕药的妇女的94个黄体中期或后期,通过放射免疫分析法测定血清中妊娠特异性β1-糖蛋白(PSBG)、人绒毛膜促性腺激素(hCG)、人促黄体生成素(LH)和孕酮的水平。随后每个周期都出现了自然月经。使用口服避孕药的妇女血清中均未检测到任何PSBG或hCG样免疫反应性。在使用宫内节育器的妇女中,6个周期(6.4%)检测到PSBG,仅在1个周期检测到hCG样免疫反应性,该周期也存在PSBG。在6个PSBG阳性周期中的2个周期,月经分别推迟了5天和16天。尽管罕见,但使用宫内节育器的妇女中滋养层抗原的短暂出现被视为这些明显不孕周期中存在隐匿性妊娠的证据。

相似文献

1
Pregnancy-specific beta 1-glycoprotein and chorionic gonadotropin-like immunoreactivity during the latter half of the cycle in women using intrauterine contraception.使用宫内节育器的女性在月经周期后半期的妊娠特异性β1-糖蛋白和绒毛膜促性腺激素样免疫反应性。
J Clin Endocrinol Metab. 1978 Dec;47(6):1216-9. doi: 10.1210/jcem-47-6-1216.
2
The secretion of human chorionic gonadotropin-like substance in women employing contraceptive measures.采取避孕措施的女性体内人绒毛膜促性腺激素样物质的分泌
J Clin Endocrinol Metab. 1984 Apr;58(4):646-53. doi: 10.1210/jcem-58-4-646.
3
Absence of chorionic gonadotropin in sera of women who use intrauterine devices.使用宫内节育器的女性血清中绒毛膜促性腺激素缺失。
Fertil Steril. 1985 Aug;44(2):214-8. doi: 10.1016/s0015-0282(16)48739-x.
4
Trophoblastic markers in women using intrauterine contraception.
Obstet Gynecol. 1980 Mar;55(3):329-32. doi: 10.1097/00006250-198003000-00012.
5
Variable effects of RU 486 on endometrial maintenance in the luteal phase extended by exogenous hCG.RU 486对由外源性人绒毛膜促性腺激素延长的黄体期子宫内膜维持的可变作用。
Clin Endocrinol (Oxf). 1989 Jul;31(1):15-23. doi: 10.1111/j.1365-2265.1989.tb00449.x.
6
Absence of circulating chorionic gonadotropin in wearers of intrauterine contraceptive devices.宫内节育器使用者体内循环绒毛膜促性腺激素缺失。
Am J Obstet Gynecol. 1977 Nov 15;129(6):626-8. doi: 10.1016/0002-9378(77)90643-3.
7
The menstrual cycle in women using an intrauterine device.使用宫内节育器的女性的月经周期。
Fertil Steril. 1980 Nov;34(5):427-30. doi: 10.1016/s0015-0282(16)45131-9.
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Trophoblastic markers in the differential diagnosis of ectopic pregnancy.滋养层标志物在异位妊娠鉴别诊断中的应用
Obstet Gynecol. 1980 May;55(5):560-4.
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Induction of relaxin secretion in nonpregnant women by human chorionic gonadotropin.人绒毛膜促性腺激素对非孕妇女性松弛素分泌的诱导作用。
J Clin Endocrinol Metab. 1980 Jul;51(1):74-7. doi: 10.1210/jcem-51-1-74.
10
Demonstration of human chorionic gonadotropin during the second half of the menstrual cycle in plasma of regularly menstruating women users of copper IUds.
Acta Eur Fertil. 1978 Mar;9(1):11-9.

引用本文的文献

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Systematic Review of Postfertilization Effects and Potential for Embryo Formation and Loss during the Use of Intrauterine Devices.宫内节育器使用期间受精后效应及胚胎形成与丢失可能性的系统评价
Linacre Q. 2020 Feb;87(1):60-77. doi: 10.1177/0024363919854289. Epub 2019 Jun 27.
2
Luteinizing hormone and human chorionic gonadotropin: distinguishing unique physiologic roles.促黄体生成素和人绒毛膜促性腺激素:区分独特的生理作用。
Gynecol Endocrinol. 2014 Mar;30(3):174-81. doi: 10.3109/09513590.2013.859670. Epub 2013 Nov 27.
3
Pregnancy-specific beta 1-glycoprotein (SP1) after in vitro fertilization and embryo transfer.
体外受精与胚胎移植后的妊娠特异性β1-糖蛋白(SP1)
Arch Gynecol. 1987;240(3):185-90. doi: 10.1007/BF00207714.