Snoep M C, de Lange W E, Sluiter W J, Doorenbos H
J Clin Endocrinol Metab. 1977 Mar;44(3):603-6. doi: 10.1210/jcem-44-3-603.
The differential diagnosis between hypogonadotropic hypogonadism and delayed puberty is facilitated by comparing the response of gonadotropins to LH-RH stimulation before and after administration of clomiphene citrate 200 mg daily during 7 days. Premedication of clomiphene citrate depresses peak values of LH and FSH on LH-RH in delayed puberty. In hypogonadotropic hypogonadism clomiphene citrate raises LH-RH induced peak LH while FSH does not change.
通过比较在连续7天每天服用200毫克枸橼酸氯米芬前后促性腺激素对促黄体生成素释放激素(LH-RH)刺激的反应,有助于鉴别低促性腺激素性性腺功能减退和青春期延迟。在青春期延迟中,枸橼酸氯米芬预处理会降低LH-RH刺激下促黄体生成素(LH)和促卵泡生成素(FSH)的峰值。在低促性腺激素性性腺功能减退中,枸橼酸氯米芬会提高LH-RH诱导的LH峰值,而FSH则无变化。