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[合成促性腺激素释放激素对多毛症和多囊卵巢女性血浆卵泡刺激素(FSH)和黄体生成素(LH)水平的影响]

[The effect of synthetic gonadotropin releasing hormone on the plasma levels of FH and LSH in women with hirsutism and polycystic ovaries].

作者信息

Pjević M, Kovac T, Bujas M, Pusac R

出版信息

Jugosl Ginekol Perinatol. 1985 May-Aug;25(3-4):49-52.

PMID:3938829
Abstract

GN-RH test was performed in 33 women with hirsutism and irregular menstrual cycles. Fourteen patients had polycystic ovary syndrome (PCO) and 19 had idiopathic hirsutism (IH). In the control group, there were 5 healthy women with regular menstrual cycles. Absolute cumulative increase of LH as significantly higher in the examinees with hirsutism than in the control group. A significantly higher net increase of LH was found only in the PCO group. However, absolute and net increase of FSH in examinees with hirsutism did not significantly differ from that in the control group. Patients with PCO had a significantly higher increase of FSH than the IH group. Only the PCO group had a significant correlation between basal LH and LH increase during the test. It was found that patients with hirsutism and irregular menstrual cycles had an increased reactivity of the hypophysis to a direct stimulation with synthetic GN-RH. The degree of disfunction of the gonad axis in women with PCO is significantly higher than in patients with IH.

摘要

对33名多毛且月经周期不规律的女性进行了促性腺激素释放激素(GN-RH)测试。其中14名患者患有多囊卵巢综合征(PCO),19名患有特发性多毛症(IH)。对照组有5名月经周期规律的健康女性。多毛症患者促黄体生成素(LH)的绝对累积增加值显著高于对照组。仅在PCO组中发现LH的净增加值显著更高。然而,多毛症患者促卵泡生成素(FSH)的绝对增加值和净增加值与对照组相比无显著差异。PCO患者的FSH增加值显著高于IH组。仅PCO组的基础LH与测试期间LH的增加值之间存在显著相关性。研究发现,多毛且月经周期不规律的患者垂体对合成GN-RH直接刺激的反应性增强。PCO女性性腺轴的功能障碍程度显著高于IH患者。

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