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达那唑对月经过多女性血清促性腺激素和甾体激素浓度的影响。

Effect of danazol on serum gonadotrophins and steroid hormone concentrations in women with menorrhagia.

作者信息

Chimbira T H, Anderson A B, Cope E, Turnbull A C

出版信息

Br J Obstet Gynaecol. 1980 Apr;87(4):330-6. doi: 10.1111/j.1471-0528.1980.tb04550.x.

DOI:10.1111/j.1471-0528.1980.tb04550.x
PMID:7426503
Abstract

In 13 ovulatory women with objective evidence of menorrhagia (menstrual blood loss greater than 80 ml), danazol 400 mg given daily for 12 weeks suppressed ovulation as shown by absence of gonadotrophin peaks, low serum progesterone levels and flat basal body temperature recordings. Serum concentrations of luteinising hormone and follicle stimulating hormone were within the range found during the normal menstrual cycle but oestradiol concentrations tended to fall, reaching levels less than 100 pmol/l in some patients. Danazol treatment had no effect on levels of androstenedione or dehydroepiandrosterone and its sulphate. The presence or absence of cyclical bleeding on treatment, and the measured blood loss was unrelated to circulating oestradiol levels.

摘要

在13名有月经过多客观证据(月经失血超过80毫升)的排卵女性中,每日给予400毫克达那唑,持续12周,结果显示,促性腺激素峰值消失、血清孕酮水平降低以及基础体温记录呈平稳状态,表明排卵受到抑制。促黄体生成素和促卵泡生成素的血清浓度在正常月经周期范围内,但雌二醇浓度趋于下降,部分患者降至低于100皮摩尔/升的水平。达那唑治疗对雄烯二酮或脱氢表雄酮及其硫酸盐水平没有影响。治疗期间是否出现周期性出血以及测得的失血量与循环雌二醇水平无关。

相似文献

1
Effect of danazol on serum gonadotrophins and steroid hormone concentrations in women with menorrhagia.达那唑对月经过多女性血清促性腺激素和甾体激素浓度的影响。
Br J Obstet Gynaecol. 1980 Apr;87(4):330-6. doi: 10.1111/j.1471-0528.1980.tb04550.x.
2
Selective inhibition by danazol of follicle stimulating hormone during the luteal phase.达那唑在黄体期对促卵泡激素的选择性抑制作用。
Br J Obstet Gynaecol. 1977 Jan;84(1):55-7. doi: 10.1111/j.1471-0528.1977.tb12468.x.
3
Preliminary results on clinical and endocrine studies in the treatment of menorrhagia with danazol.达那唑治疗月经过多的临床及内分泌研究的初步结果。
Postgrad Med J. 1979;55 Suppl 5:90-4.
4
The effect of danazol on gonadotropin secretion during the follicular phase of the menstrual cycle.达那唑对月经周期卵泡期促性腺激素分泌的影响。
Fertil Steril. 1983 Jul;40(1):37-44. doi: 10.1016/s0015-0282(16)47174-8.
5
The influence of danazol on pituitary function and on the ovarian follicular hormone secretion in premenopausal women.达那唑对绝经前妇女垂体功能及卵巢卵泡激素分泌的影响。
Acta Obstet Gynecol Scand Suppl. 1984;123:89-94. doi: 10.3109/00016348409156990.
6
Endocrine consequences of danazol treatment in menorrhagia.
Eur J Obstet Gynecol Reprod Biol. 1986 Oct;23(1-2):79-83. doi: 10.1016/0028-2243(86)90108-5.
7
Danazol has progestin-like actions on the human endometrium.达那唑对人体子宫内膜有类似孕激素的作用。
Acta Endocrinol (Copenh). 1982 Apr;99(4):588-93. doi: 10.1530/acta.0.0990588.
8
Danazol: endocrine consequences in healthy women.达那唑:健康女性的内分泌影响
Am J Obstet Gynecol. 1981 Nov 15;141(6):723-7. doi: 10.1016/s0002-9378(15)33318-4.
9
Endocrine effects of danazol in menstruating women.达那唑对月经期中女性的内分泌影响。
J Int Med Res. 1977;5 Suppl 3:57-66.
10
Reduction of menstrual blood loss by danazol in unexplained menorrhagia: lack of effect of placebo.达那唑减少不明原因月经过多的月经量:安慰剂无效。
Br J Obstet Gynaecol. 1980 Dec;87(12):1152-8. doi: 10.1111/j.1471-0528.1980.tb04489.x.

引用本文的文献

1
Heavy menstrual bleeding diagnosis and medical management.月经过多的诊断与药物治疗
Contracept Reprod Med. 2017 Jul 24;2:20. doi: 10.1186/s40834-017-0047-4. eCollection 2017.
2
Endometriosis--continuing conundrum.子宫内膜异位症——持续的难题。
Br Med J. 1980 Oct 4;281(6245):889-90.
3
Risk-benefit assessment of drugs used for the treatment of menstrual disorders.
Drug Saf. 1991 May-Jun;6(3):183-91. doi: 10.2165/00002018-199106030-00004.
4
A comparative study of danazol and norethisterone in dysfunctional uterine bleeding presenting as menorrhagia.达那唑与炔诺酮治疗以月经过多为表现的功能失调性子宫出血的对比研究。
Postgrad Med J. 1991 Sep;67(791):833-6. doi: 10.1136/pgmj.67.791.833.