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绝经前垂体与卵巢的关系。I. 血清卵泡刺激素、黄体生成素、催乳素、雌二醇和孕酮水平的横断面研究。

Pituitary-ovarian relationships preceding the menopause. I. A cross-sectional study of serum follice-stimulating hormone, luteinizing hormone, prolactin, estradiol, and progesterone levels.

作者信息

Reyes F I, Winter J S, Faiman C

出版信息

Am J Obstet Gynecol. 1977 Nov 1;129(5):557-64.

PMID:910845
Abstract

Serum follicle-stimulating hormone (FSH), luteinizing hormone (LH), prolactin, estradiol, and progesterone concentrations were measured in 58 ovulating women in different age groups (20 to 29, 34 to 39, 40 to 44, and 45 to 50 years) at five- to seven-day intervals through a single menstrual cycle and in 18 postmenopausal women sampled weekly five to six times. The over-all hormone patterns were similar in four premenopausal groups. However, mean serum FSH levels increased with age and significantly higher concentrations were found in the 40 to 50 years group than in the 20 to 29 year group. Serum LH levels did not show a similar rise with age, although follicular LH levels in the oldest group were higher than in the 20 to 29 year group. Prolactin and estradiol concentrations did not change with age prior to the menopause, but luteal progesterone levels were lower in the three older premenopausal groups than in the 20 to 29 year group. Postmenopausal women showed elevated FSH and LH, decreased prolactin, and negligible estradiol and progesterone levels. There was an over-all significant linear correlation between prolactin and estradiol concentrations. It appears that the menopause is preceded by several years of rising gonadotropin, predominantly FSH, levels. During this period, ovarian estrogen production appears to be maintained and ovulation continues, but luteal progesterone levels decline. It is likely that these premenopausal alterations in pituitary-ovarian relationships reflect depletion of ovarian follicles.

摘要

在58名处于不同年龄组(20至29岁、34至39岁、40至44岁以及45至50岁)的排卵女性中,在一个月经周期内每隔五至七天测量血清促卵泡生成素(FSH)、促黄体生成素(LH)、催乳素、雌二醇和孕酮浓度;并在18名绝经后女性中每周采样五至六次进行测量。四个绝经前组的总体激素模式相似。然而,血清FSH平均水平随年龄增长而升高,40至50岁组的浓度显著高于20至29岁组。血清LH水平并未随年龄呈现类似的升高,尽管最年长组的卵泡期LH水平高于20至29岁组。绝经前催乳素和雌二醇浓度不随年龄变化,但三个较年长的绝经前组的黄体期孕酮水平低于20至29岁组。绝经后女性FSH和LH升高,催乳素降低,雌二醇和孕酮水平可忽略不计。催乳素和雌二醇浓度之间存在总体显著的线性相关性。看来在绝经前数年促性腺激素,主要是FSH水平会持续上升。在此期间,卵巢雌激素的分泌似乎得以维持且排卵持续,但黄体期孕酮水平下降。很可能这些绝经前垂体 - 卵巢关系的改变反映了卵巢卵泡的耗竭。

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