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Abolishment of the positive feedback mechanism: a criterion for temporary medical hypophysectomy by LH-RH agonist.
Shadmi, A L; Lunenfeld, B; Bahari, C; Kokia, E; Pariente, C; Blankstein, J.
Afiliación
  • Shadmi AL; Department of Obstetrics, Gynecology and Endocrinology, Chaim Sheba Medical Center, Sackler Medical School, Tel-Aviv University, Tel-Hashomer, Israel.
Gynecol Endocrinol ; 1(1): 1-11, 1987 Mar.
Article en En | MEDLINE | ID: mdl-2972166
The hypothalamic pituitary axis was studied in patients with an abnormal pattern of gonadotropin release during chronic treatment with LH-RH agonist. Two patients had PCOD and the third demonstrated the early luteinization phenomenon. Following a well-defined gonadotropin rise with initiation of LH-RH treatment, no further response was noted. Stabilization of the LH:FSH ratio in PCOD patients was noted after 4 weeks of treatment. Administration of both native LH-RH (100 micrograms) and intravenous pulsatile LH-RH did not evoke any rise in LH. In addition to the above LH-RH challenges, the positive feedback was examined by administration of estradiol benzoate (EB). The study demonstrated that, although the pituitary did not respond to any LH-RH challenge, it may still respond by a rise in LH following EB administration. Both functions of the hypothalamic pituitary axis should be examined in order to determine the state of medical hypophysectomy.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Síndrome del Ovario Poliquístico / Hormona Liberadora de Gonadotropina / Buserelina / Hipofisectomía / Hipofisectomía Química / Infertilidad Femenina / Luteolíticos Límite: Female / Humans Idioma: En Revista: Gynecol Endocrinol Asunto de la revista: ENDOCRINOLOGIA / GINECOLOGIA Año: 1987 Tipo del documento: Article País de afiliación: Israel Pais de publicación: Reino Unido
Buscar en Google
Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Síndrome del Ovario Poliquístico / Hormona Liberadora de Gonadotropina / Buserelina / Hipofisectomía / Hipofisectomía Química / Infertilidad Femenina / Luteolíticos Límite: Female / Humans Idioma: En Revista: Gynecol Endocrinol Asunto de la revista: ENDOCRINOLOGIA / GINECOLOGIA Año: 1987 Tipo del documento: Article País de afiliación: Israel Pais de publicación: Reino Unido