The use of a combined regimen of GnRH agonist plus a low-dose oral contraceptive improves the spontaneous pulsatile LH secretory characteristics in patients with polycycstic ovary disease after discontinuation of treatment
| Autor: | Genazzani, Alessandro, Battaglia, C, Gamba, O, Petraglia, F, Malavasi, B, Genazzani, A. R. |
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| Jazyk: | angličtina |
| Rok vydání: | 2000 |
| Předmět: |
17-alpha-Hydroxyprogesterone
Androstenedione Bone Density Contraceptives Oral Drug Therapy Combination Estradiol Female Follicle Stimulating Hormone Gonadotropin-Releasing Hormone Humans Luteinizing Hormone Menstruation Ovary Polycystic Ovary Syndrome Random Allocation Testosterone Time Factors Polycystic ovary disease Article Anovulation Episodic gonadotropin release GnRH-agonist Hyperandrogenism |
| Popis: | The fertility rate in women with polycystic ovary disease (PCOD) is influenced by the type of treatment received. The present study evaluated the possible correlation between treatment and pulsatile release of gonadotropins.Spontaneous episodic secretion of luteinizing hormone (LH) and follicle-stimulating hormone (FSH) and hormonal parameters were monitored before and after 1, 3, and 6 months after treatments suspension. Twenty-four PCOD patients were randomly divided into two groups of 12 subjects. Group A was treated with gonadotropin-releasing hormone (GnRH)-analogue plus oral contraceptive (OC). Group B was treated only with OC. Both groups were treated for 6 months and followed up for 6 months.In all subjects the therapeutic regimens reduced the androgenic milieau and the gonadotropin plasma levels. Spontaneous pulsatile secretion of LH and FSH was significantly modified in both groups, but patients who received the combined regimen showed a significantly greater reduction of LH plasma levels and a significantly greater decrease of LH pulse amplitude throughout the 6 months after treatment suspension. Ferriman-Gallway score and ovarian volumes were significantly reduced in patients who received the combined treatment than in the OC-treated patients.These data support the evidence of a higher efficacy of the combination of GnRH-a + OC than OC alone in restoring a normal and adequate spontaneous episodic gonadotropin discharge and in decreasing Ferriman-Gallway score and ovarian volumes in patients with PCOD. |
| Databáze: | OpenAIRE |
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