Protein, progesterone, and protease inhibitors in uterine and peritoneal fluids of women with endometriosis.

Abstract:

:This study was undertaken to determine whether women with endometriosis have altered protein, progesterone (P), and protease inhibitor concentrations in their uterine fluid and peritoneal fluid (PF) compared with controls at different phases of the menstrual cycle. Uterine flushings (UFs), PF, and blood were obtained during the follicular and luteal phases of the cycle from 29 normal women and 16 women who were diagnosed as having endometriosis. Protein content in UF did not change significantly throughout the cycle in either group. However, PF protein in patients with endometriosis was significantly (P less than 0.05) higher than in controls during the luteal phase. Total UF P was significantly (P less than 0.05) reduced in women with endometriosis during the late luteal phase. During the early luteal phase, trypsin inhibitory activity in UF from normal women was significantly (P less than 0.05) higher than at any other phase of the cycle, whereas inhibitory activity in UF from patients with endometriosis remained relatively constant. Patients with endometriosis had significantly (P less than 0.05) higher total activity in PF during the early luteal phase than did controls. These results indicate that women suffering from endometriosis have significantly lower levels of P and less protease inhibitor within their uterine cavity during the luteal phase of the cycle, and significantly higher concentrations of protein and protease inhibitor in PF during the luteal phase.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Fazleabas AT,Khan-Dawood FS,Dawood MY

doi

10.1016/s0015-0282(16)49994-2

subject

Has Abstract

pub_date

1987-02-01 00:00:00

pages

218-24

issue

2

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(16)49994-2

journal_volume

47

pub_type

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