Ovulation induction with pulsatile gonadotropin-releasing hormone administration in patients with polycystic ovarian syndrome.

Abstract:

:Gonadotropin-releasing hormone (0.025 microgram/kg) was administered intravenously in a pulsatile fashion to four subjects with polycystic ovary syndrome for a total of six cycles. Five of the six cycles culminated in ovulation, although in one course the response occurred too early to be attributed to the therapy alone. No pregnancies resulted. All luteal phases were of normal duration, but progesterone production as manifested by serum progesterone determination was deficient in some. If additional investigation confirms these preliminary findings, this form of therapy may offer a safe and economic alternative for anovulatory patients refractory to clomiphene citrate therapy. The response of the four subjects suggests that pulsatile gonadotropin-releasing hormone administration may override hypothalamic-pituitary dysfunction and result in ovulatory menstrual cycles.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Ory SJ,London SN,Tyrey L,Hammond CB

subject

Has Abstract

pub_date

1985-01-01 00:00:00

pages

20-5

issue

1

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(16)48312-3

journal_volume

43

pub_type

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