Alternative indications for pulsatile gonadotropin-releasing hormone therapy in infertile women.

Abstract:

:Three groups of women with different types of ovulatory dysfunction who had failed to conceive on conventional therapy were treated with pulsatile gonadotropin-releasing hormone (GnRH). Group A consisted of nine patients with luteal phase defect; group B included four patients with apparently normal menstrual cycles but disordered folliculogenesis seen by serial ultrasound examinations; and group C consisted of eight patients who exhibited anovulation or irregular ovulation. GnRH was administered subcutaneously or intravenously in dosages varying from 5 micrograms to 20 micrograms, with pulse frequency of 2 to 3 hours in 53 cycles. Forty-one cycles were ovulatory. Four pregnancies resulted, one ending in miscarriage at 12 weeks' gestation. Our results indicate that GnRH may be used as an alternative to the prevalent therapeutic methods for ovulatory dysfunction. Only those women who had anovulation and abnormal basal levels of serum luteinizing hormone were resistant to GnRH therapy.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Phansey SA,Toffle R,Curtin J,Nagel TC,Tagatz GE,Barnes MA,Nair R

doi

10.1016/s0015-0282(16)48971-5

subject

Has Abstract

pub_date

1985-11-01 00:00:00

pages

589-94

issue

5

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(16)48971-5

journal_volume

44

pub_type

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