Effects of aging on menstrual cycle hormones and endometrial maturation.

Abstract:

OBJECTIVE:To investigate changes in menstrual cycle hormones and endometrial maturation that may contribute to the decline in fertility with aging. DESIGN:Prospective controlled clinical study. SETTING:Normal human volunteers in an academic research institution. SUBJECTS:Women with regular menstrual cycles. INTERVENTIONS:Thirty-two women, aged 20 to 30 or 40 to 50 years, had daily blood drawing starting on cycle day 6 to 10 and continuing until 2 days after the onset of next menses. In addition, 60 women, aged 20 to 30 or 40 to 50 years, had a total of 93 endometrial biopsies performed on day 7 to 9 after the LH surge. MAIN OUTCOME MEASURES:Serum LH, FSH, E2, inhibin, P, and placental protein 14 (PP14) levels and histologic maturation of the endometrium. RESULTS:Serum FSH levels were increased whereas inhibin concentrations were reduced in the luteal-follicular transition of women > 40 years. No other hormonal changes were seen in this population, including P and PP14 secretion. Disruption of endometrial maturation occurred at a similar frequency in both age groups. CONCLUSIONS:Follicular recruitment, but not luteal function or endometrial maturation, is disturbed in cycling women > 40 years and may contribute to the decline in fertility with aging.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Batista MC,Cartledge TP,Zellmer AW,Merino MJ,Axiotis C,Bremner WJ,Nieman LK

subject

Has Abstract

pub_date

1995-09-01 00:00:00

pages

492-9

issue

3

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(16)57782-6

journal_volume

64

pub_type

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