Gonadotropin requirements of the developing follicle.

Abstract:

OBJECTIVE:To evaluate follicular FSH and LH requirements during suppression of endogenous gonadotropins with the GnRH antagonist Nal-Glu and whether LH-like activity could be supplied by administering subcutaneous hCG. DESIGN:Randomized clinical trial. PARTICIPANTS:Thirty-two normally cycling females in the late follicular phase (dominant follicle mean diameter > or = 14 mm). INTERVENTION:Twelve normal women were randomized to receive 150 IU IM FSH with or without 75 IU SC hCG; 11 subjects were randomized to receive 225 IU FSH with or without 50 IU SC hCG; 9 women received 150 or 225 IU IM hMG. Subjects returned the next day for repeat blood sample and ultrasound. RESULTS:Continued follicular maturation, as evidenced by rising E2 levels, correlated with serum immunoactive and bioactive FSH levels and was unrelated to bioactive LH-hCG. Two hundred twenty-five international units of exogenous FSH consistently supported follicular maturation. There was a similar increase in mean follicular diameter in women with an E2 rise versus those with a plateau or fall. In subjects receiving SC mini-dose hCG, serum bioactive LH-hCG levels were increased significantly and were similar to levels before Nal-Glu. CONCLUSIONS:During administration of a GnRH-a, the maturing follicle appears to require only FSH support. In markedly hypogonadotropic women, mini-dose hCG may be a more practical alternative to recombinant LH to promote normal follicle maturation.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Thompson KA,LaPolt PS,River J,Henderson G,Dahl KD,Meldrum DR

subject

Has Abstract

pub_date

1995-02-01 00:00:00

pages

273-6

issue

2

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(16)57354-3

journal_volume

63

pub_type

临床试验,杂志文章,随机对照试验
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    authors: Carrard C,Chevret-Measson M,Lunel A,Raudrant D

    更新日期:2012-03-01 00:00:00

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    更新日期:2005-10-01 00:00:00

  • Image in reproductive medicine. Cesarean scar ectopic pregnancy.

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    journal_title:Fertility and sterility

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    doi:10.1016/j.fertnstert.2005.12.016

    authors: Kung FT,Huang TL,Chen CW,Cheng YF

    更新日期:2006-05-01 00:00:00

  • Is intracytoplasmic sperm injection safe?

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    journal_title:Fertility and sterility

    pub_type: 杂志文章,评审

    doi:10.1016/s0015-0282(03)01014-8

    authors: Retzloff MG,Hornstein MD

    更新日期:2003-10-01 00:00:00

  • Parental attitudes toward disclosure of the mode of conception to their child conceived by in vitro fertilization.

    abstract:OBJECTIVE:To survey the level of disclosure of conception method within families of children conceived by conventional in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI) and to examine the factors that might influence parental attitudes and plans for disclosure. DESIGN:In-depth questionnaire. SET...

    journal_title:Fertility and sterility

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    doi:10.1016/j.fertnstert.2004.12.019

    authors: Peters C,Kantaris X,Barnes J,Sutcliffe A

    更新日期:2005-04-01 00:00:00

  • Primiparity at very advanced maternal age (≥ 45 years).

    abstract::This study describes maternal and birth outcomes of primiparae aged ≥ 45. High rates of pregnancy complications and poor birth outcomes were found, stressing that the personal risks and ramifications to the health system should be taken into account in establishing obstetric health policy regarding primiparity at adva...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2011.02.031

    authors: Glasser S,Segev-Zahav A,Fortinsky P,Gedal-Beer D,Schiff E,Lerner-Geva L

    更新日期:2011-06-30 00:00:00

  • Amenorrhea in Olympic marathon runners.

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    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:

    authors: Glass AR,Deuster PA,Kyle SB,Yahiro JA,Vigersky RA,Schoomaker EB

    更新日期:1987-11-01 00:00:00

  • Differences in ovarian stimulation in human menopausal gonadotropin treated woman may be related to follicle-stimulating hormone accumulation.

    abstract::Two groups of normal ovulatory women who displayed either a marked (high responders; HR) or a more subtle (low responders; LR) ovarian response to a fixed dose of human menopausal gonadotropins (hMG) were evaluated for differences in blood levels of hormones. Serum follicle-stimulating hormone (FSH) levels doubled dur...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)49632-9

    authors: Ben-Rafael Z,Strauss JF 3rd,Mastroianni L Jr,Flickinger GL

    更新日期:1986-10-01 00:00:00

  • Laparoendoscopic single-site surgery (LESS) for ovarian cyst enucleation: report of first 3 cases.

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    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2009.05.060

    authors: Fagotti A,Fanfani F,Marocco F,Rossitto C,Gallotta V,Scambia G

    更新日期:2009-09-01 00:00:00

  • Cotyledonoid dissecting leiomyoma of the uterus.

    abstract::We describe a cotyledonoid dissecting leiomyoma in a 33-year-old nulliparous woman treated by laparoscopy. ...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2008.08.131

    authors: Raga F,Sanz-Cortés M,Casañ EM,Burgues O,Bonilla-Musoles F

    更新日期:2009-04-01 00:00:00

  • Successful pregnancy and delivery after transfer of a single blastocyst derived from a vitrified mature human oocyte.

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    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2005.04.051

    authors: Kyono K,Fuchinoue K,Yagi A,Nakajo Y,Yamashita A,Kumagai S

    更新日期:2005-10-01 00:00:00

  • Alterations in the organic compounds of vaginal secretions caused by sexual arousal.

    abstract::The low-molecular weight organic constituents of human vaginal secretions from normally cycling subjects were analyzed both before and after sexual stimulation. Gas chromatography and combined gas chromatography-mass spectrometry were employed in the analyses of the secretions. Consistent increases were noted for a nu...

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    authors: Preti G,Huggins GR,Silverberg GD

    更新日期:1979-07-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:2015-02-01 00:00:00

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    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2012.11.044

    authors: Reichman DE,Chung P,Meyer L,Greenwood E,Davis O,Rosenwaks Z

    更新日期:2013-04-01 00:00:00

  • Diagnostic evaluation of sexual dysfunction in the male partner in the setting of infertility: a committee opinion.

    abstract::It is the responsibility of the clinician to assess for the presence of erectile dysfunction, ejaculatory dysfunction, or diminished libido related to hypoandrogenism among men presenting with a primary complaint of infertility. Referral to a reproductive urologist or other appropriate specialist with requisite expert...

    journal_title:Fertility and sterility

    pub_type: 杂志文章,评审

    doi:10.1016/j.fertnstert.2018.07.010

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    更新日期:2018-10-01 00:00:00

  • Naltrexone treatment restores menstrual cycles in patients with weight loss-related amenorrhea.

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    journal_title:Fertility and sterility

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0015-0282(16)57908-4

    authors: Genazzani AD,Petraglia F,Gastaldi M,Volpogni C,Gamba O,Genazzani AR

    更新日期:1995-11-01 00:00:00

  • Decreased expression of the heat shock protein hsp70-2 is associated with the pathogenesis of male infertility.

    abstract:OBJECTIVE:To examine the expression of the heat shock protein hsp70-2, and the possible relationship with the pathogenesis of male infertility. DESIGN:Prospective study. SETTING:Reproductive testing laboratory in a university hospital. PATIENT(S):Men undergoing testicular biopsy during an investigation of subfertili...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(01)02892-8

    authors: Feng HL,Sandlow JI,Sparks AE

    更新日期:2001-12-01 00:00:00

  • Protein O-carboxylmethyltransferase in spermatozoa from normal and infertile men.

    abstract::In confirmation of several reports, suspensions of normal washed human spermatozoa exposed to a nonionic detergent exhibited considerable activity of the enzyme protein O-carboxylmethyltransferase (PCM), which catalyzes the methyl esterification of carboxyl groups of dicarboxylic amino acid residues in proteins. Vario...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:

    authors: Hatch R,Harvey SE,Williams-Ashman HG

    更新日期:1985-04-01 00:00:00

  • Influence of parental and biological factors on the male birth fraction in the United States: an analysis of birth certificate data from 1964 through 1988.

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    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(99)00576-2

    authors: Nicolich MJ,Huebner WW,Schnatter AR

    更新日期:2000-03-01 00:00:00

  • Pregnancy outcomes from more than 1,800 in vitro fertilization cycles with the use of 24-chromosome single-nucleotide polymorphism-based preimplantation genetic testing for aneuploidy.

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    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2018.03.026

    authors: Simon AL,Kiehl M,Fischer E,Proctor JG,Bush MR,Givens C,Rabinowitz M,Demko ZP

    更新日期:2018-07-01 00:00:00

  • Induction of endometrial cycles and ovulation in a woman with combined 17alpha-hydroxylase/17,20-lyase deficiency due to compound heterozygous mutations on the p45017alpha gene.

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    journal_title:Fertility and sterility

    pub_type: 杂志文章

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    更新日期:2000-06-01 00:00:00

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    journal_title:Fertility and sterility

    pub_type: 杂志文章

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    更新日期:1998-12-01 00:00:00

  • Electroejaculation before chemotherapy in adolescents and young men with cancer.

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    更新日期:2001-04-01 00:00:00

  • Effect of progesterone on human zona pellucida sperm binding and oocyte penetrating capacity.

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    更新日期:1993-07-01 00:00:00

  • Robotic single-site myomectomy: a step-by-step tutorial.

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    pub_type: 杂志文章

    doi:

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    更新日期:1996-09-01 00:00:00

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    更新日期:2005-10-01 00:00:00