Postmenopausal dehydroepiandrosterone administration increases free insulin-like growth factor-I and decreases high-density lipoprotein: a six-month trial.

Abstract:

OBJECTIVE:To determine the effect of administering 6 months of oral postmenopausal DHEA therapy on serum DHEA, DHEAS, and T levels and on physiologic endpoints including lipoproteins and insulin-like growth factor-I (IGF-I). DESIGN:Randomized, double-blind, parallel trial. SETTING:Academic referral practice. PATIENT(S):Thirteen normal-weight or overweight, healthy, nonsmoking, postmenopausal women. INTERVENTION(S):Administration of oral micronized DHEA (25 mg/d). MAIN OUTCOME MEASURE(S):Monthly fasting 23 hours postdose levels of serum DHEA, DHEAS, T, lipoproteins, IGF-I, IGF binding protein-3 (IGFBP-3), and liver function tests. Morphometric indices by dual-energy x-ray absorptiometry scan (percent body fat; lean body mass), immune indices, and insulin sensitivity. RESULT(S):Levels of DHEA, DHEAS, and T all rose into premenopausal ranges, but after 6 months, levels of DHEA and T did not differ from baseline or placebo. At 3 months, the ratio of IGF-I to IGFBP-3 rose by 36.1% +/- 12.7%, but it fell to placebo values by 6 months. High-density lipoprotein and apolipoprotein A1 levels declined. CONCLUSION(S):Patients appeared to tolerate 6 months of DHEA therapy well. Given the small study size, no statistically significant differences in morphometric indices, immune indices, or insulin-sensitizing properties were observed, but significant attenuation of bioavailability occurred. Supplementation with DHEA increased IGF-I/IGFBP-3 levels at 3 months and decreased high-density lipoprotein and apolipoprotein A1 levels at 6 months.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Casson PR,Santoro N,Elkind-Hirsch K,Carson SA,Hornsby PJ,Abraham G,Buster JE

doi

10.1016/s0015-0282(98)00121-6

subject

Has Abstract

pub_date

1998-07-01 00:00:00

pages

107-10

issue

1

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(98)00121-6

journal_volume

70

pub_type

临床试验,杂志文章,随机对照试验
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    doi:10.1016/s0015-0282(16)53511-0

    authors: McFaul PB,Traub AI,Thompson W

    更新日期:1990-05-01 00:00:00

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    abstract:OBJECTIVE:To determine if estrogen ameliorates hot flashes by raising the core body temperature sweating threshold, by reducing core body temperature fluctuations, and/or by reducing sympathetic activation (as measured by plasma 3-methoxy-4-hydroxyphenylglycol). DESIGN:Laboratory physiological study. SETTING:Universi...

    journal_title:Fertility and sterility

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0015-0282(01)03009-6

    authors: Freedman RR,Blacker CM

    更新日期:2002-03-01 00:00:00

  • True hermaphroditism presenting as bilateral gynecomastia in an adolescent phenotypic male.

    abstract:OBJECTIVE:To report a rare case of true hermaphroditism presenting in adolescence as bilateral gynecomastia in a phenotypic male. DESIGN:Case report. SETTING:Academic medical center. PATIENT(S):A 19-year-old phenotypic male who presented with pronounced bilateral gynecomastia and was ultimately diagnosed with true h...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2004.09.036

    authors: Ouhilal S,Turco J,Nangia A,Stotland M,Manganiello PD

    更新日期:2005-04-01 00:00:00

  • The cation composition of the seminal plasma and prostatic fluid and its correlation to semen quality.

    abstract::The concentrations of calcium, magnesium, and zinc were measured by atomic absorption spectrometry. The concentrations of all three cations were found to be strongly correlated with one another and with acidity (pH). Analysis of the relative concentrations in prostatic fluid, split ejaculates, and whole seminal plasma...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)43281-4

    authors: Homonnai ZT,Matzkin H,Fainman N,Paz G,Kraicer PF

    更新日期:1978-05-01 00:00:00

  • The response of patients with polycystic ovarian disease to human menopausal gonadotropin therapy after ovarian electrocautery or a luteinizing hormone-releasing hormone agonist.

    abstract:OBJECTIVE:To compare the effect of ovarian electrocautery versus an intranasal (IN) luteinizing hormone-releasing hormone agonist (LH-RH-a) in the response of patients with polycystic ovarian disease (PCOD) to human menopausal gonadotropin (hMG) therapy. DESIGN:A prospective study with serial randomization of patients...

    journal_title:Fertility and sterility

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0015-0282(16)54836-5

    authors: Gadir AA,Alnaser HM,Mowafi RS,Shaw RW

    更新日期:1992-02-01 00:00:00

  • Stimulation of ejaculated human spermatozoa by caffeine.

    abstract::Caffeine (1, 3, 7-trimethyl-2, 6-dioxypurine), a cyclic nucleotide phosphodiesterase inhibitor, increased the motility of ejaculated human spermatozoa. Both the percent motility and the grade of forward progression were significantly increased (P smaller than 0.001) and maintained in the presence of 6 mM of caffeine f...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)40936-2

    authors: Schoenfeld C,Amelar RD,Dubin L

    更新日期:1975-02-01 00:00:00

  • Luteal phase support.

    abstract:OBJECTIVE:To develop a consensus regarding the need for luteal phase support during assisted reproductive technology (ART), and to establish the optimal compound and route of administration for this purpose. DESIGN:Review of the published literature on luteal phase support. PATIENT(S):Women undergoing assisted reprod...

    journal_title:Fertility and sterility

    pub_type: 杂志文章,评审

    doi:10.1016/s0015-0282(01)02961-2

    authors: Penzias AS

    更新日期:2002-02-01 00:00:00

  • Using semen flow cytometry to evaluate association of ploidy status and chromatin condensation of spermatozoa with conventional semen parameters: clinical application in intrauterine insemination.

    abstract:OBJECTIVE:To evaluate the association between the ploidy status and the nuclear chromatin condensation of spermatozoa with conventional semen parameters by using semen flow cytometry (SFC). The prognostic value of SFC on the successful outcome of intrauterine insemination (IUI) was examined. DESIGN:Prospective study. ...

    journal_title:Fertility and sterility

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.fertnstert.2010.05.012

    authors: Lazaros L,Kaponis A,Vartholomatos G,Hatzi E,Botsari S,Plachouras N,Makrydimas G,Zikopoulos K,Sofikitis N,Georgiou I

    更新日期:2011-01-01 00:00:00

  • Importance of the biopsy date in autologous endometrial cocultures for patients with multiple implantation failures.

    abstract:OBJECTIVE:To analyze the effectiveness of autologous endometrial coculture by the cycle day of the endometrial biopsy. DESIGN:Retrospective study. SETTING:University-based IVF center. PATIENT(S):Two hundred eight patients with multiple IVF failures. INTERVENTION(S):Embryos were split and randomly allocated to growt...

    journal_title:Fertility and sterility

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0015-0282(02)03134-5

    authors: Spandorfer SD,Barmat LI,Navarro J,Liu HC,Veeck L,Rosenwaks Z

    更新日期:2002-06-01 00:00:00

  • Sustained intrauterine release of levonorgestrel over five years.

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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)49397-0

    authors: Nilsson CG,Lahteenmaki PL,Luukkainen T,Robertson DN

    更新日期:1986-06-01 00:00:00

  • Nicotine induces apoptosis in TM3 mouse Leydig cells.

    abstract:OBJECTIVE:To investigate whether nicotine-induced testicular toxicity involves the induction of apoptosis in Leydig cells. DESIGN:Cell study using cells of the TM3 cell line derived from mouse Leydig cells. SETTING:Academic research laboratory. INTERVENTION(S):Morphological and biochemical analyses for the detection...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2004.12.013

    authors: Kim KH,Joo KJ,Park HJ,Kwon CH,Jang MH,Kim CJ

    更新日期:2005-04-01 00:00:00

  • Fertility potential of women with congenital ampullary atresia of the fallopian tube.

    abstract:OBJECTIVE:To determine the fertility potential of women with congenital ampullary atresia of the fallopian tube. DESIGN:Case report and review of literature. SETTING:University-affiliated tertiary care infertility clinic. PATIENT(S):Six infertile women with congenital ampullary atresia of the oviduct. INTERVENTION(...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(02)04691-5

    authors: Johnston AC,McComb PF

    更新日期:2003-02-01 00:00:00

  • Pregnancy rate is significantly higher in in vitro fertilization procedure with spermatozoa isolated from nonliquefying semen in which liquefaction is induced by alpha-amylase.

    abstract::In 115 patients (group I) in which normal liquefaction of semen occurred, the fertilization rate of the yielded oocytes was 71.2% after standard in vitro fertilization procedure, and the viable pregnancy rate per patient per cycle was 13.0%. In a comparable group of 26 patients (group II), in which semen liquefaction ...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)60444-2

    authors: Vermeiden JP,Bernardus RE,ten Brug CS,Statema-Lohmeijer CH,Willemsen-Brugma AM,Schoemaker J

    更新日期:1989-01-01 00:00:00

  • A potential role for colony-stimulating factor 1 in the genesis of the early endometriotic lesion.

    abstract:OBJECTIVE:To investigate the role(s) of colony-stimulating factor 1 (CSF-1) on the development of early endometriosis in a murine model by comparing rate of lesion formation in mice [1] homozygous for a CSF-1 mutation versus syngeneic controls and [2] after treatment with imatinib, a commercially available tyrosine kin...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2008.09.050

    authors: Jensen JR,Witz CA,Schenken RS,Tekmal RR

    更新日期:2010-01-01 00:00:00

  • High doses of gonadotropins have no detrimental effect on in vitro fertilization outcome in normal responders.

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    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)57621-3

    authors: Simon T,Oehninger S,Toner J,Jones D,Muasher S

    更新日期:1995-06-01 00:00:00

  • Evaluating the role of exogenous luteinizing hormone in poor responders undergoing in vitro fertilization with gonadotropin-releasing hormone antagonists.

    abstract:OBJECTIVE:To evaluate the importance of exogenous LH in poor responders undergoing IVF with GnRH antagonists. DESIGN:Retrospective cohort study. SETTING:University-based IVF center. PATIENT(S):All patients with a history of poor response to ovarian stimulation undergoing IVF with GnRH antagonists between September 2...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2005.02.028

    authors: Chung K,Krey L,Katz J,Noyes N

    更新日期:2005-08-01 00:00:00

  • Reproductive health of women electing bariatric surgery.

    abstract:OBJECTIVE:To describe the reproductive health history and characteristics of women having bariatric surgery and to determine whether this differs by age of onset of obesity. DESIGN:Retrospective and cross-sectional analyses of self-reported survey data. SETTING:Six sites of the Longitudinal Assessment of Bariatric Su...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2009.08.028

    authors: Gosman GG,King WC,Schrope B,Steffen KJ,Strain GW,Courcoulas AP,Flum DR,Pender JR,Simhan HN

    更新日期:2010-09-01 00:00:00

  • Impact of elagolix treatment on fatigue experienced by women with moderate to severe pain associated with endometriosis.

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    journal_title:Fertility and sterility

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.fertnstert.2019.02.031

    authors: Surrey ES,Soliman AM,Agarwal SK,Snabes MC,Diamond MP

    更新日期:2019-08-01 00:00:00

  • Aspiration flow cytometry of the testes in the evaluation of spermatogenesis in the infertile male.

    abstract::Deoxyribonucleic acid (DNA) flow cytometry of testicular tissue has been demonstrated to be a quantitative means of assessing spermatogenesis. This study evaluates testes aspirates and DNA flow cytometry in the evaluation of the infertile male. Testicular tissue obtained from 12 men who underwent bilateral orchiectomy...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)59358-3

    authors: Kaufman DG,Nagler HM

    更新日期:1987-08-01 00:00:00

  • Pretreatment with estrogen does not affect IVF-ICSI cycle outcome compared with no pretreatment in GnRH antagonist protocol: a prospective randomized trial.

    abstract:OBJECTIVE:To assess effects of estrogen pretreatment in GnRH antagonist protocol. DESIGN:Prospective, randomized multicenter study. SETTING:Ten private or university-based centers. PATIENT(S):A total of 472 patients undergoing IVF/ICSI. INTERVENTION(S):Randomization by sealed envelopes to receive 17β-estradiol (4 m...

    journal_title:Fertility and sterility

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.fertnstert.2012.02.028

    authors: Cédrin-Durnerin I,Guivarc'h-Levêque A,Hugues JN,Groupe d'Etude en Médecine et Endocrinologie de la Reproduction.

    更新日期:2012-06-01 00:00:00

  • Anesthesia for diagnostic and operative laparoscopy.

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    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)38530-2

    authors: Wheeless CR Jr

    更新日期:1971-10-01 00:00:00

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    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2009.06.031

    authors: Perin PM,Maluf M,Czeresnia CE,Nicolosi Foltran Januário DA,Nascimento Saldiva PH

    更新日期:2010-01-01 00:00:00

  • Return of gonadotropic function in postpartum women during bromocriptine treatment.

    abstract::The rapid postpartum return of gonadotropic function during bromocriptine treatment was investigated through hormonal measurements in 15 women. Luteinizing hormone (LH) was measured by a novel and specific assay that does not cross-react with human chorionic gonadotropin (hCG). Prolactin was effectively suppressed by ...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)60610-6

    authors: Kremer JA,Rolland R,van der Heijden PF,Thomas CM,Lancranjan I

    更新日期:1989-04-01 00:00:00

  • A simple and sensitive nonradioactive method for the detection of urinary human chorionic gonadotropin and diagnosis of early human pregnancy. II. Single-unit test.

    abstract::A simple, sensitive, and reliable single-unit nonradioactive method for the detection of human chorionic gonadotropin (hCG) in concentrated urine and the diagnosis of early pregnancy is reported. This unit, presently termed the Ayerst pregnancy test kit (APTK), consists of four components: a sampler-filter paper cone,...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)44299-8

    authors: Banik UK,Hirsch MA,Irvine DS,Krupey J,Hurwitz A,Singh K,Wetzel J,Givner ML

    更新日期:1979-10-01 00:00:00

  • High deoxyribonucleic acid content of spermatozoa from infertile, oligospermic human males.

    abstract::A study has been carried out, by means of an indole microchemical technique, of the DNA content of spermatozoa from a group of 13 normal subjects and 13 patients affected by infertility, characterized by oligospermia with a clinical, hormonal, and testicular picture peculiar to "idiopathic spermatidic arrest." The DNA...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)41590-6

    authors: Frajese G,Silvestroni L,Malandrino F,Isidori A

    更新日期:1976-01-01 00:00:00

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    abstract:OBJECTIVE:To manipulate the luteal endometrial progression by the use of antiprogestins. DESIGN:Prospective controlled clinical trial. SETTING:The IVF program of the University of Southern California School of Medicine, Los Angeles, California. PATIENT(S):Thirteen oocyte donors and 20 oocyte recipients. INTERVENTIO...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/S0015-0282(97)81918-8

    authors: Paulson RJ,Sauer MV,Lobo RA

    更新日期:1997-02-01 00:00:00

  • Inadequate cervical mucus--a cause of "idiopathic" infertility.

    abstract::The purpose of this study was to investigate and treat a group of patients referred for "idiopathic" infertility in whom no apparent cause for infertility, apart from inadequate cervical mucus, was found. Hormone investigations revealed that these patients could be divided into two groups: those with low sex steroid p...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)42020-0

    authors: Sher G,Katz M

    更新日期:1976-08-01 00:00:00

  • Increased prevalence of anxiety symptoms in women with polycystic ovary syndrome: systematic review and meta-analysis.

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    journal_title:Fertility and sterility

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.fertnstert.2011.10.022

    authors: Dokras A,Clifton S,Futterweit W,Wild R

    更新日期:2012-01-01 00:00:00

  • Cyclic changes in the mammary gland of cynomolgus macaques.

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    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2004.04.035

    authors: Stute P,Wood CE,Kaplan JR,Cline JM

    更新日期:2004-10-01 00:00:00

  • A prospective, randomized study of pregnancy rates after transuterotubal and intrauterine insemination.

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    journal_title:Fertility and sterility

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Oei ML,Surrey ES,McCaleb B,Kerin JF

    更新日期:1992-07-01 00:00:00