The possible effect of human menopausal gonadotropin on the audio-vestibular system

Human menopausal gonadotropin (HMG) is one of the commonest drugs used for ovarian stimulation with no reports on the audio-vestibular system. This study aims to examine HMG on the hearing profile of patients planning intracytoplasmic sperm injection (ICSI). This prospective study was conducted from...

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Veröffentlicht in:Auris, nasus, larynx nasus, larynx, 2018-12, Vol.45 (6), p.1166-1172
Hauptverfasser: Abdel-Salam, Montaser, Abdel-Naby Awad, Osama G., El-Badry, Mohamed, Ibrahim, Ahmed, Ibrahiem, Mahmoud Hosny
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container_issue 6
container_start_page 1166
container_title Auris, nasus, larynx
container_volume 45
creator Abdel-Salam, Montaser
Abdel-Naby Awad, Osama G.
El-Badry, Mohamed
Ibrahim, Ahmed
Ibrahiem, Mahmoud Hosny
description Human menopausal gonadotropin (HMG) is one of the commonest drugs used for ovarian stimulation with no reports on the audio-vestibular system. This study aims to examine HMG on the hearing profile of patients planning intracytoplasmic sperm injection (ICSI). This prospective study was conducted from June 2016 to June 2017 in a tertiary referral hospital. The audio-vestibular system of a total of 30 patients was evaluated using pure tone audiometry, distortion product otoacoustic emissions (DPOAEs in the form of a DP-gram) and Vestibular-evoked myogenic potential (VEMP) immediately before therapy and at the day 10 after therapy. Audio-vestibular adverse effects including hearing loss, tinnitus, vertigo, and otalgia were also considered. Significant elevations in hearing thresholds were found on comparing thresholds at the day 10 at the onset of the study. The elevations were mostly at frequencies (1000, 2000 and 8000Hz) and did not affect speech perception. For DPOAE, significant differences were observed at all F2 frequencies on comparing both amplitudes and signal to noise ratios. Otologic complaints were significant for tinnitus and hearing loss. Significant auditory and vestibular adverse effects may result from HMG therapy, indicating the importance of prompt monitoring of auditory functions in these patients.
doi_str_mv 10.1016/j.anl.2018.04.007
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subjects Adult
Audiometry
Audiometry, Pure-Tone
Auditory Threshold - physiology
Distortion product ctoacoustic emissions (DPOAEs)
Earache - chemically induced
Earache - physiopathology
Female
Fertility Agents, Female - adverse effects
Fertility Agents, Female - therapeutic use
Hearing Loss - chemically induced
Hearing Loss - physiopathology
Human menopausal gonadotropin (HMG)
Humans
Infertility, Female - drug therapy
Menotropins - adverse effects
Menotropins - therapeutic use
Otoacoustic Emissions, Spontaneous - physiology
Ovulation Induction - methods
Prospective Studies
Signal-To-Noise Ratio
Speech Perception - physiology
Tinnitus - chemically induced
Tinnitus - physiopathology
Vertigo - chemically induced
Vertigo - physiopathology
Vestibular Evoked Myogenic Potentials - physiology
Vestibular-evoked myogenic potential (VEMP)
Young Adult
title The possible effect of human menopausal gonadotropin on the audio-vestibular system
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