Luteal cysts and unexplained infertility: biochemical and ultrasonic evaluation

A prospective, controlled study of ovarian function using ovarian ultrasound and daily plasma hormone estimations (estradiol, progesterone [P], follicle-stimulating hormone [FSH], luteinizing hormone [LH]) was carried out on 175 spontaneously cycling patients with unexplained infertility. Forty-one...

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Veröffentlicht in:Fertility and sterility 1990-07, Vol.54 (1), p.32-37
Hauptverfasser: Hamilton, Mark P.R., Fleming, Richard, Coutts, John R.T., Macnaughton, Malcolm C., Whitfield, Charles R.
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container_end_page 37
container_issue 1
container_start_page 32
container_title Fertility and sterility
container_volume 54
creator Hamilton, Mark P.R.
Fleming, Richard
Coutts, John R.T.
Macnaughton, Malcolm C.
Whitfield, Charles R.
description A prospective, controlled study of ovarian function using ovarian ultrasound and daily plasma hormone estimations (estradiol, progesterone [P], follicle-stimulating hormone [FSH], luteinizing hormone [LH]) was carried out on 175 spontaneously cycling patients with unexplained infertility. Forty-one (23.4%) demonstrated luteal phase cyst formation. In 21cycles the dominant follicle reduced in size after the LH peak (cystic corpus luteum cycles), and in 20 no shrinkage was seen (luteinized unruptured follicles). Progesterone concentrations in the early luteal phase were significantly reduced in the luteinized unruptured follicle cycles. Elevation in plasma FSH was seen in the early follicular and luteal phases of both cyst forming groups and may be due to disturbances in ovarian metabolism. Follicular rupture is important for efficient P release by the corpus luteum.
doi_str_mv 10.1016/S0015-0282(16)53632-2
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Forty-one (23.4%) demonstrated luteal phase cyst formation. In 21cycles the dominant follicle reduced in size after the LH peak (cystic corpus luteum cycles), and in 20 no shrinkage was seen (luteinized unruptured follicles). Progesterone concentrations in the early luteal phase were significantly reduced in the luteinized unruptured follicle cycles. Elevation in plasma FSH was seen in the early follicular and luteal phases of both cyst forming groups and may be due to disturbances in ovarian metabolism. 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Follicular rupture is important for efficient P release by the corpus luteum.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Birth control</subject><subject>Corpus Luteum - pathology</subject><subject>Corpus Luteum - physiopathology</subject><subject>Cysts - complications</subject><subject>Cysts - pathology</subject><subject>Cysts - physiopathology</subject><subject>Estradiol - blood</subject><subject>Female</subject><subject>Follicle Stimulating Hormone - blood</subject><subject>Follicular Phase</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Infertility, Female - etiology</subject><subject>Luteal Phase</subject><subject>Luteinizing Hormone - blood</subject><subject>Medical sciences</subject><subject>Ovarian Diseases - complications</subject><subject>Ovarian Diseases - pathology</subject><subject>Ovarian Diseases - physiopathology</subject><subject>Ovarian Follicle - pathology</subject><subject>Progesterone - blood</subject><subject>Prospective Studies</subject><subject>Sterility. 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Forty-one (23.4%) demonstrated luteal phase cyst formation. In 21cycles the dominant follicle reduced in size after the LH peak (cystic corpus luteum cycles), and in 20 no shrinkage was seen (luteinized unruptured follicles). Progesterone concentrations in the early luteal phase were significantly reduced in the luteinized unruptured follicle cycles. Elevation in plasma FSH was seen in the early follicular and luteal phases of both cyst forming groups and may be due to disturbances in ovarian metabolism. Follicular rupture is important for efficient P release by the corpus luteum.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>2113489</pmid><doi>10.1016/S0015-0282(16)53632-2</doi><tpages>6</tpages></addata></record>
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Access via ScienceDirect (Elsevier); Alma/SFX Local Collection
subjects Adult
Biological and medical sciences
Birth control
Corpus Luteum - pathology
Corpus Luteum - physiopathology
Cysts - complications
Cysts - pathology
Cysts - physiopathology
Estradiol - blood
Female
Follicle Stimulating Hormone - blood
Follicular Phase
Gynecology. Andrology. Obstetrics
Humans
Infertility, Female - etiology
Luteal Phase
Luteinizing Hormone - blood
Medical sciences
Ovarian Diseases - complications
Ovarian Diseases - pathology
Ovarian Diseases - physiopathology
Ovarian Follicle - pathology
Progesterone - blood
Prospective Studies
Sterility. Assisted procreation
Ultrasonography
title Luteal cysts and unexplained infertility: biochemical and ultrasonic evaluation
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