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 |
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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. Follicular rupture is important for efficient P release by the corpus luteum.</description><identifier>ISSN: 0015-0282</identifier><identifier>EISSN: 1556-5653</identifier><identifier>DOI: 10.1016/S0015-0282(16)53632-2</identifier><identifier>PMID: 2113489</identifier><identifier>CODEN: FESTAS</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>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</subject><ispartof>Fertility and sterility, 1990-07, Vol.54 (1), p.32-37</ispartof><rights>1990 American Society for Reproductive Medicine</rights><rights>1991 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c390t-6f2b12edf8db0542b425086506a5495e1b04fd5af0cd802516c3ec0068f2f0883</citedby><cites>FETCH-LOGICAL-c390t-6f2b12edf8db0542b425086506a5495e1b04fd5af0cd802516c3ec0068f2f0883</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0015-0282(16)53632-2$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=19432425$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2113489$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hamilton, Mark P.R.</creatorcontrib><creatorcontrib>Fleming, Richard</creatorcontrib><creatorcontrib>Coutts, John R.T.</creatorcontrib><creatorcontrib>Macnaughton, Malcolm C.</creatorcontrib><creatorcontrib>Whitfield, Charles R.</creatorcontrib><title>Luteal cysts and unexplained infertility: biochemical and ultrasonic evaluation</title><title>Fertility and sterility</title><addtitle>Fertil Steril</addtitle><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.</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. Assisted procreation</subject><subject>Ultrasonography</subject><issn>0015-0282</issn><issn>1556-5653</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1990</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1P3DAQQK0KRBfKT0DKhaocAmMndpxeUIVKQVqJA-VsOfZYdZV1FttB3X9fs7uCI6fRaN58PULOKFxSoOLqEYDyGphk36i44I1oWM0-kQXlXNRc8OaALN6Qz-Q4pb8AIGjHjsgRo7RpZb8gD8s5ox4rs0k5VTrYag74bz1qH9BWPjiM2Y8-b75Xg5_MH1x5U_AtOOao0xS8qfBFj7POfgpfyKHTY8LTfTwhT7c_f9_c1cuHX_c3P5a1aXrItXBsoAytk3YA3rKhZRyk4CA0b3uOdIDWWa4dGCuBcSpMg6acLx1zIGVzQr7u5q7j9Dxjymrlk8Fx1AGnOamul7zrOigg34EmTilFdGod_UrHjaKgXkWqrUj1akmVbCtSsdJ3tl8wDyu0b117c6V-vq_rVIy4qIPx6X143zasPFW46x2HxcaLx6iS8RgMWh_RZGUn_8El_wFJvo-R</recordid><startdate>19900701</startdate><enddate>19900701</enddate><creator>Hamilton, Mark P.R.</creator><creator>Fleming, Richard</creator><creator>Coutts, John R.T.</creator><creator>Macnaughton, Malcolm C.</creator><creator>Whitfield, Charles R.</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19900701</creationdate><title>Luteal cysts and unexplained infertility: biochemical and ultrasonic evaluation</title><author>Hamilton, Mark P.R. ; Fleming, Richard ; Coutts, John R.T. ; Macnaughton, Malcolm C. ; Whitfield, Charles R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c390t-6f2b12edf8db0542b425086506a5495e1b04fd5af0cd802516c3ec0068f2f0883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1990</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Birth control</topic><topic>Corpus Luteum - pathology</topic><topic>Corpus Luteum - physiopathology</topic><topic>Cysts - complications</topic><topic>Cysts - pathology</topic><topic>Cysts - physiopathology</topic><topic>Estradiol - blood</topic><topic>Female</topic><topic>Follicle Stimulating Hormone - blood</topic><topic>Follicular Phase</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Infertility, Female - etiology</topic><topic>Luteal Phase</topic><topic>Luteinizing Hormone - blood</topic><topic>Medical sciences</topic><topic>Ovarian Diseases - complications</topic><topic>Ovarian Diseases - pathology</topic><topic>Ovarian Diseases - physiopathology</topic><topic>Ovarian Follicle - pathology</topic><topic>Progesterone - blood</topic><topic>Prospective Studies</topic><topic>Sterility. Assisted procreation</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hamilton, Mark P.R.</creatorcontrib><creatorcontrib>Fleming, Richard</creatorcontrib><creatorcontrib>Coutts, John R.T.</creatorcontrib><creatorcontrib>Macnaughton, Malcolm C.</creatorcontrib><creatorcontrib>Whitfield, Charles R.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Fertility and sterility</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hamilton, Mark P.R.</au><au>Fleming, Richard</au><au>Coutts, John R.T.</au><au>Macnaughton, Malcolm C.</au><au>Whitfield, Charles R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Luteal cysts and unexplained infertility: biochemical and ultrasonic evaluation</atitle><jtitle>Fertility and sterility</jtitle><addtitle>Fertil Steril</addtitle><date>1990-07-01</date><risdate>1990</risdate><volume>54</volume><issue>1</issue><spage>32</spage><epage>37</epage><pages>32-37</pages><issn>0015-0282</issn><eissn>1556-5653</eissn><coden>FESTAS</coden><abstract>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.</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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