Selective Inhibition of Follicle-stimulating

نویسندگان

  • JOHN C. MARSHALL
  • TIMOTHY W. VALK
  • KEVIN P. CORLEY
  • SUE ELLEN SAUDER
چکیده

This work was presented in part at the 74th Annual Meeting of the American Society for Clinical Investigation, 8 May 1982. Address reprint requests to Dr. Marshall. Received for publication 23 March 1982 and in revised form 22 July 1982. jections. Administration of estrogen after the first GnRH injection inhibited gonadotropin responses, whereas later estrogen therapy (after 1 d of GnRH pulses) blunted the GnRH induced FSH secretion without significantly impairing the LH response. In weight-regained anorexic patients who had spontaneous pulsatile LH secretion and a mean basal plasma estradiol concentration of 53±15 pg/ml, administration of GnRH pulses did not change plasma LH and a minimal FSH response was seen. The data indicate that the pattern of gonadotropin responses to low dose GnRH injections depends upon the degree of previous exposure of the pituitary to endogenous GnRH. Furthermore, estradiol selectively inhibits FSH secretion by a direct action on the pituitary gland. This action of estradiol provides an explanation for the selective reduction in FSH responses to GnRH seen during pubertal maturation in girls and during the mid-follicular stage of the menstrual cycle.

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تاریخ انتشار 2013