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Human Reproduction, Vol. 11, No. 12, pp. 2591-2594, 1996
© 1996 European Society of Human Reproduction and Embryology


research-article

Endocrinology: Midluteal immunoreactive {alpha}-inhibin serum concentrations as markers of luteal phase deficiency

Juan Balasch1,4, Montserrat Creus1, Francisco Fábregues1, Roser Casamitjana2, Jaime Ordi3 and Juan A. Vanrell1

1Department of Obstetrics and Gynecology Faculty of Medicine-University of Barcelona, Hospital Clinic I Provincial C/Casanova 143, 08036 Barcelona, Spain 2Hormonal Laboratory Faculty of Medicine-University of Barcelona, Hospital Clinic I Provincial C/Casanova 143, 08036 Barcelona, Spain 3Department of Histopathology, Faculty of Medicine-University of Barcelona, Hospital Clinic I Provincial C/Casanova 143, 08036 Barcelona, Spain

Correspondence: 4To whom correspondence should be addressed

The present prospective clinical study was undertaken to determine the usefulness of midluteal phase serum immunoreactive {alpha}-inhibin concentrations as markers of luteal phase deficiency and whether they are better indicators of biopsy confirmed luteal phase defect than serum progesterone. Consecutive patients (n = 138) with regular menstrual cycles attending our Infertility Clinic (experimental group) and 15 fertile women who were requesting contraception and had regular menstrual patterns (control group) were included. In all women (patients and controls), basal body temperature, midluteal serum concentrations of oestradiol, prolactin, progesterone and immunoreactive {alpha}-inhibin, and premenstrual endometrial biopsy were used in the same cycle to assess luteal function. Out-of-phase secretory endometria were detected in 15 of the 138 patients. Thus, hormonal concentrations were compared between the following three groups of women: group 1 (n = 15), infertile patients with defective secretory endometria; group 2 (n = 123), infertile patients with normal secretory endometria; and controls (n = 15), fertile women with normal secretory endometria. Midluteal serum concentrations of progesterone, immunoreactive {alpha}-inhibin, oestradiol, and prolactin of the two groups studied were similar to those of the control group of fertile women. Our results indicate that midluteal serum inhibin determination does not accurately reflect histological maturation of the endo-metrium and it is not a better indicator of endometrial luteal phase deficiency than midluteal serum progesterone concentration.

Key words: endometrium/luteal phase deficiency/serum inhi-bin/serum progesterone


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M. Creus, J. Ordi, F. Fabregues, R. Casamitjana, J. A. Vanrell, and J. Balasch
Mid-luteal serum inhibin-A concentration as a marker of endometrial differentiation
Hum. Reprod., July 1, 2001; 16(7): 1347 - 1352.
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