Human Reproduction, Vol 13, 525-530, Copyright © 1998 by Oxford University Press
M Grana-Barcia, J Lado-Abeal, JL Liz-Leston, S Lojo, A Novo-Dominguez and J Aguilar-Fernandez
To investigate the mechanism by which pulsatile administration of
gonadotrophin-releasing hormone (GnRH) modifies secretion of luteinizing
hormone (LH) and follicle-stimulating hormone (FSH), we studied three
groups of five women who had been ovariectomized for non- malignant
gynaecological conditions at least 6 months previously, none of whom had
received substitutional hormone therapy. Before and after 15 day treatment
with subcutaneous pulsatile GnRH (one 20 microg dose every 90 min in group
A, one 10 microg dose every 90 min in group B and one 20 microg dose every
120 min in group C), pulsatile secretion of LH and FSH was characterized by
determining these hormones in 4 ml blood samples taken every 10 min for 8 h
(9.00 a.m. to 5.00 p.m.). For both LH and FSH, mean serum concentration and
pulse amplitude were lower after GnRH treatment than before (and in the
case of LH the decrease depended upon both the size and frequency of
exogenous GnRH pulses) but in no group was there a significant change in LH
or FSH pulse frequency. We conclude that exogenous pulsatile GnRH probably
acts by partially desensitizing the pituitary rather than by depressing
endogenous GnRH secretion. Such partial desensitization would explain
reports that exogenous pulsatile GnRH improves ovulation by women with
polycystic ovary syndrome.
ARTICLES
Depression of FSH and LH secretion following pulsatile GnRH administration in ovariectomized women
Department of Obstetrics and Gynaecology, University Hospital Complex, School of Medicine, Santiago de Compostela, Spain.
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