全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

Clinical Application of Sex Hormone in Different Physiological Periods in the Diagnosis of Infertility Patients

DOI: 10.4236/ns.2024.166007, PP. 102-110

Keywords: Different Periods, Sex Hormone Level Detection, Infertility, Auxiliary Diagnosis

Full-Text   Cite this paper   Add to My Lib

Abstract:

Background: Infertility is characterized by the inability to conceive after a year of regular unprotected intercourse. Aims: This study aimed to investigate the diagnostic value of sex hormone levels during different physiological periods in the diagnosis of infertility patients. Methods: From December 2019 to May 2021, a total of 93 infertility patients were admitted and selected as the observation group. Among them, 31 cases were in the follicular stage, 31 cases in the ovulation stage, and 31 cases in the luteal stage. Ninety-three healthy women for fertility evaluation due to male infertility were selected as the control group. The control group included 31 women in the follicular phase, 31 women in the ovulatory phase, and 31 women in the luteal phase. The levels of sex hormones (prolactin (PRL), luteinizing hormone (LH), follicle-stimulating hormone (FSH), estradiol (E2), testosterone (T), and progesterone (P)) during different physiological phases were compared between the observation and control groups. Results: The follicular phase showed no significant difference in LH levels between the observation group and the control group. The observation group showed higher levels of PRL and P compared to the control group, while the levels of FSH, E2, and T were lower in the observation group compared to the control group. The ovulation phase showed no significant difference in PRL levels between the two groups. The observation group showed lower levels of LH, FSH, E2, T, and P compared to the control group. The luteal phase showed no statistical difference in E2 levels between the two groups. The observation group showed higher levels of PRL, LH, and FSH compared to the control group, while the levels of T and P were lower in the observation group compared to the control group. Conclusion: Infertile women show variations in hormone levels compared to the normal levels during the follicular phase, ovulatory phase, and luteal phase.

References

[1]  Legese, N., et al. (2023) The Prevalence of Infertility and Factors Associated with Infertility in Ethiopia: Analysis of Ethiopian Demographic and Health Survey (EDHS). PLOS ONE, 18, e0291912.
https://doi.org/10.1371/journal.pone.0291912
[2]  Wang, X., et al. (2018) An Exploration on the Influence of Positive Simple Thyroid Peroxidase Antibody on Female Infertility. Experimental and Therapeutic Medicine, 16, 3077-3081.
https://doi.org/10.3892/etm.2018.6561
[3]  Stamenov, G.S., et al. (2022) Hysteroscopy and Female Infertility: A Fresh Look to a Busy Corner. Human Fertility (Cambridge, England), 25, 430-446.
https://doi.org/10.1080/14647273.2020.1851399
[4]  Magdum, M., et al. (2022) Types of Infertility and Its Risk Factors among Infertile Women: A Prospective Study in Dhaka City. Journal of Biosciences and Medicines, 10, 158-168.
https://doi.org/10.4236/jbm.2022.104014
[5]  Jia, Y., et al. (2022) Validity of the Association between Five Steroid Hormones Quantification and Female Infertility Conditions: A New Perspective for Clinical Diagnosis. Steroids, 186, Article ID: 109086.
https://doi.org/10.1016/j.steroids.2022.109086
[6]  Donders, G.G.G., et al. (2022) Sperm Quality and Absence of SARS-CoV-2 RNA in Semen after COVID-19 Infection: A Prospective, Observational Study and Validation of the SpermCOVID Test. Fertility and Sterility, 117, 287-296.
https://doi.org/10.1016/j.fertnstert.2021.10.022
[7]  Reiter, R.J., et al. (2023) Aging-Related Ovarian Failure and Infertility: Melatonin to the Rescue. Antioxidants, 12, Article 695.
https://doi.org/10.3390/antiox12030695
[8]  Bosch, E., et al. (2021) Reduced FSH and LH Action: Implications for Medically Assisted Reproduction. Human Reproduction, 36, 1469-1480.
https://doi.org/10.1093/humrep/deab065
[9]  Marques, P., et al. (2022) Physiology of GNRH and Gonadotropin Secretion.
https://pubmed.ncbi.nlm.nih.gov/25905297/
[10]  Mikhael, S., Punjala-Patel, A. and Gavrilova-Jordan, L. (2019) Hypothalamic-Pituitary-Ovarian Axis Disorders Impacting Female Fertility. Biomedicines, 7, Article 5.
https://doi.org/10.3390/biomedicines7010005
[11]  Si, W., et al. (2020) Effect of GABA-T on Reproductive Function in Female Rats. Animals (Basel), 10, Article 567.
https://doi.org/10.3390/ani10040567
[12]  Monis, C. and Tetrokalashvili, M. (2022) Menstrual Cycle Proliferative and Follicular Phase StatPearls. StatPearls Publishing.
[13]  Nedresky, D. and Singh, G. (2022) Physiology, Luteinizing Hormone. StatPearls Publishing.
[14]  Drechsel, K.C.E., et al. (2023) Reproductive Ability in Survivors of Childhood, Adolescent, and Young Adult Hodgkin Lymphoma: A Review. Human Reproduction Update, 29, 486-517.
https://doi.org/10.1093/humupd/dmad002
[15]  Han, S., et al. (2021) Maternal and Neonatal Complications in Patients With Diminished Ovarian Reserve in In-Vitro Fertilization/Intracytoplasmic Sperm Injection Cycles. Frontiers in Endocrinology, 12, Article ID: 648287.
https://doi.org/10.3389/fendo.2021.648287
[16]  Arat, Ö., et al. (2020) What Is the Effect of the Early Follicular Phase FSH/LH Ratio on the Number of Mature Oocytes and Embryo Development? Turkish Journal of Medical Sciences, 50, 420-425.
https://doi.org/10.3906/sag-1910-234
[17]  Chuang, C.-C., et al. (2003) Age Is a Better Predictor of Pregnancy Potential Than Basal Follicle-Stimulating Hormone Levels in Women Undergoing in vitro Fertilization. Fertility and Sterility, 79, 63-68.
https://doi.org/10.1016/S0015-0282(02)04562-4
[18]  Wang, J., et al. (2023) Retrospective Study of Ovarian Reaction and Fertility in Women with Discordant Antimullerian Hormone and Follicle—Stimulating Hormone/Luteinizing Hormone Ratios During in vitro Fertilization. Journal of Obstetrics and Gynaecology Research, 49, 966-972.
https://doi.org/10.1111/jog.15534
[19]  Wang, J.X., et al. (2020) How Ovarian Hormones Influence the Behavioral Activation and Inhibition System Through the Dopamine Pathway. PLOS ONE, 15, e0237032.
https://doi.org/10.1371/journal.pone.0237032
[20]  Holesh, J., Bass, A. and Lord, M. (2022) Physiology, Ovulation. Stat Pearls Publishing.

Full-Text

Contact Us

[email protected]

QQ:3279437679

WhatsApp +8615387084133