1. LH & FSH RESPONSES TO LRF IN GONADAL DYSGENESIS (GD) AFTER ETHINYL ESTRADIOL (EE)
- Author
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Rebecca T Kirkland, John S. Parks, Alfred Tenore, Alfred M Bongiovanni, and Vanitha Vaidya
- Subjects
endocrine system ,medicine.medical_specialty ,medicine.drug_class ,business.industry ,Decreased fsh ,Gonadal dysgenesis ,Hypopituitarism ,Younger child ,medicine.disease ,Basal (phylogenetics) ,Endocrinology ,Estrogen ,Internal medicine ,Pediatrics, Perinatology and Child Health ,medicine ,business ,hormones, hormone substitutes, and hormone antagonists ,Normal female - Abstract
Subjects with GD have elevated LH & FSH and achieve greater rise in both after LRF (Silver, Yen 1973). Estrogens exert inhibitory action on FSH & LH release (Yen et al 1972). To ascertain an effect of estrogen on LH and/or FSH to LRF in GD, 8 females 7-20 yrs, were studied; 4 XO, 1 XO/XY, constitutional delay, hypopituitarism, normal female. LRF, 50-100 ugm IV, was followed by 0.1 mgm EE daily 3-7 days, with 1-7 days off EE prior to second LRF test. In 3 young XO GD, 7 days EE decreased basal FSH (mean 17.6 mIU/ml before EE, 6.1 after EE) and the FSH peak to LRF (mean FSH peak 64.1 before EE, 16.1 after); LH was not significantly affected. With 3 days EE, a 7 yr. XO/XY had no change in LH, FSH responses. An older XO had an LH rise to LRF after 3 days EE, with a decreased FSH responsiveness. LH levels with LRF (after EE) were decreased in a normal female and constitutional delay. The younger child with GD lacks ovarian feedback mechanism and may have chronic endogenous secretion of LRF which induces pubertal LH response, as shown in these studies. LH & FSH responses to EE varied with age.
- Published
- 1974
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