氯地酚和FSH对猕猴超数排卵的比较及其在兔输卵管内受精的研究

在不考虑月经周期的情况下连续灌喂氯地酚5天,每天50mg,第8天肌注hCG2000IU,对猕猴具有一定的卵泡超数发育作用,最多可使双侧卵巢共24个卵泡发育,最大卵泡直径5—6mm,但不同个体反应变化较大。FSH hCG超排方案(考虑或不考虑月经周期,连续肌注FSH6天,共80—90IU,第8天肌注hCG2500IU)比氯地酚效果较好,最多可使双侧卵巢共28个卵泡发育,卵泡最大直径10mm,另外在1只猕猴观察到5个卵泡破裂将卵排出。电刺激采得之猕猴精子经洗涤后与用以上两种超排方案以卵泡吸得之卵子一同输入兔输卵管进行受精,获得2个原核期受精卵和1个桑椹胚。     

耐力训练对不同鼠龄大鼠血清T、E2、LH和FSH的影响

以不同鼠龄大鼠为研究对象，通过跑台建立大鼠递增负荷的运动模型，探讨耐力训练对不同鼠龄大鼠血清睾酮(T)、雌二醇(E2)、黄体生成素(LH)和促卵泡激素(FSH)的影响。结果认为。1．随年龄增加，大鼠血清T、LH和FSH水平下降，血清E2水平升高。说明，随年龄增加，大鼠性腺分泌功能可能出现下降。2．通过适宜负荷的运动训练可促使大鼠血清T水平显著增加，血清LH和FSH水平增加，血清E2水平下降。说明适宜负荷运动训练可减缓大鼠随年龄增加发生的性腺分泌功能的下降。     

Correlations of Insulin Resistance and Serum Testosterone Levels with LH:FSH Ratio and Oxidative Stress in Women with Functional Ovarian Hyperandrogenism

Functional ovarian hyperandrogenism (FOH) is a form of polycystic ovary syndrome (PCOS) characterized by elevated circulating levels of androgens derived from the ovary. Insulin resistance (IR) is the most common etiological factor in women with FOH. IR causes the generation of increased oxidative stress (OS) and diminished antioxidant status. OS is directly correlated with both IR and testosterone levels, which consequently contribute to endocrine and biochemical alterations in FOH women. In the current study, elevations in total testosterone, free testosterone and luteinizing hormone (LH) levels accompanied by a decrease in follicle stimulating hormone (FSH) level leading to higher LH:FSH ratio were the prominent endocrine changes observed in women with FOH. A significant increase in fasting blood levels of glucose and insulin, as well as an elevated IR were also seen in FOH women, as compared to their age matched controls. Women with FOH have higher pro-oxidant and lower anti-oxidant levels in blood than their age matched controls. In FOH women, elevations in LH:FSH ratio and OS are correlated more with hyperandrogenemia than with IR. Of the androgens, free rather than total testosterone has better positive correlations with elevated LH:FSH ratio and OS, and hence, the former is a better predictive marker for the development of biochemical PCOS in women with FOH.     

运动应激对HPG轴下丘脑-垂体系统的影响和适应

不同种类运动应激对HPG轴下丘脑-垂体系统产生不同的影响,而机体的HPG轴下丘脑-垂体系统也产生不同的适应性变化,作为反映HPG轴下丘脑-垂体系统功能的代表性指标GnRH、LH和FSH有不同的变化趋势。本文对其变化的趋势及机理进行了探讨。     

Predictors of Insulin Resistance and Metabolic Complications in Polycystic Ovarian Syndrome in an Eastern Indian Population

The purpose of this study was to assess the predictive values of central obesity and hyperandrogenemia in development of insulin resistance and dyslipidemia in the polycystic ovarian syndrome (PCOS) patients in our region. Differences of fasting blood glucose level, insulin resistance index HOMA-IR, lipid parameters, waist hip ratio (WHR), body mass index, LH/FSH ratio and testosterone levels between 45 PCOS cases and 35 age matched controls were obtained. Strength of association between different parameters in the case group was assayed by Pearson’s correlation analysis. Dependence of insulin resistance and WHR on different predictors was assessed by multiple linear regression assay. Total cholesterol, LDL cholesterol, LH, FSH, LH/FSH ratio, WHR and insulin resistance were significantly higher in the case group (p < 0.05). Serum testosterone showed strong correlation with insulin resistance and LH/FSH ratio (r = 0.432 and 0.747, p = 0.01 and 0.001 respectively) in the PCOS patients while WHR and serum testosterone level stood out to be most significant predictors for the insulin resistance (β = 0.361 and 0.498; p = 0.048 and 0.049 respectively). Hyperandrogenemia and central obesity were the major factors predicting development of insulin resistance and its related metabolic and cardiovascular complications in our PCOS patients. We suggest early monitoring for androgen level and WHR in these patients for predicting an ensuing insulin resistance and modulating the treatment procedure accordingly to minimise future cardiovascular risks.     

Evaluation of FSH,LH and testosterone levels in different subgroups of infertile males

Gonadotropins (FSH, LH) and testosterone are the prime regulators of germ cell development. Abnormal spermatogenesis is often associated with altered serum gonadotropins and testosterone. FSH, LH and testosterone levels were estimated in 96 infertile men of whom 35 were azoospermic, 35 were oligozoospermic, 11 were with varicocele and 15 were with histopathological abnormalities like hypospermatogenesis, spermatid arrest and sertoli-cell only syndrome. Results showed statistically significant (p<0.05), increase in the mean FSH and LH levels in all the infertile males studied when compared with the fertile controls (n=35). However, there is no significant difference in the mean levels of testosterone between the infertile and fertile men.