• Title/Summary/Keyword: menstrual cycle

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Clinical Analysis and Investigation for the Infertile Women with Hyperprolactinemia (불임환자의 고 Prolactin 혈증에 관한 연구)

  • Kang, S.B.;Kang, B.M.;Kim, J.G.;Lee, J.Y.;Chang, Y.S.
    • Clinical and Experimental Reproductive Medicine
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    • v.13 no.1
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    • pp.21-28
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    • 1986
  • It is now apparent that many cases of amenorrhea. oligomenorrhea. corpus luteum deficiency, galactorrhea, and infertility are due to hyperprolactinemia. We investigated the relationships between serum prolactin values and factors such as menstrual pattern, frequency of galactorrhea etc, in 135 hyperproIactinemic patients at the Seoul National University Hospital during a period of 6 years, from January, 1979 to December, 1984. The results was as follows: 1. Menstrual pattern changed according to the serum prolactin level. The frequency of amenorrhea is 1.7 percent in patients with serum prolactin levels ranged from $25{\sim}40ng/ml$, whereas 72.4 percent in patients with serum prolactin levels above 100ng/ml. 2. The incidence of galactorrhea in hyperprolactinemic patients was 3.1 percent and the frequency of galactorrhea had direct relationship with the serum prolactin level and/or the frequency of abnormal menstrual pattern. 3. The incidence of pituitary tumor in hyperprolactinemic patients was 104 percent and sixty percent of patients with serum prolactin levels above 100ng/ml had a pituitary tumor . 4. There was an inverse correlation between serum prolactin and progesletone value. 5. The frequency of anovulatory menstrual cycle evidenced by basal body temperature is 23.9 percent in patients with serum prolactin levels ranged from $20{\sim}40ng/ml$, whereas 76.9 percent in patients with serum prolactin levels above 100ng/ml.

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Dysmenorrhea in High School Girls and Its influencing Factors (여고생의 월경곤란증 실태 및 그 영향 요인)

  • Kim, Song-Soon;Kim, Hyang-Soo
    • Journal of the Korea Convergence Society
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    • v.12 no.3
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    • pp.409-420
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    • 2021
  • The study is a descriptive research to determine high school girls' the status of dysmenorrhea and to look into influencing factors about how relationships between variables: sleep disturbance, stress, anxiety, dietary habit have an effect on dysmenorrhea. Our collected data consisted of 160 high school girls living in B metropolitan city. The study period lasted four weeks, going from Oct 12 to Nov 6, 2020. The resulting data was analyzed with SPSS/WIN 21.0 version to analyze. As a result of this study, The correlated factors of dysmenorrhea included sleep disturbance(r=.531, p<.001), stress(r=.349, p<.001), anxiety(r=.300, p=.003) and dietary habit(r=-.205, p=.041). The prevalent factors influencing dysmenorrhea are sleep disturbance, menstrual periods, menstrual cycles, and anxiety. Therefore, it will be needed to improve the quality of sleep, reduce anxiety, try to regulate menstrual periods and menstrual cycle in order to relieve high school girls' dysmenorrhea.

Expression of Endometriosis Related Genes in the Shed Endometrial Tissues from Menstrual Blood (생리혈에 존재하는 자궁내막조직에서 자궁내막증 관련 유전자의 발현 양상)

  • Park, Chan-Woo;Jun, Jin-Hyun;Koong, Mi-Kyoung;Song, In-Ok
    • Clinical and Experimental Reproductive Medicine
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    • v.34 no.4
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    • pp.275-283
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    • 2007
  • Objective: This study was performed to investigate the expressions of endometriosis related genes in shed endometrial tissues from menstrual blood of patients with or without endometriosis. Methods: The shed endometrial tissues were collected on 2$^{nd}$ or 3$^{rd}$ day of menstrual cycle with Wallace catheter in patients with endometriosis (n=16) and without endometriosis (n=26). The mRNA expressions of twelve kinds of endometriosis related genes were compared between two groups using semi-quantitative RT-PCR. Results: The collected shed endometrium was confirmed by histological observation. Expressions of telomerase, c-kit and aromatase mRNA were not detected by RT-PCR in shed endometrial tissues. The mRNA expressions of apoptosis related genes (fas, fas ligand, bcl-2, bax), stem cell factor, estrogen receptor-$\alpha$/$\alpha$, endometriosis protein-I and secretory leukocyte protease inhibitor gene were similar between shed endometrial tissues with endometriosis and without endometriosis. Conclusion: We could not find the difference of mRNA expressions of tested endometriosis related genes between shed endometrial tissues with or without endometriosis by semi-quantitative RT-PCR analysis. It may be related to the dynamical changes of gene expressions in the endometrium with menstrual cycle.

Clomiphene Citrate Challenge Test and Its Clinical Correlation with Prognostic Factors of Ovarian Response (Clomiphene Citrate 부하검사와 난소 반응 예측 인자와의 연관성에 관한 연구)

  • Moon, Shin-Yong;Chae, Hee-Dong;Kim, Kwang-Rye;Suh, Chang-Suk;Kim, Seok-Hyun;Choi, Young-Min;Shin, Chang-Jae;Kim, Jung-Gu;Lee, Jin-Yong
    • Clinical and Experimental Reproductive Medicine
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    • v.23 no.3
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    • pp.283-292
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    • 1996
  • Objective: To determine the cutoff value of clomiphene citrate challenge test(CCCT) that can predict the normal and abnormal(diminished) ovarian response group and to assess the usefulness of CCCT as a predictor of ovarian reserve. Materials and Methods: From March 1994 to Februry 1996, CCCT was performed to 129 infertile patients and among them, 20 patients whose basal FSH on the third day of menstrual cycle was more than 20 mIU/ml were excluded. At the same time, the same CCCT was performed to the fifteen healthy volunteers with proven fertility to determine the cutoff value of CCCT. Results; 1) A FSH value higher than 23.4 mIU/ml, measured on the 10th day of menstrual cycle, was defined as a abnormal ovarian response. The cutoff value of 23.4 mIU/ml is more than 2 standard deviations(SD) above the mean value of 15 healthy women after CCCT. 2) The abnormal CCCT group, the subpopulation with a FSH value of 23.4 mIU/ml or more, was 7.3%(8/109) and their mean age was higher than the normal CCCT group($36.5{\pm}4.5$ vs. $32.9{\pm}4.8$, P = 0.059). And the percentage of the patients older than 35 years of the abnormal CCCT group was significantly higher than that of the normal CCCT group(62.5% vs. 38.6%, p <0.05). 3) There was no correlation between the hormone values of the third day and the 10th day of menstrual cycle before and after CCCT except between FSH of the third day and the 10th day. Conclusion: The CCCT is a good method to predict the individual ovarian response to COH for ART, especially in the patients who has no other abnormal findings that predict poor prognosis. And it is neccessary to determine the cutoff value of CCCT by the large numbers of randomized study, and combining the previously proven prognostic factors, it can be applicated in many individual centers for evaluate the ovarian response before ART program.

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The Endocrine Changes and Alteration of the Ovarian Response to Clomiphen Citrate after Laparoscopic Laser Vaporization in Patients with Polycystic Ovary Syndrome (다낭성 난포 증후군 환자에서 복강경적 Laser Vaporization 후 내분비적 변화 및 클로미펜에 대한 난소 반응성의 변화)

  • Lee, Sang-Joon;Kim, Jin-Young;Park, Ki-Hyun;Choi, Kyu-Hong
    • Clinical and Experimental Reproductive Medicine
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    • v.26 no.3
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    • pp.483-490
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    • 1999
  • Objectives: Polycystic ovary syndrome (PCOS) has the feature of excessive LH, hyperandrogenism and disturbance of folliculogenesis. Also, insulin, IGF-I and IGFBP-l are involved in the pathogenesis of PCOS. Various surgical and medical therapies have been used and the action mechanisms are related to the endocrine effect. Laparoscopic ovarian electrocautery or laser vaporization is effective in the restoration of ovulation and normal menstrual cycle with minimal invasive procedure especially in the patients resistant to medical therapy. Clomiphen citrate (CC) is used for the ovulation induction in pcas and the resistance is known to be related to insulin, IGF-I, IGFBP-l levels. This study was performed to evaluate the effect of the laparoscopic laser vaporization on the levels of LH, FSH, testosterone, IGF-I and IGFBP-l and on the ovarian response to clomiphen citrate in patients with CC-resistant PCOS. Materials and Methods: The fasting basal serum LH, FSH, testosterone, IGF-I and IGFBP-l level were measured in 10 PCOS patients with CC-resistance and 7 normal controls with regular menstrual cycle. In PCOS, after laparoscopic $CO_2$ laser vaporization, endocrine levels were measured in 1 week interval for 4 weeks and then compared with preoperative levels. Results: In PCOS group, mean serum LH/FSH ratio, testosterone, IGF-I levels were higher and IGFBP-l level was lower than control. LH/FSH ratio decreased from $2.51{\pm}0.67$ to $1.7{\pm}0.6$ (p<0.05) in 2 weeks, to $0.56{\pm}0.2$ (p<0.01) in 3 weeks and to $1.41{\pm}0.3$ (p<0.01) in 4 weeks after operation. Testosterone level decreased from $1.51{\pm}0.82ng/ml$ to $0.65{\pm}0.34ng/ml$ (p<0.05) in 2 weeks, to $0.56{\pm}0.67ng/ml $(p<0.01) in 3 weeks after operation. IGF-I level also decreased from $436{\pm}47.5{\mu}g/l$ to $187{\pm}38{\mu}g/l$ (p<0.0l) in 1 week, to $167{\pm}42{\mu}g/l$ (p<0.01) in 2 weeks, $179{\pm}55{\mu}g/l$ (p<0.01) in 3 weeks and to $120{\pm}43{\mu}g/l$ (p<0.01) in 4 weeks after operation. IGFBP-l level showed no significant change. In 8 of 10 PCOS patients, ovulation was induced with low dose clomiphen citrate. Conclusion: Laparoscopic $CO_2$ laser vaporization restores normal menstrual cycle and ovulation through endocrine effect of decreasing LH/FSH ratio, testosterone and IGF-I level and increases the response to CC. Therefore it is useful for restoration of normal menstruation and induction of ovulation in CC resistant PCOS patients.

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The effect of the stem of Spatholobus suberectus Dunn on the proliferation and gene expression related apoptosis in human cervical cancer cells (계혈등(鷄血藤)이 자궁경부암세포의 세포자멸사 유도와 관련 유전자 발현에 미치는 영향)

  • Kim, Byounghoe;Baek, Seunghee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.18 no.1
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    • pp.169-180
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    • 2005
  • Objective : Spatholobus Suberectus Dunn stems, Chinese vine plants, have been used for the relief of menstrual disorders and rheumatic arthralgia. In this study, we investigated the antitumor effect of Spatholobus Suberectus Dunn on cervical cancer in vitro. Methods : HeLA cervical cancer cell lines were used as targets. We examined the effect of water extract from Spatholobus Suberectus Dunn on cell proliferation, cell cycle regulation and cell cycle-regulating gene expression. Further, we investigated the apoptotic effects of Spatholobus Suberectus Dunn on cervical cancer cell lines. Results : Spatholobus Suberectus Dunn significantly inhibited the proliferation of cervical cancer cell lines in a dose-dependent and time dependent manner. Fluorescence activated cell sorter (FACS) analysis indicated that Spatholobus Suberectus Dunn induced G1 cell cycle arrest. Spatholobus Suberectus Dunn enhanced the expression of $p21^{waf1}$ and $p27^{kip1}$ with cell cycle arrest. Further, Spatholobus Suberectus Dunn stimulated apoptosis via caspase3 pathway. Conclusions : These findings suggest that Spatholobus Suberectus Dunn is a candidate agent for the treatment of cervical cancer. p21waf1 and $p21^{waf1}$ and $p27^{kip1}$ may play an important role in Spatholobus Suberectus Dunn-induced cell cycle arrest and cell growth inhibition.

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Trial of Light Therapy on a Woman with LLPDD : A Case Report (후기황체기 불쾌기분장애(LLPDD) 환자의 광선치료 1례)

  • Joe, Sook-Haeng
    • Sleep Medicine and Psychophysiology
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    • v.1 no.2
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    • pp.188-192
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    • 1994
  • The author reports a 32 years old female patient with late luteal phase dysphoric disorder who received evening bright light treatment for 7 consecutive days during the late luteal phase of menstrual cycle. After the treatment, beneficial clinical effects were observed. This result suggests that bright light can be an alternative treatment for LLPDD. However, the placebo effects should be ruled out completely. Further controlled studies with more patients will be needed.

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Physiological Effect on Changes of the Surface Area and the Volume of Limb and Their Effective Measurements (하퇴부(下腿部)의 표면적(表面積) 및 체적변화(體積變化)의 생리적(生理的) 배경(背景)과 측정(測定)에 대(對)한 연구(硏究))

  • Han, Sang-Deok;Lee, Yeong-Suk
    • Journal of the Ergonomics Society of Korea
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    • v.7 no.2
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    • pp.15-21
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    • 1988
  • Changes of the surface area and the volume of limb are important factors for designing clothes and shoes. The limb volume increases slightly in the afternoon in general, because of human activity, as a diurnal variation. Changes are also associated with menstrual cycle, pregnancy, physical exercise and environmental temperature. The most effective method for measuring the surface area of limb is the paper replacement method.

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Relationships between Menstrual History and Psychological Variables in Middle School Girls (여중생들의 월경력과 심리적 변인들과의 관계)

  • Song, Min Sun;Choi, Chan Hun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.27 no.2
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    • pp.253-260
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    • 2013
  • This study was focused on the relationships between menstrual history and psychological variables in middle school girls. The study included 165 students. Self image, optimism and self-efficacy are measured structured questionnaires each. Statistical analysis was performed using t-test, ANOVA and Scheffe's test. The proportion of the students with bleeding period less than 7 days was higher in the group with high self image(p=.002). The self image was higher in the group who take analgesics occasionally than the group who take daily(p=.009) and in the group with irregular menstruation(p=.024). Emotional tone was higher in the group with irregular menstruation(p=.008), and psychopathology was higher in the group who take analgesics occasionally(p=.008). Family relationship was higher in the group with bleeding period less than 7 days(p=.004), in the group who take analgesics occasionally(p=.007) and in the group with irregular menstruation(p=.015). Mastery and coping was higher in the group with bleeding period less than 7 days(p=.026). Adaptation was higher in the group with irregular menstruation(p=.034). Also optimism was higher in the group with bleeding period less than 7 days(p=.005), in the group who experienced menorrhalgia a few years after menarche(p=.014) and the group with irregular menstruation(p=.027). Self-efficacy was higher in the group of polymenorrhea(p=.029). Because menstruation is related with psychiatric factors, it is necessary to ask menstruation history and psychiatric status. This study can be used in the development of the questionnaire for the oriental medical examination.