• Clinical and Experimental Reproductive Medicine
• /
• 제41권2호
• /
• pp.86-91
• /
• 2014

Objective: The aim of the present study was to investigate the relationship between ovarian follicle count and volume on ultrasonography and serum hormone levels including the levels of the anti-$M\ddot{u}llerian$ hormone (AMH) and gonadotropin in women with the polycystic ovary syndrome (PCOS). Methods: A total of 118 Korean women aged 18-35 years who were newly diagnosed with PCOS at a university hospital were included in this study. Serum LH, FSH, and AMH levels were measured in the early follicular phase, and the total antral follicle count (TFC) and the total ovarian volume (TOV) were assessed by ultrasonography. The correlations between serum hormonal parameters and ultrasonography characteristics in women with PCOS were evaluated using Pearson's correlation coefficients and a linear regression analysis. Results: Serum AMH levels were significantly correlated with serum LH levels and LH/FSH ratios, and TFC and TOV were significantly correlated with each other on ultrasonography. Serum AMH and LH levels and the LH/FSH ratio were significantly correlated with TFC. Statistically significant correlations between TOV and the LH level (r=0.208, p=0.024) and the LH/FSH ratio (r=0.237, p=0.010) were observed. However, the serum AMH level was not significantly correlated with the ovarian volume, and this result did not change after adjusting for age and body mass index. Conclusion: Serum AMH is not related to the ovarian volume in women with PCOS. My results suggest that serum LH level and the LH/FSH ratio may be more useful than the serum AMH level for representing the status of the ovarian volume in women with PCOS.

• 대한핵의학회지
• /
• 제14권1호
• /
• pp.37-44
• /
• 1980

The usefulness of single, random measurements of serum FSH and LH in the diagnosis of primary amenorrhea by radioimmunoassay was investigated. The 16 patients were divided into 3 groups by the level of serum FSH and LH. The first group with increased level of serum FSH and LH is five patients, all of these are related to the acquired or congenital abnormality of the ovary. Further studies indicated include buccal smear, chromosome analysis, gynecography and laparosocopy. The second group with normal serum FSH and LH is nine patients, four patients of these are related to the developmental anomaly of the Mullerian duct and five patients are undo etermined origin. Further studies indicated include laparoscopy and gynecography. The third group with decreased serum FSH and normal or decreased serum LH is two patients, one of these is related to the pituitary function, isolated FSH deficiency, the other is undetermined origin. Further studies indicated include the pituitary function test, LH-RH stimulation test, skull radiography. Determination of serum FSH and LH levels does not permit a specific etiologic diagnosis of primary amenorrhea. However the serum levels of FSH and LH can be used to differentiate the principal area of the investigation and can be of assistance in choosing more specific testing procedures.

• Clinical and Experimental Reproductive Medicine
• /
• 제18권1호
• /
• pp.13-21
• /
• 1991

To investigate the factors that affect the fertilization and cleavage rates of mature oocytes, 44 patients undergoing controlled ovarian hyperstimulation(COH) with FSH/hMG/hCG regimen for IVF - ET were analyzed. During follicular phase, serum LH levels were measured by radioimmunoassay and bioassay. Based on the mean follicular immunoactive LH(i-LH) and bioactive LH(b-LH) levels, patients were divided into 3 groups, respectively. There were no significant differences in basal serum FSH levels on menstrual cycle day 3, serum estradiol($E_2$) and progesterone ($P_4$) levels on the day of hCG administration, and the numbers of follicles aspirated and oocytes retrieved among groups. In relation to the mean follicular i-LH levels, the fertilization and cleavage rates of mature oocytes did not show a significant difference among groups. However, in groups with higher mean follicular b-LH levels, the fertilization and cleavage rates were reduced significantly. During late follicular phase, day-to-day variance in b-LH levels was not significant, but there was a significant difference among groups. There was no significant correlation between serum P. and b-LH levels. These data suggest that the fertilization and cleavage rates of mature oocytes are adversely affected by the raised mean follicular b-LH levels, and monitoring of serum b-LH levels is more useful in COH when compared with i-LH. It appears that the reduced rates are not due to the attenuated endogenous LH surge.

• 한국발생생물학회지:발생과생식
• /
• 제12권1호
• /
• pp.57-66
• /
• 2008

한국 남성의 연령 증가에 따른 혈중 luteinizing hormone(LH), testosterone(T), 그리고 타액 T 수준 변화를 조사하였다. 혈중LH 수준은 40대까지 유의한 변화를 보이지 않았으나(20s, $2.5{\sim}1.0$; 30s, $2.7{\sim}1.5$; and 40s, $2.5{\sim}1.8\;mIU/mL$), 50대 이상에서 유의하게 증가하였다(50s, $3.7{\sim}1.8$ and 60s, $3.1{\sim}1.7\;mIU/mL$). 또한, 혈중 T 수준도 40대까지는 변화하지 않았으나(20s, $5.3{\sim}2.6$, 30s, $4.4{\sim}1.4$, 40s, $4.1{\sim}1.5$ ng/mL), 50대 이후 유의하게 감소하였다(50s, $3.4{\sim}1.5$; 60s, $2.6{\sim}0.8\;ng/mL$). 타액 T 수준 또한 40대까지 약간의 변화가 나타났으나($20s{\sim}40s$, $0.11{\pm}0.015\;ng/mL$), 50대에 유의하게 감소하였다($0.08{\sim}0.03\;ng/mL$). 타액 T 대 혈중 T의 상대적인 비율은 모든 연령대에서 유의한 변화가 없었다($2.4{\sim}0.9%$). 직선회귀 분석(Linear regression analysis)에서 혈중 LH 수준은 매년 1.5%씩 증가하고 혈중 T와 타액 T 수준은 각각 매년 1%와 0.8%씩 감소하는 것으로 예측되었다. 혈중 T/LH 비율은 40대까지 유의한 변화가 없었으나($20s{\sim}40s$; $2.27{\pm}0.14$) 50대에 유의하게 감소하였다($1.2{\sim}1.0$). 연령과 관련된 타액 T/LH 비율은 혈중 T/LH 비율과 대단히 유사하였다. 본 연구 결과에서 혈중 LH와 T, 그리고 타액 T 수준이 한국인 남성에서 40대까지는 유의하게 변화하지 않았고, 50대부터는 LH 수준이 증가하고 T 수준이 감소하였다. 이 결과는 50대경 노화과정에 의해 일어나는 원발성 정소부전(primary testicular failure)이 원인인 것으로 보인다. 또한, 본 연구결과는 비록 타액 T 수준이 혈중 총 T 수준과 약한 상관관계(r=0.53)를 갖지만, 혈중 free T 수준을 나타내는 것으로 보인다. 그러므로, 타액 T 수준에 대한 정보는 연령과 관련해서 나타나는 남성 정소생리를 연구하는데 유용할 것으로 사료된다.

• 한국가축번식학회지
• /
• 제5권1호
• /
• pp.31-35
• /
• 1981

The Purpose of this study was to determine the serum content of LH, FSH and prolactin. Blood samples collected from day 20 prepartum to 20 postrtum in 8 sows. LH, FSH and prolactin were assayed by radioimmunoassay methods. LH levels increased from 2.3 mIU/$m\ell$ day 6 prepartum to 5.8 mIU/$m\ell$ by day +2 and remained quite constant thereafter. The mean serum FSH increased from 7.5mIU/$m\ell$ day 6 prepartum to 10.0 mIU/$m\ell$ at the time of parturition, but the difference in LH and FSH patterns reported here provide further evidence that the controlling mechanisms for the two gonadotropins are independent. Prolactin reached a peak mean level of 68.5ng/$m\ell$ at day 0.

• Clinical and Experimental Reproductive Medicine
• /
• 제17권2호
• /
• pp.173-184
• /
• 1990

At infertility clinic, department of Obstetrics and Gynegology, Kyung Hee Medical Hospital, 80 patients who underwent IVF-ET from January to July, 1989 were evaluated for the prediction of endogenous LH Surge and its effects on outcome of controlled ovarian hyperstimulation (COH) were compared among LH Surge group without hCG given (N=18), with hCG given (N=5), and no-LH Surge group with hCG given (N=57). LH Surge were occurred in 23(28.7%) out of 80 patients studied. Serum E2 levels on Day-1, Day 0, Day+1, were no significant different among three groups. When basal serum LH/FSH ratio is above 1.0, the possibility of endogenous LH Surge is much higher (56.3% in LH Surge group without hCG given). Serum P4 levels on Day 0 were significantly increased in LH Surge group without hCG given. Cycles which serum P4 level is higher than l.0ng/ml were 70.6% of LH Surge group without hCG given. But there was no significant interrelationship between endogenous LH Surge and serum P4 rising rate as an efficient predictor of the occurrence of endogenous LH Surge in COH for IVF. There was no significant differences in number of follicles, follicular size on Day-1, Day 0, Day+1, and number of oocyte collected per cycle. The oocyte fertilization rate of No-LH surge group with hCG given was significantly higher than LH Surge group without hCG given. There was no significant difference in oocyte cleavage rate among three groups.

• Clinical and Experimental Reproductive Medicine
• /
• 제15권2호
• /
• pp.103-117
• /
• 1988

Ovulation induction was done with 3 different regimens as clomid combined with HMG, HMG only, and FSH combined with HMG in 28 menstrual cycles for IVF-ET and GIFT program. The appearance of endogenous LH surge, estradiol plateau, atypical LH surge, and time from initiation to peak of LH surge in serum and urine were observed and compared in 3 groups. 1. The estradiol concentration of serum LH surge day was similar in three groups but 1st group (Clomiphene Citrate+Sequential HMG) was slightly higher at $1924.0{\pm}865.1\;pg/ml$. In regards to the existence of serum estradiol plateau, 3rd group (FSH+Sequential HMG) was highest at 60%, and 1st group and 2nd group (HMG only) were similar at 33% and 44% respectively. 2. The number of ovarian of ovarian follicle which was more than 18mm in diameter was $4.1{\pm}2.0$, $4.2{\pm}2.1$ respectibely for 2nd group and 3rd group. Although the numbers were slightly higher thean 1st group for each ovarian follicle, serum estradiol value per follicle was higher for 1st group at $583.0{\pm}261.2pg/ml$. 3. When measuring the urine LH surge according to Hi-Gonavi and according to the standard set by three different types of surge, simultameous satisfaction for 1st group, 2nd group, 3rd group was two cases, five cases, four cases respectively at 40%, and the remained cases were composed of numorous type combination which satisfied the two definition, simultaneously in this study, the LH surge starting time was determined only in the cases tow combination were satisfied simultaneously at first, but there are something to study more. In one case of the 3rd group. 4. The concentration of LH surge start in urine and serum of 2nd group was highest at306. $0{\pm}287.2IU/l$ and $34.0{\pm}9.9mIU/ml$ and 1st group was low at $116.6{\pm}66.1IU/l$ and 7.4mIU/ml. The urine and serum value of LH was highest at $1644.4{\pm}988.8IU/l$, $65.9{\pm}15.0mIU/ml$ for 2nd group, 1st group was low at urine, and 3rd group was low of serum. With pregnancy established, the LH concentration of urine was relatively high but on the contrary the LH concentration of serum was low compared to urine concentration. 5. Time from LH surge start to the maximun of urine and serum value was highest at 15. $7{\pm}9.1$ hrs and $10.8{\pm}4.9$ hrs for 1st group and 3rd group. With pregnancy established, time was shortened for urine but on the contrary serum showed an increase in time. 6. The concentration of LH which increases with time on urine was highest at 2nd group ($194.6{\pm}76.8\;IU/hour$). The lowest increase for serum was at 3rd group (2.1mIU/hour). With pregnancy established, urine showed more increase than control group ($266.5{\pm}47.4\;IU/hour$) and for serum there was similar increase ($3.4{\pm}0.8\;mIU/hour$). 7. There were two examples of non-typical surge from 1st group and 3rd group each. Among these three cases showed a reestablishment of LH surge after 10-24 hours. 8. Endogenous spontaneous Lh surge occurs once for each 2nd group and 3rd group.

• 대한수의학회지
• /
• 제34권4호
• /
• pp.735-744
• /
• 1994

미성숙 래트의 외경정맥에 카테타를 장착하고, 다음날(28일령) 대조군에는 4IU, 다배란처치군에는 20IU의 PMSG를 피하 주사하였다. 각 실험동물은 혈중의 LH농도 변화를 측정하기 위하여 PMSG 투여직전(0시간), 투여후 12시간, 그 이후 6시간 간격으로 혈액을 채취하고 72시간에 희생시켰다. 그 결과 다배란용량의 PMSG 투여는 먼저 배란반응을 대조군에 비하여 4.0배나 현저하게(P<0.05) 증가시켰다. 또한 난관으로부터 회수된 다배란난자는 상당히 다른 감수분열상의 핵성숙도를 나타내었는데, 즉 prophase I이 14.7%, anaphase I이 36.2%, telophase I이 10.3%, metaphase I/II가 32.4%이었다. 그러나 대조군의 래트에서는 대다수(94.0%)의 난자가 한결같이 metaphase II상을 보였다. 그리고 혈청 LH농도는 radioimmunoassay(RIA)에 의하여 결정되었는데, 먼저 두군 모두 두개의 분명한 peak을 가진 경시적 변화관계를 보였다. 즉 이들 두군에 있어서 LH농도변화는 0-18시간대에 처음으로 완만한 증가와 54-60시간대에 두번째의 급격한 증가(surge)를 보였다. 그러나 두군간에 LH농도의 크기는 현저하게 달라, 다배란처치군의 동물에 있어서는 두번째의 LH peak에 앞서 전반적인 LH농도가 대조군보다 현저하게(P<0.001) 높았으나, FMSG 투여후 60시간에 일어나는 peak에 있어서는 LH농도가 대조군보다 현저하게(P<0.001) 54%나 낮았다. 덧붙여 두 peak간의 증가폭은 대조군에 비하여 다배란처치군에서 훨씬 낮았다. 다배란래트에 있어서 54시간 이전에 최초로 연속적인 증가를 보인 고농도의 혈청 LH는 실제적으로 투여된 PMSG와 측정시의 LH항체와의 교차반응(cross-reaction)에 의한 결과로 판명되었고, 한편 54시간과 60시간에 있어서 두번째로 급격한 증가를 보인 혈청 LH는 주로 뇌하수체로부터 분비되는 내재성 LH surge에 의한 것으로 사료된다. 본 연구 결과는 PMSG투여된 래트에 있어서 혈청 LH의 경시적인 변화상 및 그 특징을 정의한다. 그리고 전체적인 연구결과는 첫째, 다배란용량의 PMSG투여에 따른 배란반응의 증가가 주로 PMSG 자체에 함유된 고나도트로핀 작용과 연관이 있고, 둘째, 미성숙 또는 부동기적 핵성숙을 보이는 다배란난자의 회수는 최초의 혈청 LH의 연속적인 증가 및 이의 연이은 감퇴로 특징지워지는 LH활동도의 비정상적 혈중변화에 기인함을 시사한다.

• The Korean Journal of Physiology and Pharmacology
• /
• 제3권2호
• /
• pp.215-222
• /
• 1999

Nonylphenol (NP) is a widespread environmental pollutant that has been shown to exert both toxic and estrogenic effects on mammalian cells. As the effects of NP on the reproductive system of adult male vertebrates are virtually unknown, we investigated not only the changes of reproductive hormone secretion in serum after chronic exposure to NP but also, in order to identify the site of its action, the reproductive hormone secretion in serum 48 hours after microinfusion of NP within hypothalamic preoptic area (POA). In the chronic exposure, the luteinizing hormone (LH), follicle stimulating hormone (FSH), and testosterone in serum were decreased but prolactin (PRL) concentrations were increased. The LH, FSH, and testosterone in serum were decreased through the direct infusion of NP into POA, while there was no difference in mean serum prolactin between NP and control groups. These observations suggest that NP as endocrine disruptor has modulatory effects on hypothalamo-pituitary-gonadal axis and that the site of action of NP could be hypothalamic POA.

• 한국수정란이식학회지
• /
• 제7권2호
• /
• pp.117-124
• /
• 1992

미성숙 래트의 외경정맥에 카테타를 장착하고, 다음날 (28일령) 대조군에는 4IU, 다배란 처치 군에는 20IU의 PMSG를 피하주사하였다. 각 실험동물은 혈중의 LH농도 변화를 측정하기 위하여 PMSG 투여 직전 (0시간), 투여후 12시간, 그 이후 6시간 간격으로 혈액을 채취하고 72시간에 희생시켰다. 그 결과 다배란 용량의 PMSG 투여는 먼저 배란반응 및 난소중량을 대조군에 비하여 각각 4,7배 및 2.1배나 현저하게 (P<0.05) 증가시켰다. 그리고 혈청 LH농도는 Radioimmunoassay(RIA)에 의하여 결정되었는데, 먼저 두 군 모두 두 개의 분명한 peak을 가진 경시적 변화관계를 보였다. 즉 이들 두 군네 있어서 LH농도 변화는 0-18시간대에 처음으로 완만한 증가와 54-60시간대에 두번째는 급격한 증가(surge)를 보였다. 그러나 두 군간에 LH농도의 크기는 현저하게 달라, 다배란처치군의 동물에 있어서는 두번째의 LH peak에 앞서 전반적인 LH농도가 대조군보다 현저하게 (P<0.001) 높았으며, 반대로 PMSG 투여후 60시간에 일어나는 peak에 있어서는 LH농도가 대조군보다 현저하게 (P<0.001) 54%나 낮았다. 덧붙여 두 peak간의 증가폭은 대조근에 비하여 다배란 처치군에서 훨씬 낮았다. 본 열구 결과는 PMSG 처치된 래트에 있어서 두 가지의 분명한LH peak의 존재를 정의하며, 다배란 처치에 따른 난소과잉 자극과 내인성 LH surge의 감소와의 연관성을 밝힌다.