Neuroendocrine aspects of polycystic ovary syndrome

被引:83
作者
Marshall, JC
Eagleson, CA
机构
[1] Univ Virginia, Sch Med, Ctr Res Reprod, Charlottesville, VA 22908 USA
[2] Univ Virginia, Sch Med, Dept Med, Div Endocrinol, Charlottesville, VA 22908 USA
关键词
D O I
10.1016/S0889-8529(05)70071-2
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This article reviews neuroendocrine aspects of PCOS and compares those aspects to regulation of gonadotropin secretion during normal ovulatory cycles. Reviewed and described are the abnormal patterns of LH secretion in adults and adolescents and mechanisms underlying the persistent rapid frequency of: GnRH secretion. Recent data are presented on the relative insensitivity of the hypothalmic pulse generator to suppression by ovarian steroids. A hypothesis is formulated to explain the evolution of abnormal GnRH secretion during pubertal maturation to the persistent hypersecretion of GnRH and LH in hyperandrogenemic anovulatory adults with PCOS.
引用
收藏
页码:295 / +
页数:31
相关论文
共 88 条
[71]   REGULATION OF HUMAN MENSTRUAL CYCLE [J].
SPEROFF, L ;
VANDEWIE.RL .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1971, 109 (02) :234-&
[72]   THE EFFECTS OF LONG-TERM TESTOSTERONE ADMINISTRATION ON PULSATILE LUTEINIZING-HORMONE SECRETION AND ON OVARIAN HISTOLOGY IN EUGONADAL FEMALE TO MALE-TRANSSEXUAL SUBJECTS [J].
SPINDER, T ;
SPIJKSTRA, JJ ;
VANDENTWEEL, JG ;
BURGER, CW ;
VANKESSEL, H ;
HOMPES, PGA ;
GOOREN, LJG .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1989, 69 (01) :151-157
[73]   EFFECTS OF INCREASING THE FREQUENCY OF LOW-DOSES OF GONADOTROPIN-RELEASING-HORMONE (GNRH) ON GONADOTROPIN-SECRETION IN GNRH-DEFICIENT MEN [J].
SPRATT, DI ;
FINKELSTEIN, JS ;
BUTLER, JP ;
BADGER, TM ;
CROWLEY, WF .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1987, 64 (06) :1179-1186
[74]   Amenorrhea associated with bilateral polycystic ovaries [J].
Stein, IF ;
Leventhai, ML .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1935, 29 :181-191
[75]   Determinants of abnormal gonadotropin secretion in clinically defined women with polycystic ovary syndrome [J].
Taylor, AE ;
McCourt, B ;
Martin, KA ;
Anderson, EJ ;
Adams, JM ;
Schoenfeld, D ;
Hall, JE .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1997, 82 (07) :2248-2256
[76]   Insulin and the polycystic ovary syndrome [J].
Utiger, RD .
NEW ENGLAND JOURNAL OF MEDICINE, 1996, 335 (09) :657-658
[77]   SIMULATION OF THE FOLLICULAR PHASE OF THE MENSTRUAL-CYCLE BY INTRAVENOUS ADMINISTRATION OF LOW-DOSE PULSATILE GONADOTROPIN-RELEASING HORMONE [J].
VALK, TW ;
MARSHALL, JC ;
KELCH, RP .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1981, 141 (07) :842-843
[78]  
VENTUROLI S, 1987, FERTIL STERIL, V48, P78
[79]   LONGITUDINAL EVALUATION OF THE DIFFERENT GONADOTROPIN PULSATILE PATTERNS IN ANOVULATORY CYCLES OF YOUNG GIRLS [J].
VENTUROLI, S ;
PORCU, E ;
FABBRI, R ;
MAGRINI, O ;
GAMMI, L ;
PARADISI, R ;
FLAMIGNI, C .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1992, 74 (04) :836-841
[80]   EPISODIC PULSATILE SECRETION OF FSH, LH, PROLACTIN, ESTRADIOL, ESTRONE, AND LH CIRCADIAN VARIATIONS IN POLYCYSTIC OVARY SYNDROME [J].
VENTUROLI, S ;
PORCU, E ;
FABBRI, R ;
MAGRINI, O ;
GAMMI, L ;
PARADISI, R ;
FORCACCI, M ;
BOLZANI, R ;
FLAMIGNI, C .
CLINICAL ENDOCRINOLOGY, 1988, 28 (01) :93-107