EVALUATION OF THE LUTEAL PHASE

被引:40
作者
LI, TC
COOKE, ID
机构
[1] Department of Obstetrics and Gynaecology, University of Sheffield, Jessop Hospital for Women
关键词
LUTEAL PHASE DEFECT; ENDOMETRIAL BIOPSY; ENDOMETRIAL PROTEIN; PROGESTERONE;
D O I
10.1093/oxfordjournals.humrep.a137366
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
The values of various methods used to evaluate the luteal phase, including basal body temperature, measurement of progesterone (P), endometrial biopsy, ultrasonographic measurement of endometrial thickness, and measurement of endometrial proteins, are reviewed. Luteal phase defect (LPD) is a controversial entity. The diagnosis of this condition is best based on a histological study of the endometrium. Methods to improve the accuracy of the diagnosis are discussed. LPD is more likely to be a result of an abnormal response of the endometrium to P, than to a subnormal production of P by the corpus luteum. Many methods of treatment for LPD have been proposed but none is based on a properly controlled clinical trial. Treatment designed to improve the response of the endometrium to P may be more rewarding than P supplementation.
引用
收藏
页码:484 / 499
页数:16
相关论文
共 153 条
[71]  
Joshi S.G., Rao R., Henriques E.E., Raikar R.S., Gordon M., Luteal phase concentrations of a progestagen-associated endometrial protein (PEP) in the serum of cycling women with adequate or inadequate endometrium, J. Clin. Endocrinol. Metab., 63, pp. 1247-1249, (1986)
[72]  
Julkunen M., Apter D., Seppala M., Stenman U.-H., Bohn H., Serum levels of placental protein 14 reflect ovulation in nonconceptional menstrual cycles, Fenil. Steril., 45, pp. 47-50
[73]  
Julkunen M., Seppala M., Janne O.A., Complete amino acid sequence of human placental protein 14: A progesterone regulated uterine protein homologs to beta-lactoglobulins, Proc. Natl. Acad. Sci. USA, 85, pp. 8845-8849, (1988)
[74]  
Keller D.W., Wiest W.G., Askin F.B., Johnson L.W., Stickler R.C., Pseudo-corpus luteum insufficiency: A local defect of progesterone action on endometrial stroma, J. Clin. Endocrinol. Metab., 48, pp. 127-132, (1979)
[75]  
Kemeter P., Feichtinger W., Neumark J., Szalay S., Bieglmayer C.H., Janisch H., Influence of laparoscopic follicular aspiration under general anaesthesia on corpus luteum progesterone secretion in normal and clomiphene-stimulated cycles, Br. J. Obstet. Gynaecol., 89, (1982)
[76]  
Kerin J.F., Broom T.J., Ralph M.M., Edmonds D.K., Wames G.M., Jeffrey R., Crocker J.M., Godfrey B., Cox L.W., Seamark R.F., Matthews C.D., Human luteal phase function following oocyte aspiration from the immediately preovular Graafian follicle of spontaneous ovular cycles, Br. J. Obstet. Gynaecol., 88, pp. 1021-1028, (1981)
[77]  
Klentzeris L., Li T.C., Dockery P., Cooke I.D., Endometrial Morphology: A Predictive Factor of Pregnancy Rate in Infertile Women, (1990)
[78]  
Kreitmann O., Nixon W.E., Hodgen G.D., Induced corpus luteum dysfunction after aspiration of the preovulatory follicle in monkeys, Fertil. Steril., 35, pp. 671-675, (1981)
[79]  
Laatikainen T., Erson B., Karkkainen J., Wahlstrom T., Progestin receptor levels in endometria with delayed or incomplete secretory changes, Obstet. Gynecol., 62, pp. 592-595, (1983)
[80]  
Lahteenmaki P., Rapeli T., Kaariainen M., Alfthan H., Ylikorkala O., Late postcoital treatment against pregnancy with anti progesterone RU486, Fertil. Steril., 50, pp. 36-38, (1988)