THE RETURN OF POSTPARTUM FERTILITY MONITORED BY ENZYME-IMMUNOASSAY FOR SALIVARY PROGESTERONE

被引:8
作者
BOLAJI, II [1 ]
TALLON, DF [1 ]
MEEHAN, FP [1 ]
ODWYER, EM [1 ]
FOTTRELL, PF [1 ]
机构
[1] NATL UNIV IRELAND UNIV COLL GALWAY,DEPT OBSTET & GYNAECOL,GALWAY,IRELAND
关键词
POSTPARTUM FERTILITY; SALIVARY STEROIDS; ENZYME-IMMUNOASSAY;
D O I
10.3109/09513599209081005
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A longitudinal study in which daily salivary progesterone and estrone were measured by solid-phase enzyme-immunoassays was performed in 30 postpartum women to monitor the return of ovarian activity. Ovulation was inferred from a sustained rise in salivary progesterone over 251 pmol/l, but salivary estrone measurements were not as informative as progesterone in this regard. Recovery of ovarian activity was slower in lactating women compared with non-lactators; the mean delivery-menstruation interval were 123 (+/- 10) and 57 (+/- 7) days, respectively. An abnormal luteal phase was noted in 35% of the first ovulatory cycles, 20% had short luteal phases and 15% were less than the 5th percentile of a normal control corridor. The pregnancy rate in this study of 3.3% was lower than the anticipated rate of 8.8%. We conclude that salivary progesterone measurements are useful for monitoring the return of ovarian activity postnatally.
引用
收藏
页码:37 / 48
页数:12
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