更年期和下丘脑下垂体对雌激素的敏感性
Gerson Weiss1, Joan H Skurnick, Laura T Goldsmith
1Department of Obstetrics, Gynecology and Women's Health, New Jersey Medical School of UMDNJ, Newark, NJ 07103, USA.
更年期开始可能涉及大脑变化,而不仅仅是卵巢. 老年女性对雌激素的脑反应发生变化,导致更年期症状如热,这表明更年期中中枢神经系统的参与.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 神经内分泌学神经内分泌学
- 妇女健康 妇女健康
背景情况:
- 绝经的开始传统上归因于卵巢衰竭和卵细胞枯竭.
- 新出现的证据表明,中枢神经系统 (CNS) 参与了绝经前期症状.
研究的目的:
- 为了研究老年生殖年龄妇女中对雌激素反的下丘脑-垂体轴反应的修改.
- 为了确定改变的反机制是否有助于更年期的开始.
主要方法:
- 全国妇女健康研究 (SWAN) 队列的分析,重点是160名没有乳腺活动的妇女.
- 每日尿道激素监测雌激素和孕代谢物,黄素激素 (LH) 和卵泡刺激激素 (FSH).
主要成果:
- 根据雌激素和LH激增模式确定了三组;没有年龄或种族差异.
- 雌激素增加但没有LH激增的女性,或者没有,报告了更多的更年期症状 (发热).
- 在衰老的绝经前妇女中,对LH分泌的雌激素阳性和阴性反受损,表明无排卵周期.
结论:
- 研究结果表明,年龄较大的绝经前期妇女对雌激素的下丘脑-垂体不敏感.
- 这个中心机制可能会导致更年期过渡和相关症状.
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