量化评估生殖激素水平的变异性
Ali Abbara1, Sophie Adams2, Maria Phylactou1
1Department of Metabolism, Digestion and Reproduction, Imperial College London, Hammersmith Hospital, London, United Kingdom; Department of Endocrinology, Imperial College Healthcare NHS Trust, London, United Kingdom.
Fertility and sterility
|November 17, 2023
概括
由于荷尔蒙的变化,单次生殖激素测量可能不会准确地反映每日水平. 了解这种变异性是临床实践中可靠的生殖激素评估的关键.
科学领域:
- 内分泌学 在内分泌学.
- 生殖生物学 生殖生物学
- 临床化学 临床化学
背景情况:
- 生殖激素水平因脉动性分泌,日间变化和营养摄入而波动.
- 精确评估生殖激素对于诊断和管理各种内分泌疾病至关重要.
研究的目的:
- 量化单个生殖激素测量与详细的每日激素概况相比的代表性.
- 评估脉动性分泌,日间变化和养对生殖激素水平的影响.
主要方法:
- 对266名个人 (健康人和生殖障碍者) 的激素数据进行了回顾性分析.
- 详细的荷尔蒙采样在几个小时内,在以前研究的盐水和安慰剂治疗臂.
- 使用变化系数 (CV) 和来量化变量的量化.
主要成果:
- 晨间生殖激素水平通常高于每日平均水平 (例如,LH下降18.4%).
- 化激素 (LH) 的变化最大 (CV 28%),而卵泡刺激激素 (FSH) 的变化最小 (CV 8%).
- 男性的丸激素水平在饭后显著下降,并显示了早晨和下午晚些时候水平之间的相关性.
结论:
- 一个单一的生殖激素测量在代表整体每日激素特征方面存在局限性.
- 量化激素变异对于理解生殖激素评估的可靠性至关重要.
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