Endometrial dating correlated with multiple luteal progesterone levels in confirming ovulation and luteal function in infertile Nigerian women. 1995

A O Ilesanmi
Department of Obstetrics and Gynaecology University College Hospital, Ibadan, Nigeria.

Infertility is a medico social problem in Nigeria and it accounts for 40 percent of our outpatient gynaecological consultations; therefore the need to evaluate the two common presumptive methods of ovulation (serum progesterone and endometrial history) is indicated. An endometrial biopsy and three blood samples taken between M-4 and M-11 (4 and 11 days to the next menstruation) for progesterone determination in the luteal phase of the cycles of 50 infertile Nigerian women were analyzed. The methods were compared for confirmation of ovulation and evaluation of luteal functions. Total luteal phase progesterone value of 11.3 nmol/1 or greater was consistent with ovulation (secretory endometrium) in 90% of the cycles. 41 cycles yielded sufficient information to compare the two methods for evaluation of luteal function. The total progesterone value of 15 nmol/1 or greater was consistent with in-phase biopsies. Twenty eight (68.3%) of the cycles showed evidence of In-Phase (IP,) biopsies while thirteen (32.7%) showed out of phase (00P) biopsies suggestive of abnormal luteal function. The mean progesterone levels of patients with IP biopsies were significantly higher than those with 00P biopsies (P < 0.0001). Compared to studies by other workers using single midluteal progesterone assay, it seems multiple progesterone assay does not confer added advantage in confirming ovulation or in evaluation of luteal function. It is suggested that simultaneous measurements of serum progesterone levels with endometrial biopsies should be used to document ovulation and luteal function in infertile Nigerian women in view of the scarcity of ultrasonographic machines and emerging new technologies in our practice.

UI MeSH Term Description Entries
D007247 Infertility, Female Diminished or absent ability of a female to achieve conception. Sterility, Female,Sterility, Postpartum,Sub-Fertility, Female,Subfertility, Female,Female Infertility,Female Sterility,Female Sub-Fertility,Female Subfertility,Postpartum Sterility,Sub Fertility, Female
D008183 Luteal Phase The period in the MENSTRUAL CYCLE that follows OVULATION, characterized by the development of CORPUS LUTEUM, increase in PROGESTERONE production by the OVARY and secretion by the glandular epithelium of the ENDOMETRIUM. The luteal phase begins with ovulation and ends with the onset of MENSTRUATION. Menstrual Cycle, Luteal Phase,Menstrual Cycle, Secretory Phase,Menstrual Secretory Phase,Postovulatory Phase,Phase, Luteal,Phase, Postovulatory,Secretory Phase, Menstrual
D009549 Nigeria A republic in western Africa, south of NIGER between BENIN and CAMEROON. Its capital is Abuja. Federal Republic of Nigeria
D010061 Ovulation Detection Method to determine the occurrence of OVULATION by direct or indirect means. Indirect methods examine the effects of PROGESTERONE on cervical mucus (CERVIX MUCUS), or basal body temperature. Direct ovulation detection, generally used in fertility treatment, involves analyses of circulating hormones in blood and ULTRASONOGRAPHY. Ovulation Detection, Basal Body Temperature Method,Ovulation Detection, Cervical Mucus Method,Ovulation Detection, Sympto-Thermal Method,Detection, Ovulation,Ovulation Detection, Sympto Thermal Method,Ovulation Detections
D011237 Predictive Value of Tests In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test. Negative Predictive Value,Positive Predictive Value,Predictive Value Of Test,Predictive Values Of Tests,Negative Predictive Values,Positive Predictive Values,Predictive Value, Negative,Predictive Value, Positive
D011374 Progesterone The major progestational steroid that is secreted primarily by the CORPUS LUTEUM and the PLACENTA. Progesterone acts on the UTERUS, the MAMMARY GLANDS and the BRAIN. It is required in EMBRYO IMPLANTATION; PREGNANCY maintenance, and the development of mammary tissue for MILK production. Progesterone, converted from PREGNENOLONE, also serves as an intermediate in the biosynthesis of GONADAL STEROID HORMONES and adrenal CORTICOSTEROIDS. Pregnenedione,Progesterone, (13 alpha,17 alpha)-(+-)-Isomer,Progesterone, (17 alpha)-Isomer,Progesterone, (9 beta,10 alpha)-Isomer
D004717 Endometrium The mucous membrane lining of the uterine cavity that is hormonally responsive during the MENSTRUAL CYCLE and PREGNANCY. The endometrium undergoes cyclic changes that characterize MENSTRUATION. After successful FERTILIZATION, it serves to sustain the developing embryo. Endometria
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths

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