Follicular Phase

卵泡期
  • 文章类型: Journal Article
    在发情周期的黄体和卵泡期,卵丘-卵母细胞复合物(COC)和输卵管上皮细胞(OEC)经历了显着的生理和形态变化。在体细胞和生发哺乳动物细胞中,保持适当的锌(Zn)稳态至关重要。本研究旨在评估发情期(黄体或卵泡)对牛COC和OEC(BOEC)中Zn转运蛋白表达的影响。锌转运蛋白Slc39a6(ZIP6)的表达,Slc39a8(ZIP8),Slc39a14(ZIP14),Slc30a3(ZnT3),Slc30a7(ZnT7),和Slc30a9(ZnT9)在黄体期或卵泡期的奶牛的COC和BOEC中进行分析。在COC和BOEC中定量ZIP6、ZIP14和ZnT9的基因表达。由于mRNA水平低(COC和BOEC中的ZIP8和ZnT3;BOEC中的ZnT7)或不存在表达(COC中的ZnT7),因此无法定量其余转运蛋白中的基因表达。在COC,与卵泡期相比,黄体期所有三种转运蛋白的相对表达(RE)均较高(P≤0.05)。在BOEC,黄体期增加ZIP6的RE(P≤0.05),降低了ZnT9的RE(P≤0.05),与卵泡期相比,ZIP14的RE没有改变(P>0.05)。总之,该研究揭示了在牛COC和OEC的离体样品中,根据发情周期阶段,ZIP6,ZIP14和ZnT9的基因表达存在差异。
    During the luteal and follicular phases of the estrous cycle, cumulus-oocyte complexes (COC) and oviduct epithelial cells (OEC) undergo notable physiological and morphological changes. Maintaining proper zinc (Zn) homeostasis is crucial in both somatic and germinal mammalian cells. This study aimed to assess the impact of the estrous phase (luteal or follicular) on Zn transporter expression in bovine COC and OEC (BOEC). The expression of Zn transporters Slc39a6 (ZIP6), Slc39a8 (ZIP8), Slc39a14 (ZIP14), Slc30a3 (ZnT3), Slc30a7 (ZnT7), and Slc30a9 (ZnT9) was analyzed in COC and BOEC from cows during the luteal or follicular phases. Gene expression of ZIP6, ZIP14, and ZnT9 was quantified in COC and BOEC. The gene expression in the remaining transporters could not be quantified due to low mRNA levels (ZIP8 and ZnT3 in COC and BOEC; ZnT7 in BOEC) or absence of expression (ZnT7 in COC). In COC, the relative expression (RE) of all three transporters was higher in the luteal phase compared to the follicular phase (P ≤ 0.05). In BOEC, the luteal phase increased the RE of ZIP 6 (P ≤ 0.05), decreased the RE of ZnT9 (P ≤ 0.05), and did not modify the RE of ZIP14 (P > 0.05) compared to the follicular phase. In conclusion, the study reveals differences in the gene expression of ZIP6, ZIP14, and ZnT9 according to the estrous cycle phase in ex vivo samples of bovine COC and OEC.
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  • 文章类型: Journal Article
    背景:我们小组最近的一项研究发现,在清醒和醉酒状态下,女性在卵泡后期和早期对酒精相关线索的注意偏差更大,这表明女性在这一阶段过度饮酒的风险更大。注意偏差作为月经周期阶段的函数的变化引发了关于相对一致性的潜在性别差异的问题,随着时间的推移,女性和男性表现出对酒精的注意偏差。
    目的:本研究通过比较从早期到晚期卵泡期女性注意偏差与同期男性注意偏差的变化,来检验酒精注意偏差的性别差异。
    方法:25名21-32岁的男性和女性参加了一项安慰剂对照研究,研究了酒精奖励特性的性别差异。参与者在0.6g/kg酒精和安慰剂后的两个疗程中完成了对酒精相关线索的注意偏差测量。考试间隔一周,女性参与者与卵泡早期和晚期相吻合。
    结果:在两种剂量下,男性在整个疗程中始终表现出对酒精相关线索的注意偏差。相比之下,女性仅在卵泡后期表现出注意偏差,比男性观察到的幅度更大,在两种剂量下都持续存在。
    结论:这些发现强调了性和月经周期阶段在使饮酒者对酒精相关线索的奖励特性敏感方面的潜在作用。男人喝酒的动机可能保持相对一致,而女性在卵泡后期可能最有动力。
    BACKGROUND: A recent study by our group found that women displayed greater attentional bias to alcohol-related cues during the late versus early follicular phase in both sober and intoxicated states, suggesting a greater risk of excessive drinking among women during this phase. Changes in attentional bias as a function of menstrual cycle phase raise questions about potential sex differences in the relative consistency by which women and men display attentional bias to alcohol over time.
    OBJECTIVE: The present study tested sex differences in attentional bias to alcohol by comparing the change in women\'s attentional bias from early to late follicular phase to that observed in men over the same period.
    METHODS: Twenty-five men and 25 women aged 21-32 participated in a placebo-controlled study examining sex differences in the rewarding properties of alcohol. Participants completed measures of attentional bias to alcohol-related cues during two sessions following both 0.6 g/kg alcohol and placebo. Test sessions occurred one week apart, and for female participants coincided with the early and late follicular phases.
    RESULTS: Men consistently displayed attentional bias to alcohol-related cues across sessions under both doses. By contrast, women showed attentional bias only during the late follicular phase, at a magnitude greater than that observed in men, and persistent under both doses.
    CONCLUSIONS: These findings highlight the potential role of sex and menstrual cycle phase in sensitizing drinkers to rewarding properties of alcohol-related cues. Men\'s motivation to drink may remain relatively consistent, whereas women may be most motivated during the late follicular phase.
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  • 文章类型: Journal Article
    家养哺乳动物的成功生殖管理主要取决于对发情周期阶段的及时识别。有必要开发一种替代的非侵入性,福利友好,准确可靠的方法来识别生殖周期阶段。这对马饲养者特别感兴趣,因为马是高价值的农场动物,需要仔细管理和个人监控。唾液采样是非侵入性的,无痛和福利友好。因此,我们对不同生殖阶段的马唾液进行了代谢组学分析,以确定非发情期唾液代谢组的变化,发情周期和早期妊娠。我们比较了唾液和血浆代谢组,以根据生理阶段研究两种液体之间的关系。我们在季节性无发情期收集了六匹母马的唾液和血浆样本,在卵泡期3天,排卵前2天和1天以及检测到排卵的那一天,在排卵后6天的黄体期,在排卵和授精后18天妊娠早期。通过质子-核磁共振波谱进行代谢组分析。我们在唾液和血浆中鉴定出58和51种代谢物,分别。唾液中的四种代谢物或代谢物组的水平和血浆中的五种代谢物或代谢物组的水平在直到排卵的4天内显示出显著的变化,即排卵前3天和排卵当天。唾液中11种代谢产物或代谢产物组的水平和血浆中17种代谢产物或代谢产物组的水平在季节性非性期和卵巢周期性期之间存在显着差异。参与卵巢周期性发作和排卵的生理机制诱导了血浆和唾液中代谢组的修饰。在生殖周期中唾液水平发生变化的代谢物可能是潜在的唾液生物标志物,可在福利友好的生产系统中检测生殖阶段。特别是,我们建议肌酸和丙氨酸作为排卵和卵巢周期性发作的候选唾液生物标志物,分别。然而,需要对其可靠性进行广泛的验证。我们的研究有助于将唾液用作非侵入性的替代诊断液,用于在福利友好的生产系统中繁殖。
    Successful reproductive management of domestic mammals depends primarily upon timely identification of oestrous cycle stages. There is a need to develop an alternative non-invasive, welfare-friendly, accurate and reliable method to identify reproductive cycle stages. This is of particular interest for horse breeders, because horses are high-value farm animals that require careful management and individual monitoring. Saliva sampling is non-invasive, painless and welfare-friendly. Thus, we performed a metabolomic analysis of equine saliva during different reproductive stages to identify changes in the salivary metabolome during anoestrus, the oestrous cycle and early gestation. We compared the saliva and plasma metabolomes to investigate the relationship between the two fluids according to the physiological stage. We collected saliva and plasma samples from six mares during seasonal anoestrus, during the follicular phase 3 days, 2 days and 1 day before ovulation and the day when ovulation was detected, during the luteal phase 6 days after ovulation, and during early gestation 18 days after ovulation and insemination. Metabolome analysis was performed by proton-nuclear magnetic resonance spectroscopy. We identified 58 and 51 metabolites in saliva and plasma, respectively. The levels of four metabolites or groups of metabolites in saliva and five metabolites or groups of metabolites in plasma showed significant modifications during the 4 days until ovulation, ie 3 days prior to and on the day of ovulation. The levels of 11 metabolites or groups of metabolites in saliva and 17 metabolites or groups of metabolites in plasma were significantly different between the seasonal anoestrus and the ovarian cyclicity period. The physiological mechanisms involved in the onset of ovarian cyclicity and in ovulation induced modifications of the metabolome both in plasma and saliva. The metabolites whose salivary levels changed during the reproductive cycle could be potential salivary biomarkers to detect the reproductive stage in a welfare friendly production system. In particular, we propose creatine and alanine as candidate salivary biomarkers of ovulation and of the onset of ovarian cyclicity, respectively. However, extensive validation of their reliability is required. Our study contributes to extend to domestic mammals the use of saliva as a non-invasive alternative diagnostic fluid for reproduction in a welfare-friendly production system.
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  • 文章类型: Journal Article
    恐惧调节的困难有时会导致适应不良的恐惧反应。为了更好地理解如何改善恐惧调节,重要的是要确定已知因素,比如性激素状态和压力,可能会影响恐惧记忆。研究表明,与雌二醇水平低的女性(处于卵泡周期早期或使用口服避孕药的女性)相比,雌二醇水平高的女性(周期中期)和男性表现出更好的灭绝保留率。压力也被证明会影响灭绝的学习和保留。尽管记录了压力和性激素之间的相互作用,它们的综合作用尚未得到彻底研究。这项研究旨在研究压力作为性激素状态对灭绝学习和保留的功能的影响。总共研究了168名非临床参与者,包括男性(n=46),使用口服避孕药的妇女(n=38),处于早期卵泡期的妇女(n=40),和处于周期中期的女性(n=44)。在第1天,进行恐惧获得训练。在第2天,在灭绝训练之前,一半的参与者暴露于心理社会压力源,而另一半执行无压力的控制任务。在第3天,测试消光保留。使用皮肤电导反应量化恐惧,而应激激素是通过唾液样本定量的。在灭绝训练之前暴露于压力并不影响灭绝学习,不管性激素状况如何。相比之下,根据激素状态的不同,灭绝前应激暴露对灭绝保留有不同的影响。与对照组相比,压力较大的男性表现出灭绝保留率受损,而实验条件对自然骑自行车的女性没有影响。不管压力如何暴露,早期卵泡妇女表现出恐惧调节的缺陷,而中期女性表现出有效的恐惧调节。在使用口服避孕药的女性中,与对照组相比,应激组表现出更好的灭绝保留率。这些结果证明了在灭绝学习过程中考虑性激素状态和压力暴露的重要性,因为这两种成分都可以调节消光保留。这些结果可能有助于确定激素状况,这些激素状况可能会增强用于治疗与恐惧有关的疾病的基于灭绝的心理治疗的有效性。
    Difficulties in fear regulation can sometimes result in maladaptive fear responses. To better understand how to improve fear regulation, it is important to determine how known factors, such as sex hormone status and stress, might interact to influence fear memory. Research has shown that women with high estradiol levels (mid-cycle) and men exhibit better extinction retention compared to women with low estradiol levels (women in the early follicular cycle or using oral contraceptives). Stress has also been demonstrated to affect both the learning and retention of extinction. Despite documented interactions between stress and sex hormones, their combined effects have not been thoroughly studied. This study aims to examine the impact of stress as a function of sex hormone status on extinction learning and retention. A total of 168 non-clinical participants were studied, including men (n = 46), women using oral contraceptives (n = 38), women in the early follicular phase (n = 40), and women in mid-cycle (n = 44). On Day 1, fear acquisition training was performed. On day 2, prior to extinction training, half of the participants were exposed to a psychosocial stressor, while the other half performed a non-stressful control task. On day 3, extinction retention was tested. Fear was quantified using skin conductance responses, while stress hormones were quantified through saliva samples. Exposure to stress prior to extinction training did not affect extinction learning, regardless of sex hormone status. In contrast, pre-extinction stress exposure had different effects on extinction retention depending on hormone status. Stressed men showed impairment in extinction retention compared to controls, while the experimental condition had no effect on naturally cycling women. Regardless of stress exposure, early follicular women exhibited a deficit in fear regulation, while mid-cycle women showed effective fear regulation. Among women using oral contraceptives, the stress group demonstrated better extinction retention compared to the control group. These results demonstrate the importance of considering sex hormone status and stress exposure during extinction learning, as both components may modulate extinction retention. These results could help identifying hormonal conditions that may enhance the effectiveness of extinction-based psychological therapies used in the treatment of fear-related disorders.
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  • 文章类型: Journal Article
    女性性激素对最佳表现的影响越来越被认为是运动和运动科学研究中的重要考虑因素。这篇叙述性综述探讨了评估月经周期阶段对女性的影响以及使用激素避孕(口服避孕药和激素宫内节育器)对新陈代谢的研究结果,肌肉力量,和恢复活跃的女性。已知卵巢激素会影响代谢,因为雌激素是生物能学的主要调节剂。重要的是,月经周期可能会影响蛋白质合成,影响骨骼肌质量和力量。调查女性肌肉力量的研究报告,与口服避孕药使用者相比,卵泡期和黄体期之间的发现模棱两可,没有差异。检查恢复措施的研究(使用生物标志物,血乳酸,和血流量)未报告月经周期或激素避孕对恢复的影响的明确或一致影响。总的来说,目前的文献可能受到仅评估一个月经周期和使用群体手段进行统计学意义的限制。因此,为了优化女性的训练和表现,不管使用激素避孕,未来的研究需要量化活动女性的月经周期阶段和激素避孕药使用的个体内影响.
    The effects of female sex hormones on optimal performance have been increasingly recognized as an important consideration in exercise and sport science research. This narrative review explores the findings of studies evaluating the effects of menstrual cycle phase in eumenorrheic women and the use of hormonal contraception (oral contraceptives and hormonal intrauterine devices) on metabolism, muscular strength, and recovery in active females. Ovarian hormones are known to influence metabolism because estrogen is a master regulator of bioenergetics. Importantly, the menstrual cycle may impact protein synthesis, impacting skeletal muscle quality and strength. Studies investigating muscular strength in eumenorrheic women report equivocal findings between the follicular phase and luteal phase with no differences compared to oral contraceptive users. Studies examining recovery measures (using biomarkers, blood lactate, and blood flow) do not report clear or consistent effects of the impact of the menstrual cycle or hormonal contraception use on recovery. Overall, the current literature may be limited by the evaluation of only one menstrual cycle and the use of group means for statistical significance. Hence, to optimize training and performance in females, regardless of hormonal contraception use, there is a need for future research to quantify the intra-individual impact of the menstrual cycle phases and hormonal contraceptive use in active females.
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  • 文章类型: Journal Article
    女性的睾酮产生被认为会在整个月经周期中发生系统性变化,在周期中期排卵窗口期间达到峰值,并可能影响女性的行为。睾酮是雌二醇生产的分子中介,这是排卵发生所必需的,但是睾酮逃逸和暴露于外周组织的量还不完全清楚。唾液睾酮是行为神经内分泌学研究中常见的生物标志物,被认为反映了血清中的生物活性部分。在N=339名通过促黄体激素测试确认排卵的女性中,唾液睾酮,用LC-MS/MS分析,在黄体期的周期中期排卵窗口中进行了四次采样。受试者内部分析显示,在总体水平上,中期峰值和黄体下降的模式明显但很小。然而,在个人层面,睾酮循环模式的方向和大小存在显著差异.我们讨论了相关的潜在生理学,背景研究,分析方法方面的问题,以及研究女性睾丸激素水平的研究人员的考虑。
    Testosterone production in women is thought to systematically shift across the menstrual cycle, peaking during the mid-cycle ovulatory window, and potentially influencing women\'s behavior. Testosterone is a molecular intermediary to the production of estradiol, which is necessary for ovulation to occur, but the amount of testosterone escape and exposure to the peripheral tissues is not fully understood. Salivary testosterone is a common biomarker in behavioral neuroendocrinological studies and is thought to reflect the bioactive portions in serum. In N = 339 women with confirmed ovulation via luteinizing hormone tests, salivary testosterone, assayed with LC-MS/MS, was sampled four times across the mid-cycle ovulatory window the luteal phase. Within-subject analysis revealed a significant but small pattern of a mid-cycle peak and a luteal decrease at the aggregate level. However, at the individual level, there was substantial variability in the direction and magnitude of the testosterone-cycle pattern. We discuss the relevant underlying physiology, background research, issues with assay methodolody, and considerations for researchers studying testosterone levels in women.
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  • 文章类型: Journal Article
    单次运动可增强执行功能(EF),并可能与脑血流量(CBF)的增加有关。当前文献中的一个局限性是,鉴于一些证据表明整个月经周期中激素水平的变化会影响生理和心理变量,女性参与者在生物学上的代表性不足。这里,生物学上,女性参与者在月经周期的卵泡期(FOL)和黄体期(LUT)分别完成了单次中等强度运动(估计乳酸阈值的80%).此外,生物学上男性参与者完成了相同持续时间/强度的运动。使用大脑中动脉速度(MCAv)来估计CBF,并通过反扫视任务评估运动前后的EF。结果表明,静息MCAv在LUT比FOL阶段更大;然而,运动介导的MCAv增加在月经周期阶段之间相当,女性和男性参与者之间。从运动前到运动后,反视反应时间可靠地减少了,频率学家和非频率学家的统计数据表明,在FOL和LUT阶段,减少的幅度相等。女性和男性参与者之间。因此,结果表明,月经周期状态不应作为限制女性参与者参与运动和EF检查研究的基础。
    A single bout of exercise enhances executive function (EF) and may relate to an increase in cerebral blood flow (CBF). A limitation in the current literature is that biologically female participants are underrepresented given some evidence that changes in hormone levels across the menstrual cycle impact physiological and psychological variables. Here, biologically female participants completed separate single bouts of moderate intensity exercise (80% of estimated lactate threshold) during the follicular (FOL) and luteal (LUT) phases of their menstrual cycle. In addition, biologically male participants completed a same duration/intensity exercise session. Middle cerebral artery velocity (MCAv) was used to estimate CBF and pre- and postexercise EF was assessed via the antisaccade task. Results showed that resting MCAv was larger in the LUT than FOL phase; however, the exercise-mediated increase in MCAv was equivalent between menstrual cycle phases, and between female and male participants. Antisaccade reaction times reliably decreased from pre- to postexercise and frequentist and non-frequentist statistics demonstrated that the magnitude of the decrease was equivalent across FOL and LUT phases, and between female and male participants. Thus, results evince that menstrual cycle status should not serve as a basis limiting biologically female participants\' inclusion in research examining exercise and EF.
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  • 文章类型: Journal Article
    口服避孕药(OC)的使用可以增加女性的静息血压(BP),并有助于上身运动期间III/IV组传入者的更大激活。它是未知的,然而,OC使用者在下肢运动期间是否发生过度的BP反应。我们试图阐明III/IV组传入活动介导的BP和心率反应,在幼年卵泡早期和晚期执行下肢任务时,健康的女性未服用OCs(NOC:n=8;年龄:25±4岁)和服用OCs(OC:n=10;年龄:23±2岁)的女性完成了连续的膝关节伸展/屈曲被动拉伸(机械反射)和具有收缩下袖带闭塞(压下运动反射)的自行车运动,随后是运动后两分钟的循环闭塞(PECO)(代谢反射)。数据收集发生在两种情况下:一次在卵泡早期阶段(第1-4天),一次在月经周期(NOC)的卵泡晚期阶段(第10-14天),或在安慰剂和活性药物阶段(OC)。NOC和OC参与者的静息平均动脉血压和心率在各期之间没有差异(p>0.05)。血流动力学对代谢反射的反应,机械反射,和集体运动压迫反射激活在两组各阶段之间没有差异(p>0.05)。总之,虽然OCs在休息时会增加BP,我们的发现表明,无论是内源性或外源性(OC)性激素调节BP在大,下肢肌肉锻炼,在年轻人中有或没有III/IV组传入激活,健康的女性
    Oral contraceptive (OC) use can increase resting blood pressure (BP) in females as well as contribute to greater activation of group III/IV afferents during upper body exercise. It is unknown, however, whether an exaggerated BP response occurs during lower limb exercise in OC users. We sought to elucidate the group III/IV afferent activity-mediated BP and heart rate responses while performing lower extremity tasks during early and late follicular phases in young, healthy females. Females not taking OCs (NOC: n = 8; age: 25 ± 4 yr) and those taking OCs (OC: n = 10; age: 23 ± 2 yr) completed a continuous knee extension/flexion passive stretch (mechanoreflex) and cycling exercise with subsystolic cuff occlusion (exercise pressor reflex), which was followed by a 2-min postexercise circulatory occlusion (PECO) (metaboreflex). Data collection occurred on two occasions: once during the early follicular phase (days 1-4) and once during the late follicular phase (days 10-14) of their menstrual cycle (NOC) or during the placebo and active pill phases (OC). Resting mean arterial BP and heart rate were not different between phases in NOC and OC participants (P > 0.05). Hemodynamic responses to metaboreflex, mechanoreflex, and collective exercise pressor reflex activation were not different between phases in both groups (P > 0.05). In conclusion, although OCs are known to increase BP at rest, our findings indicate that neither endogenous nor exogenous (OC) sex hormones modulate BP during large, lower limb muscle exercise with or without group III/IV afferent activation in young, healthy females.NEW & NOTEWORTHY Sex differences in the cardiovascular response to exercise have been demonstrated and may be dependent on sex hormone levels. Furthermore, oral contraceptives (OCs) have been shown to exaggerate the blood pressure response to upper extremity exercise. The results of this study indicate that neither endogenous nor exogenous (OC) sex hormones modulate BP during lower extremity dynamic exercise or with group III/IV afferent activation in young, healthy females.
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  • 文章类型: Journal Article
    一些主要用于纺织工业的合成染料与内分泌干扰有关,导致不孕,在其他疾病中。尚不清楚绝经前染料中职业接触Vat纺织染料是否会改变激素水平。
    我们旨在确定职业性接触还原染料对卵泡期和黄体期女性纺织染料生殖激素的可能影响,同时将其与年龄类别和暴露持续时间相关。
    在\"Itoku\",Abeokuta,尼日利亚,在约80名女性参与者中,年龄和性别匹配者为55名非暴露(对照)女性参与者.使用半结构化问卷,社会人口统计学,获得参与者的职业细节和LMP.在卵泡期和黄体期收集血清样品,并使用酶免疫分析法测定雌性激素。采用Mann-WhitneyU和Z-统计量进行比较。P值<0.05被认为是显著的。
    在卵泡期,结果表明,暴露者的平均FSH排名较低(≤20岁),而雌二醇排名较高(p<0.05)(31-40岁)。黄体期(年龄31-40岁)的孕酮和雌二醇的平均等级在暴露者中较高(p<0.05),而雌二醇(年龄≥41岁)排名较低(p<0.05)。催乳素与暴露时间呈显着的负相关。
    在Abeokuta中,女性染料中的Vat染料的职业暴露与一些性激素破坏有关,这似乎与年龄和暴露时间有关。
    UNASSIGNED: Some synthetic dyes used mainly in textile industries have been associated with endocrine disruption, resulting in infertility, among other disorders. It is unknown if occupational exposure to Vat textile dyes among premenopausal dyers alters hormonal levels.
    UNASSIGNED: We aimed at determining the probable effects of occupational exposure to Vat dyes on reproductive hormones of female textile dyers in the follicular and luteal phases while relating this to age categories and duration of exposure.
    UNASSIGNED: Thirty-three premenopausal Vat textile dyers at \"Itoku\", Abeokuta, Nigeria, among a population of about 80 female dyers were age and sex-matched with 55 non-exposed (control) female participants. Using semi-structured questionnaires, socio-demographic, occupational details and the LMP of participants were obtained. Serum samples were collected in follicular and luteal phases and assayed for female sex hormones using Enzyme Immunoassay. Mann-Whitney U and Z- statistic were used for comparison of the two groups. P-value < 0.05 was considered to be significant.
    UNASSIGNED: In the follicular phase, the result showed a lower mean FSH ranking (in age category ≤20 years) and higher (p<0.05) Estradiol ranking (in age category 31-40 years) in the exposed than the unexposed. Mean ranks of Progesterone and Estradiol in the luteal phase (age category 31-40 years) were higher (p<0.05) in the exposed, while Estradiol (age category ≥41years) ranked lower (p<0.05). Prolactin demonstrated a significant inverse relationship with the duration of exposure.
    UNASSIGNED: Occupational exposure to Vat dye among female dyers in Abeokuta is associated with some sex hormone disruption which appears to be age and duration of exposure-related.
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  • 文章类型: Journal Article
    这项研究的主要目的是比较使用促性腺激素释放激素(GnRH)拮抗剂方案进行体外受精(IVF)过程的不同年龄组妇女的胚胎发育和临床结局,GnRH激动剂长方案,和早期卵泡期方案。旨在为今后的临床治疗提供可靠的参考。
    我们对2021年1月至2023年2月期间接受治疗的患者进行了详细分析。1)在总体患者群体中,我们全面比较了基本特征,胚胎发育,以及用三种不同的卵巢刺激方案治疗的患者的临床结果,包括GnRH拮抗剂方案组(n=4173),激动剂长方案组(n=2410),和早期卵泡期长方案组(n=341)。2)我们将总人口分为三个年龄组,一组为30岁以下的患者(n=2576),一位30-35岁的患者(n=3249),一名为35岁以上的患者(n=1099)。然后,我们根据分组比较了三种刺激方案.我们分别比较了30岁以下患者使用三种刺激方案的胚胎发育和临床结局,30-35岁,和35岁以上的年龄组。通过这种分析,我们旨在探讨不同年龄组对不同刺激方案的反应及其对IVF成功率的影响.
    1)在总体人口中,我们发现GnRH激动剂长方案组的平均卵母细胞数明显高于GnRH拮抗剂方案组([13.85±7.162]vs.[13.36±7.862],P=0.0224),以及早期卵泡期长方案组([13.85±7.162]vs.[11.86±6.802],P<0.0001)。与其他两组相比,GnRH拮抗剂方案组的患者不仅促性腺激素(Gn)的起始剂量显着降低(P<0.05),而且Gn的使用天数也显着降低(P<0.05)。GnRH拮抗剂方案组的囊胚形成率在三组中最高。与GnRH激动剂长方案组相比显著更高(64.91%vs.62.35%,P<0.0001)和早期卵泡期长方案组(64.91%vs.61.18%,P=0.0001)。然而,不同促排卵方案治疗3组的临床妊娠率和活产率差异无统计学意义(P>0.05)。2)在<30岁年龄组,GnRH拮抗剂方案组的囊胚形成率在三组中最高,显著高于GnRH激动剂长方案组(66.12%vs.63.33%,P<0.0001)和早期卵泡期长方案组(66.12%vs.62.13%,P=0.0094)。在30-35岁年龄段,GnRH拮抗剂方案组的囊胚形成率在三组中最高,与GnRH激动剂长方案组相比显著更高(64.88%vs.62.93%,P=0.0009)和早期卵泡期长方案组(64.88%vs.60.39%,P=0.0011)。在>35岁的人群中,GnRH拮抗剂方案组的囊胚形成率明显高于GnRH激动剂长方案组(59.83%vs.56.51%,P=0.0093),而与早期卵泡期长方案组比较差异无统计学意义(P>0.05)。在三个年龄组中,我们发现临床妊娠率没有显着差异,活产率,和新生儿结局指标(胎儿体重和Apgar评分)在三种刺激方案(拮抗剂方案,GnRH激动剂长方案,和早期卵泡期长方案)(P>0.05)。研究结果表明,所有年龄段患者的临床和新生儿结局之间没有显着差异,无论卵巢刺激方案如何,提示三种卵巢刺激方案在不同年龄的患者中具有相似的治疗效果。这项研究的结果对选择合适的卵巢刺激方案和治疗结果的预测具有重要意义。
    在30岁以下和30-35岁的人群中,与GnRH激动剂长方案和早期卵泡期长方案相比,GnRH拮抗剂方案显示出更显著的优势.这表明,对于年轻和中年患者,在卵巢刺激期间,拮抗剂方案可能导致更好的结局.在35岁以上的人群中,虽然拮抗剂方案仍然优于GnRH激动剂长方案,与早期卵泡期长方案相比,没有显着差异。这可能意味着随着年龄的增长,早期卵泡期长方案可能在一定程度上具有与拮抗剂方案相似的效果.拮抗剂方案的优点在于其减少刺激持续时间和GnRH剂量的能力,同时提高患者对治疗的依从性。这意味着患者可能会发现更容易接受和坚持这种治疗方案,从而提高治疗成功率。特别是对于老年患者,使用拮抗剂方案可以显着增加胚泡形成率,这对于提高成功率至关重要。尽管在每个年龄组中使用三种方案治疗的患者的临床结果没有显着差异,仍需要进一步的研究来验证这些发现.未来的多中心研究和增加的样本量可能有助于全面评估不同刺激方案的功效。此外,需要前瞻性研究来进一步验证这些发现并确定最佳治疗策略.
    UNASSIGNED: The main purpose of this study is to compare the embryo development and clinical outcomes of women in different age groups undergoing in vitro fertilization (IVF) processes using gonadotrophin-releasing hormone (GnRH) antagonist protocol, GnRH agonist long protocol, and early follicular phase protocol. We aim to provide reliable reference for future clinical treatments.
    UNASSIGNED: We conducted a detailed analysis of patients who underwent treatment between January 2021 and February 2023. 1) In the overall patient population, we comprehensively compared the basic characteristics, the embryo development, and the clinical outcomes of patients treated with three different ovarian stimulation protocols, including the GnRH antagonist protocol group (n=4173), the agonist long protocol group (n=2410), and the early follicular phase long protocol group (n=341). 2) We divided the overall population into three age groups, one group for patients under 30 years old (n=2576), one for patients aged 30-35 (n=3249), and one for patients older than 35 years old (n=1099). Then, we compared the three stimulation protocols based on the group division. We separately compared the embryo development and clinical outcomes of patients using the three stimulation protocols in the under 30 years old, the 30-35 years old, and the over 35 years old age groups. With this analysis, we aimed to explore the response of different age groups to different stimulation protocols and their impact on the success rate of IVF.
    UNASSIGNED: 1) In the overall population, we found that the average number of oocytes retrieved in the GnRH agonist long protocol group was significantly higher than that in the GnRH antagonist protocol group ([13.85±7.162] vs. [13.36±7.862], P=0.0224), as well as the early follicular phase long protocol group ([13.85±7.162] vs. [11.86±6.802], P<0.0001). Patients in the GnRH antagonist protocol group not only had a significantly lower starting dose of gonadotrophin (Gn) compared to the other two groups (P<0.05) but also had a significantly lower number of days of Gn use (P<0.05). The blastocyst formation rate in the GnRH antagonist protocol group was the highest among the three groups, significantly higher compared to the GnRH agonist long protocol group (64.91% vs. 62.35%, P<0.0001) and the early follicular phase long protocol group (64.91% vs. 61.18%, P=0.0001). However, there were no significant differences in the clinical pregnancy rates or the live birth rates among the three groups treated with different ovarian stimulation protocols (P>0.05). 2) In the <30 age group, the blastocyst formation rate in the GnRH antagonist protocol group was the highest among the three groups, significantly higher compared to the GnRH agonist long protocol group (66.12% vs. 63.33%, P<0.0001) and the early follicular phase long protocol group (66.12% vs. 62.13%, P=0.0094). In the 30-35 age group, the blastocyst formation rate in the GnRH antagonist protocol group was the highest among the three groups, significantly higher compared to the GnRH agonist long protocol group (64.88% vs. 62.93%, P=0.000 9) and the early follicular phase long protocol group (64.88% vs. 60.39%, P=0.0011). In the >35 age group, the blastocyst formation rate in the GnRH antagonist protocol group was significantly higher than that in the GnRH agonist long protocol group (59.83% vs. 56.51%, P=0.0093), while there was no significant difference compared to that of the early follicular phase long protocol group (P>0.05). In the three age groups, we found that there were no significant differences in clinical pregnancy rate, live birth rate, and neonatal outcome indicators (fetal weight and Apgar score) among the three stimulation protocols (antagonist protocol, GnRH agonist long protocol, and early follicular phase long protocol) (P>0.05). The findings showed no significant differences between clinical and neonatal outcomes in patients of all ages, regardless of the ovarian stimulation protocol, suggesting that the three ovarian stimulation protocols have similar therapeutic effects in patients of different ages. The results of this study have important implications for the selection of an appropriate ovarian stimulation protocol and the prediction of treatment outcomes.
    UNASSIGNED: In the younger than 30 and 30-35 age groups, the GnRH antagonist protocol showed a more significant advantage over the GnRH agonist long protocol and the early follicular phase long protocol. This suggests that for younger and middle-aged patients, the antagonist protocol may lead to better outcomes during ovarian stimulation. In the older than 35 age group, while the antagonist protocol still outperformed the GnRH agonist long protocol, there was no significant difference compared to the early follicular phase long protocol. This may imply that with increasing age, the early follicular phase long protocol may have effects similar to the antagonist protocol to some extent. The advantages of the antagonist protocol lie in its ability to reduce stimulation duration and the dosage of GnRH, while enhancing patient compliance with treatment. This means that patients may find it easier to accept and adhere to this treatment protocol, thereby improving treatment success rates. Particularly for older patients, the use of the antagonist protocol may significantly increase the blastocyst formation rate, which is crucial for improving the success rates. Although there were no significant differences in the clinical outcomes of patients treated with the three protocols in each age group, further research is still needed to validate these findings. Future multicenter studies and increased sample sizes may help comprehensively assess the efficacy of different stimulation protocols. Additionally, prospective studies are needed to further validate these findings and determine the optimal treatment strategies.
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