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Re: how does endo affect implantation?From: Anonymo (anonymous@obgyn.net)Tue Dec 24 15:12:43 2002
Hi Holly. I just read the following, which might answer your question, that someone posted at the ERC forum: Altered hormone levels behind infertility in endometriosis Source: Human Reproduction 2002; 17: 960â??965 Prolactin and estradiol are implicated in study of endometriosis-associated infertility Infertility in women who have endometriosis but no tubal blockages, may be caused by alterations in the secretion of the hormone prolactin and low estradiol levels in the blood, say researchers. Infertile women who do not have endometriosis often have abnormally increased prolactin secretion in response to thyrotrophin-releasing hormone (TRH) or metoclopramide, a dopamine inhibitor, both of which act to increase prolactin secretion. Dr. J. S. Cuhna-Filho and colleagues, from Universidade Federal do Rio Grande do Sul, Brazil, studied prolactin levels in 33 fertile women who did not have endometriosis, 10 fertile women who had minimal/mild endometriosis, and 21 infertile women who had endometriosis. TRH or metoclopramide was administered to the women between days 3 and 5 in two menstrual cycles. Prolactin levels were measured beforehand, and again 15 and 30 minutes later. Both fertile and infertile women with endometriosis had significantly higher levels of prolactin than those without endometriosis, both before and after TRH administration. Interestingly, metoclopramide had no effect on prolactin levels. Women who had endometriosis and were infertile had significantly lower blood levels of estradiol than fertile women, regardless of whether they had endometriosis.
At Tue, 24 Dec 2002, holly wrote:
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