Regulation of the 24-hour rhythm of body temperature in menstrual cycles with spontaneous and gonadotropin-induced ovulation
Regulation of the 24-hour rhythm of body temperature in menstrual cycles with spontaneous and gonadotropin-induced ovulation
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DOI：
10.1016/s0015-0282(97)00242-2
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发表时间：
1997-09-01
影响因子：
6.7
通讯作者：
Melis, GB
中科院分区：
文献类型：
--
作者：
Cagnacci, A;Volpe, A;Melis, GB
目的：探讨性腺类固醇与 24 小时之间的关系患者：19 名正常周期的女性。设计：在志愿者女性中进行对照临床研究。地点：临床医院。干预措施：对 11 名处于自发排卵周期的早期卵泡和黄体月经期的女性进行研究，8 名女性在具有多个卵泡发育的周期的早期卵泡、排卵前和黄体期进行研究。结果测量：从下午5:00开始，连续24小时监测阴道内体温，其值与E-2和P水平相关。结果：24小时体温节律参数与P:E-2比率相关。排卵前阶段极低的 P:E-2 比率与 24 小时平均值降低和体温节律幅度升高相关。卵泡早期和黄体期 P:E-2 比率的逐渐增加与 24 小时平均体温的升高和节律幅度的降低相关。在多个卵泡发育周期中，黄体期和早期卵泡期之间的体温差异不太明显。结论：女性的体温与其 P:E-2 比率相关。即使 P 值升高，该比率的改变也可能对排卵后体温升高产生负面影响。 (C) 1997 年，美国生殖医学学会。
Objective: To investigate the relation between gonadal steroids and the 24-houPatient(s): Nineteen normally cycling women.Design: Controlled clinical study in volunteer women.Setting: Clinical hospital.Intervention(s): Eleven women were studied in the early follicular and luteal menstrual phases of cycles with spontaneous ovulation, and 8 women were studied in the early follicular, preovulatory, and luteal phases of cycles with multiple follicular development.Main Outcome Measure(s): Starting at 5:00 P.M., intravaginal body temperature was monitored continuously for 24 hours and its values were related to E-2 and P levels.Result(s): Twenty-four-hour body temperature rhythm parameters were related to the P:E-2 ratio. Very low P:E-2 ratios in the preovulatory phase were associated with a reduced 24-hour mean and an elevated body temperature rhythm amplitude. The progressive increase in the P:E-2 ratio in the early follicular and luteal phases was associated with an increase in the 24-hour mean body temperature and a decrease in the rhythm amplitude. Body temperature differences between the luteal and early follicular phases were less pronounced in cycles with multiple follicular development.Conclusion(s): A woman's body temperature is related to her P:E-2 ratio. Even in the presence of elevated P values, alterations of this ratio may influence negatively the postovulatory rise in body temperature. (C) 1997 by American Society for Reproductive Medicine.