Distinct urinary progesterone metabolite profiles during the luteal phase.
luteal phase
menstrual cycle
ovulation
pregnanediol-3-glucuronide
progesterone
Journal
Hormone molecular biology and clinical investigation
ISSN: 1868-1891
Titre abrégé: Horm Mol Biol Clin Investig
Pays: Germany
ID NLM: 101538885
Informations de publication
Date de publication:
01 Jun 2023
01 Jun 2023
Historique:
received:
29
06
2022
accepted:
06
12
2022
medline:
3
7
2023
pubmed:
30
12
2022
entrez:
29
12
2022
Statut:
epublish
Résumé
During normal menstrual cycles, serum levels of progesterone vary widely between cycles of same woman and between women. This study investigated the profiles of pregnanediol during the luteal phase. Data stemmed from a previous multicenter prospective observational study and concerned 107 women (who contributed 326 menstrual cycles). The study analyzed changes in observed cervical mucus discharge, various hormones in first morning urine, and serum progesterone. Transvaginal ultrasonography and cervical mucus helped identifying the day of ovulation. Changes in pregnanediol glucuronide levels during the luteal phase were examined and classified according to the length of that phase, a location parameter, and a scale parameter. Associations between nine pregnanediol glucuronide profiles and other hormone profiles were examined. Low periovulatory pregnanediol glucuronide levels and low periovulatory luteinizing hormone levels were associated with delayed increases in pregnanediol glucuronide after ovulation. That 'delayed increase profile' was more frequently associated with cycles with prolonged high LH levels than in cycles with rapid pregnanediol glucuronide increases. A 'plateau-like profile' during the luteal phase was associated with longer cycles, cycles with higher estrone-3-glucuronide and pregnanediol glucuronide during the preovulatory phase, and cycles with higher periovulatory pregnanediol glucuronide levels. Distinct profiles of urinary progesterone levels are displayed during the luteal phase. These profiles relate to early hormone changes during the menstrual cycle. In everyday clinical practice, these findings provide further evidence for recommending progesterone test seven days after the mucus peak day. The search for other correlations and associations is underway.
Identifiants
pubmed: 36578213
pii: hmbci-2022-0065
doi: 10.1515/hmbci-2022-0065
doi:
Substances chimiques
Progesterone
4G7DS2Q64Y
Pregnanediol
JR3JD1Y22C
Luteinizing Hormone
9002-67-9
Glucuronides
0
Types de publication
Observational Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
137-144Informations de copyright
© 2022 Walter de Gruyter GmbH, Berlin/Boston.
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