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. 1975 Aug 2;3(5978):274–275. doi: 10.1136/bmj.3.5978.274

An abnormality of oestrogen feedback in amenorrhoea-galactorrhoea.

M R Glass, R W Shaw, W R Butt, R L Edwards, D R London
PMCID: PMC1674237  PMID: 1170923

Abstract

Fourteen patients with amenorrhoea and hyperprolactin-anemia but no evidence of pituitary tumours were each given an intramuscular injection of 1 mg oestradiol benzoate. Thirteen patients failed to release luteinizing hormone in response to the oestrogen. This hypothalamic abnormality may help to explain the menstrual disturbances in subjects with hyperprolactinaemia.

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Selected References

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  1. Besser G. M., Parke L., Edwards C. R., Forsyth I. A., McNeilly A. S. Galactorrhoea: successful treatment with reduction of plasma prolactin levels by brom-ergocryptine. Br Med J. 1972 Sep 16;3(5828):669–672. doi: 10.1136/bmj.3.5828.669. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Cargille C. M., Vaitukaitis J. L., Bermudez J. A., Ross G. T. A differential effect of ethinyl estradiol upon plasma FSH and LH relating to time of administration in the menstrual cycle. J Clin Endocrinol Metab. 1973 Jan;36(1):87–94. doi: 10.1210/jcem-36-1-87. [DOI] [PubMed] [Google Scholar]
  3. Friesen H., Hwang P. Human prolactin. Annu Rev Med. 1973;24:251–270. doi: 10.1146/annurev.me.24.020173.001343. [DOI] [PubMed] [Google Scholar]
  4. Gambrell R. D., Jr, Greenblatt R. B., Mahesh V. B. Post-pill and pill-related amenorrhea-galactorrhea. Am J Obstet Gynecol. 1971 Jul 15;110(6):838–848. doi: 10.1016/0002-9378(71)90581-3. [DOI] [PubMed] [Google Scholar]
  5. Lutterbeck P. M., Pryor J. S., Varga L., Wenner R. Treatment of non-puerperal galactorrhoea with an ergot alkaloid. Br Med J. 1971 Jul 24;3(5768):228–229. doi: 10.1136/bmj.3.5768.228. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. McNatty K. P., Sawers R. S., McNeilly A. S. A possible role for prolactin in control of steroid secretion by the human Graafian follicle. Nature. 1974 Aug 23;250(5468):653–655. doi: 10.1038/250653a0. [DOI] [PubMed] [Google Scholar]
  7. McNeilly A. S., Hagen C. Prolactin, TSH, LH and FSH responses to a combined LHRH-TRH test at different stages of the menstrual cycle. Clin Endocrinol (Oxf) 1974 Oct;3(4):427–435. doi: 10.1111/j.1365-2265.1974.tb02813.x. [DOI] [PubMed] [Google Scholar]
  8. McNeilly A. S. Radioimmunoassay of human prolactin. Proc R Soc Med. 1973 Sep;66(9):863–864. doi: 10.1177/003591577306600915. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Monroe S. E., Jaffe R. B., Midgley A. R., Jr Regulation of human gonadotropins. XII. Increase in serum gonadotropins in response to estradiol. J Clin Endocrinol Metab. 1972 Feb;34(2):342–347. doi: 10.1210/jcem-34-2-342. [DOI] [PubMed] [Google Scholar]
  10. Mortimer C. H., Besser G. M., McNeilly A. S., Marshall J. C., Harsoulis P., Tunbridge W. M., Gomez-Pan A., Hall R. Luteinizing hormone and follicle stimulating hormone-releasing hormone test in patients with hypothalamic-pituitary-gonadal dysfunction. Br Med J. 1973 Oct 13;4(5884):73–77. doi: 10.1136/bmj.4.5884.73. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Nillius S. J., Wide L. Induction of a midcycle-like peak of luteinizing hormone in young women by exogenous oestradiol-17. J Obstet Gynaecol Br Commonw. 1971 Sep;78(9):822–827. doi: 10.1111/j.1471-0528.1971.tb00345.x. [DOI] [PubMed] [Google Scholar]
  12. Redshaw M. R., Lynch S. S. An improved method for the preparation of iodinated antigens for radioimmunoassay. J Endocrinol. 1974 Mar;60(3):527–528. doi: 10.1677/joe.0.0600527. [DOI] [PubMed] [Google Scholar]
  13. Reyes F. I., Winter J. S., Faiman C. Pituitary-ovarian interrelationships during the puerperium. Am J Obstet Gynecol. 1972 Nov 1;114(5):589–594. doi: 10.1016/0002-9378(72)90833-2. [DOI] [PubMed] [Google Scholar]
  14. Rolland R., Schellekens L. A., Lequin R. M. Successful treatment of galactorrhoea and amenorrhoea and subsequent restoration of ovarian function by a new ergot alkaloid 2-brom-alpha-ergocryptine. Clin Endocrinol (Oxf) 1974 Apr;3(2):155–166. doi: 10.1111/j.1365-2265.1974.tb01791.x. [DOI] [PubMed] [Google Scholar]
  15. Shaw R. W., Butt W. R., London D. R., Marshall J. C. The oestrogen provocation test: a method of assessing the hypothalamic-pituitary axis in patients with amenorrhoea. Clin Endocrinol (Oxf) 1975 May;4(3):267–276. doi: 10.1111/j.1365-2265.1975.tb01534.x. [DOI] [PubMed] [Google Scholar]
  16. Shaw R. W., Butt W. R., London D. R., Marshall J. C. Variation in response to synthetic luteinizing hormone--releasing hormone (LH-RH) at different phases of the same menstrual cycle in normal women. J Obstet Gynaecol Br Commonw. 1974 Aug;81(8):632–639. doi: 10.1111/j.1471-0528.1974.tb00530.x. [DOI] [PubMed] [Google Scholar]
  17. Shaw R. W., Butt W. R., London D. R. Pathological mechanisms to explain some cases of amenorrhoea without organic disease. Br J Obstet Gynaecol. 1975 Apr;82(4):337–340. doi: 10.1111/j.1471-0528.1975.tb00645.x. [DOI] [PubMed] [Google Scholar]
  18. Shaw R. W. Estrogen modulation of gonadotrophin release. Proc R Soc Med. 1975 Feb;68(2):73–75. doi: 10.1177/003591577506800203. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Sinha Y. N., Selby F. W., Lewis U. J., VanderLaan W. P. A homologous radioimmunoassay for human prolactin. J Clin Endocrinol Metab. 1973 Mar;36(3):509–516. doi: 10.1210/jcem-36-3-509. [DOI] [PubMed] [Google Scholar]
  20. Thorner M. O., McNeilly A. S., Hagan C., Besser G. M. Long-term treatment of galactorrhoea and hypogonadism with bromocriptine. Br Med J. 1974 May 25;2(5916):419–422. doi: 10.1136/bmj.2.5916.419. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Tsai C. C., Yen S. S. Acute effects of intravenous infusion of 17-beta-estradiol on gonadotropin release in pre- and post-menopausal women. J Clin Endocrinol Metab. 1971 Jun;32(6):766–771. doi: 10.1210/jcem-32-6-766. [DOI] [PubMed] [Google Scholar]
  22. Varga L., Wenner R., Del Pozo E. Treatment of galactorrhea-amenorrhea syndrome with Br-ergocryptine (CB 154): restoration of ovulatory function and fertility. Am J Obstet Gynecol. 1973 Sep 1;117(1):75–79. doi: 10.1016/0002-9378(73)90731-x. [DOI] [PubMed] [Google Scholar]

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