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Ovulation Induction with Pulsatile LHRH

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Book cover LHRH and Its Analogs

Abstract

Shortly after LHRH was iso1ated, characterized and synthesized, clinical application to disorders of reproduction and sexual development was initiated. The early experiences with LHRH administered once or twice daily for induction of ovulation were largely unsuccessful.[1,2] The elucidation of the pulsatile release of LHRH by Knobil and colleagues [3] potentiated use of the agent in a physiologic manner and led to the development of successful ovulation induction regimens and pubertal maturation strategies.[4,5] The clinical efficacy of pulsatile LHRH therapy is currently well-documented and it has become an alternative therapy of choice for ovulation induction in patients with suspected hypothalamic suppression.[6–9] Pulsatile LHRH has been reported to be effective in widely variable circumstances including variations in means of administration,[6–9] routes of administration[6,9,10], dosages[6,7], and underlying disease states.[4,11] This paper will review the current experience of LHRH used for ovulation.

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References

  1. Akande, E.O., Carr, P.O., Dutton, A., Bonner, J., Corker, C.S., MacKinnon, P.C.B. and Robinson, D. Effect of synthetic gonadotropin-releasing hormone in secondary amenorrhea. Lancet, 2, 112 (1972).

    Article  PubMed  CAS  Google Scholar 

  2. Zarate, A., Canales, E.S., Soria, J., Gonzalez, A., Schally, A.V. and Kastin, A.J. Further observations on the therapy of anovulatory infertility with synthetic luteinizing hormone-releasing hormone. Fertil. Steril., 25, 3 (1974).

    PubMed  CAS  Google Scholar 

  3. Knobil, E., Plant, T.M., Wildt, L., Belchetz, P.E. and Marshall, G. Control of the rhesus monkey menstrual cycle: Permissive role of hypothalamic gonadotropin-releasing hormone. Science 207, 1371 (1980).

    PubMed  CAS  Google Scholar 

  4. Leyendecker, G., Struve, T. and Plotz, E.J. Induction of ovulation with chronic intermittent (pulsatile) administration of LHRH in women with hypothalamic and hyperprolactinemic amenorrhea. Arch. Gynecol., 229, 177 (1980).

    Article  PubMed  CAS  Google Scholar 

  5. Valk, T.W., Corley, K.P., Kelch, R.P. and Marshall, J.C.: Hypogonadotropic hypogonadism. Hormonal response to low dose pulsatile administration of gonadotropin-releasing hormone. J. Clin. Endocrinol. Metab., 51, 730 (1980).

    Article  PubMed  CAS  Google Scholar 

  6. Leyendecker, G. and Wildt, L. Induction of ovulation with pulsatile administration of GnRH in hypothalamic amenorrhea. J. Steroid Biochem., 20, 1382 (1984).

    Article  Google Scholar 

  7. Crowley, W.F., Jr., Filicori, J. and Spratt, D. The physiology of gonadotropin-releasing hormone (GnRH) secretion in men and women. Rec. Prog. Horm. Res., 41, 473 (1985).

    PubMed  CAS  Google Scholar 

  8. Skarin, G., Nillius, S.J. and Wide, L. Pulsatile subcutaneous low-dose gonadotropin-releasing hormone treatment of anovulatory infertility. Fertil. Steril., 40, 454 (1983).

    PubMed  CAS  Google Scholar 

  9. Jacobs, H.S., Adams, J., Franks, S., Cell, C., Leonard, R., Masson, W.P., Morris, D.V., Sutherland, I. and Van-Der-Spuy, Z.M. Induction of ovulation with LHRH--problems, indications and contraindications. J. Steroid Biochem., 20, A36 (1984).

    Article  Google Scholar 

  10. Hanker, J.P., Bohnet, H.G. and Schreider, H.P.L. Nasal spray assisted pulsatile LHRH in the treatment of hypothalamic amenorrhea. Neuroendocrinol. Lett., 2, 269 (1980).

    Google Scholar 

  11. Bringer, J., Hedon, B., Jaffiol, C., Cristol, C., Nicolau, S., Orsetti, A., Orsetti, A., Bressot, N. Viala, J.L., Mirouze, J. Influence of the frequency of gonadotropin-releasing hormone (GnRH) administration of ovulatory responses in women with hypothalamic anovulation (H.A.) and polycystic ovarian syndrome (P.C.O). Proceedings of 7th Int. Congr. Endocrinol., Excctpra Medica, Amsterdam, 1984, p. 470 Congr. Ser. 652 (Abstract).

    Google Scholar 

  12. Santoro, N., Filicori, M. and Crowley, W.F., Jr. Hypogonadotropic disorders in men and women: Diagnosis and therapy with pulsatile gonadotropin-releasing hormone. Endocr. Rev. 7, 11 (1986).

    Article  PubMed  CAS  Google Scholar 

  13. Reid, R.L., and Sauerbrei, E. Evaluation of techniques for induction of ovulation in out-patients employing pulsatile gonadotropin releasing hormone. Am. J. Obstet. Gynecol., 148, 648 (1984).

    PubMed  CAS  Google Scholar 

  14. Ory, S.J., London, S.N., Tyrey, L., and Hammond, C.B. Ovulation induction with pulsatile gonadotropin-releasing hormone administration in patients with polycystic ovarian syndrome. Fertil. Steril., 43, 20 (1985).

    PubMed  CAS  Google Scholar 

  15. Bennink, H.J.T., Weber, H.W., Alsbach, G.P.J., and Thijssen, J.H.H. Induction of ovulation by pulsatile intravenous administration of GnRH in polycystic ovarian disease. Proceedings of 7th Int. Cong. Endocrinol., Excerpta Medica, Amsterdam, 1984, p. 470 Congr. Ser. 652 (Abstract).

    Google Scholar 

  16. McNatty, K.P., Neal, P. and Baker, T.G. Effect of prolactin on the prodution of progesterone by mouse ovaries in vitro. J. Reprod. Fert., 47, 155 (1976).

    Article  CAS  Google Scholar 

  17. Wang, C., Hsueh, A.J.W., and Erickson, G.F. Prolactin inhibitor of estrogen production by cultured rat granulosa cells. Mol. Cell, Endocrinol., 20, 135 (1980).

    Article  CAS  Google Scholar 

  18. Berg, D., Mickan, H., Michael, S., Doring, K., Gloning, K., Janicke, F. and Rjosk, H.K. Ovulation and pregnancy after pulsatile administration of gonadotropin releasing hormone. Arch. Gynaekol., 233, 205 (1983).

    CAS  Google Scholar 

  19. Seibel, J.M., Kamrava, M., MacArdle, C., and Taymor, M., Ovulation induction and conception using subcutaneous luteinizing hormone-releasing hormone. Obstet. Gynecol., 61, 292 (1983).

    PubMed  CAS  Google Scholar 

  20. Hurley, D.M., Brian, R., Outeh, K., Stockdale, J., Fry, A., Hackman, C., Clarke, I. and Burger, H.G. Induction of ovulation and fertility in amenorrheic women by pulsatile low-dose gonadotropin-releasing hormone. N. Engl. J. Med., 310, 1069 (1984).

    Article  PubMed  CAS  Google Scholar 

  21. Woodhouse, N.I.J., Niles, N., and Othman, H.L. Hypothalamic hypogonadism: induction of ovulation and pregnancy by subcutaneous pulsatile injections of gonadotropin releasing hormone. Horm. Res., 20, 172 (1984).

    Article  PubMed  CAS  Google Scholar 

  22. Mason, P., Adams, J., Morris, D.V., Tucker, M., Price, J., Voulgaris, Z., Van der Spuy, Z.M., Sutherland, I., Chambers, G.R., and White, S. Induction of ovulation with pulsatile luteinizing hormone-releasing hormone. Br. Med. J., 288, 181, (1984).

    Article  CAS  Google Scholar 

  23. Reid, R.L., Leopold, G.R. and Yen, S.S.C. Induction of ovulation and pregnancy with pulsatile luteinizing hormone releasing factor: dosage and mode of delivery. Fertil. Steril. 36, 553 (1981).

    PubMed  CAS  Google Scholar 

  24. Liu, J.H. and Yen, S.S.C. The use of gonadotropin-releasing hormone for the induction of ovulation. Clin. Obstet. Gynecol. 27, 975 (1984).

    Article  PubMed  CAS  Google Scholar 

  25. London, D.R., Batt, W.R., Lynch, S.S., Marshall, J.C., Owusu, S., Robinson, W.R. and Stephenson, J.M. Hormonal responses to intranasal luteinizing-hormone releasing hormone. J. Clin. Endocrinol. Metab., 37, 829 (1973).

    Article  PubMed  CAS  Google Scholar 

  26. Vande Wiele, R.L., Bogumil, J., Dyrenfurth, I., Ferin, M., Jewelewica, R., Warren, M., Rizkallah, T. and Mikhail, G. Mechanisms regulating the menstrual cycle in women. Rec. Prog. Horm. Res., 26, 63 (1970).

    Google Scholar 

  27. Asch, R.H., Moustopha, A.S., Braunstein, G. and Pauerstein, C.J. Luteal function in hypophysectomized rhesus monkeys. J. Clin. Endocrinol. Metab., 55, 154 (1982).

    Article  PubMed  CAS  Google Scholar 

  28. Channing, C.P. Influences of the in vivo and in vitro hormonal environment upon luteinization of granulosa cells in tissue culture. Rec. Prog. Horm. Res., 26, 589 (1970).

    PubMed  CAS  Google Scholar 

  29. Hutchison, J.S., and Zeleznik, A.J. The rhesus monkey corpus luteum is dependent on pituitary gonadotropin secretion throughout the luteal phase of the menstrual cycle. Endocrinology, 115, 1780 (1984).

    Article  PubMed  CAS  Google Scholar 

  30. Groff, T.R., Raj, H.G.M., Talbert, L.M., and Willis, D.L. Effects of neutralization of luteinizing hormone on corpus luteum function and cyclicity in Macaca fascicularis. J. Clin. Endocrinol. Metab., 59, 1504 (1984).

    Article  Google Scholar 

  31. Weinstein, F.G., Seibel, M.M., and Taymor, M.L. Ouvlation induction with subcutaneous pulsatile gonadotropin-releasing hormone: the role of human chorionic gonadotropin in the luteal phase. Fertil. Steril., 41, 546 (1984).

    PubMed  CAS  Google Scholar 

  32. Nillius, S.J. and Wide, L., Gonadotropin-releasing hormone treatment for induciton of follicular maturation and ovulation in amenorrheic women with anorexia nervosa. Br. Med. J., 3, 405 (1975).

    Article  PubMed  CAS  Google Scholar 

  33. Casas, P.R.F., Badano, A.R., Aparicio, N., Lencioni, L.J., Berli, R.R., Badano, H., Biccoca, C. and Schally, A.V. Luteinizing hormone-releasing hormone in the treatment of anovulatory infertility. Fertil. Steril. 26, 549 (1979).

    Google Scholar 

  34. Sheehan, K.L., Casper, R.F. and Yen, S.S.C., Luteal phase defect induced by an agonist of luteinizing hormone-releasing factor. Science, 215, 170 (1982).

    Article  PubMed  CAS  Google Scholar 

  35. Berger, N.G., and Zacur, H.A. Exogenous progesterone for luteal support following gonadotropin releasing hormone ovulation induction: case report. Fertil. Steril, 44, 133 (1985).

    PubMed  CAS  Google Scholar 

  36. Lindner, J., McNeil, L.W., Marney, S. Conway, M., Rivier, J., Vale, W. and Rabin, D. Characterization of human anti-luteinizing hormone-releasing hormone (LRH) antibodies in the serum of a patient with isolated gonadotropin deficiency treated wtih synthetic LRH. J. Clin Endocrinol. Metab. 52, 267 (1981).

    Article  PubMed  CAS  Google Scholar 

  37. Meakin, J.L., Keogh, E.J., and Martin, C.E. Human anti-luteinizing hormone releasing hormone in patients treated with synthetic luteinizing hormone releasing hormone. Fertil. Steril., 43, 811 (1985).

    PubMed  CAS  Google Scholar 

  38. Schoemaker, J., Simons, A.H.M, van Osnabrugge, J.C., Lugtenburg, C., and Van Kessel, H. Pregnancy after prolonged pulsatile administration of luteinizing hormone-releasing hormone in a patient with Clomiphene resistant secondary amenorrhea. J. Clin. Endocrinol. Metab., 52, 882 (1981).

    Article  PubMed  CAS  Google Scholar 

  39. Bogchelman, D., Lappohn, R.E., and Janssens, J. Triplet pregnancy after pulsatile administration of gonadotropin releasing hormone. Lancet, 2, 45 (1982).

    Article  PubMed  CAS  Google Scholar 

  40. Leyendecker, G., and Wildt, L. Induction of ovulation wtih chronic intermittent (pulsatile) administration of GnRH in women with hypothalamic amenorrhea. J. Reprod. Fert., 69, 397 (1983).

    Article  CAS  Google Scholar 

  41. Schriock, E.D., and Jaffe, R.B. Induction of ovulation with gonadotropin-releasing hormone. Obstet Gynecol Surv., 41, 414 (1986).

    PubMed  CAS  Google Scholar 

  42. Liu, J.H., Durfee, R., Muse, K., and Yen, S.S.C. Induction of multiple ovulation by pulsatile administration of gonadotropin-releasing hormone. Fertil Steril, 40, 18, 1983.

    PubMed  CAS  Google Scholar 

  43. Miller, D.S., Reid, R.L., Cetel, N.S., Rebar, R.W., and Yen, S.S. Pulsatile administration of low-dose gonadotropin-releasing hormone. J. Am. Med. Assoc., 250, 2937 (1983).

    Article  CAS  Google Scholar 

  44. Berg, D., Mickan, H., Michael, S., Doring, K., Gloning, K., Janicke, F. and Rjosk, H.K. Ovulation and pregnancy after pulsatile administration of gonadotropin releasing hormone. Arch. Gynaekol, 233, 205 (1983).

    CAS  Google Scholar 

  45. Jansen, R.P.S., Handelsman, D.J. and Boylan, L.M. Induction of ovulation with pulsatile intravenous injections of gonadotropin-releasing hormone (GnRH). Proceedings of 7th Int. Congr. Endocrinol., Excerpta Medica, Amsterdam, 1984, p. 470, Congr. Ser. 652, (Abstract).

    Google Scholar 

  46. Goerzen, J., Corenblum, B., Wiseman, D., and Taylor, P.J. Ovulation induction and pregnancy in hypothalamic amenorrhea using self-administered intravenous gonadotropin-releasing hormone. Fertil. Steril. 41, 319 (1984).

    PubMed  CAS  Google Scholar 

  47. Rolland, R., Lorijn, R.H.W., and Willemsen, W.N.P. Chronic intermittent administration of gonadotropin-releasing hormone (LHRH) in infertile women with different cycle abnormalities. J. Steroid Biochem. 20, 1402 (1984).

    Article  Google Scholar 

  48. Tucker, M., Adams, J., Mason, W.P., Morris, D.V., Franks, S., and Jacobs, H.S. Multiple cystic ovarian disease. Proceedings of 7th Int. Cong. Endocrinol., Excerpta Medica, Amsterdam, 1984, p. 470, Congr. Ser. 652, (Abstract).

    Google Scholar 

  49. Keogh, E. J., Carati., C., Meakin, J., et al. Clinical application of pulsatile gonadotropin-releasing hormone (GnRH). 7th International Congress of Endocrinology, Quebec City, Canada, 1984.

    Google Scholar 

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B. H. Vickery J. J. Nestor Jr.

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Ory, S.J. (1987). Ovulation Induction with Pulsatile LHRH. In: Vickery, B.H., Nestor, J.J. (eds) LHRH and Its Analogs. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-3229-6_21

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  • DOI: https://doi.org/10.1007/978-94-009-3229-6_21

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-7949-5

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