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Research Article| Volume 81, ISSUE 1, P28-36, January 1973

Quantitative relationships of the pituitary-gonadal axis in postmenopausal women

  • Alfred J. Wise
    Affiliations
    From the Endocrine Unit, Department of Medicine, The University of Rochester School of Medicine and Dentistry, Rochester, N. Y. U.S.A.
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  • Monroe A. Gross
    Affiliations
    From the Endocrine Unit, Department of Medicine, The University of Rochester School of Medicine and Dentistry, Rochester, N. Y. U.S.A.
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  • Don S. Schalch
    Correspondence
    Reprint requests: Dr. Don S. Schalch, University of Rochester School of Medicine and Dentistry, Rochester, N. Y. 14642.
    Affiliations
    From the Endocrine Unit, Department of Medicine, The University of Rochester School of Medicine and Dentistry, Rochester, N. Y. U.S.A.
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      Abstract

      Changes in plasma LH and FSH in response to the administration of varying doses of ethinyl estradiol (EE) alone, or with medroxyprogesterone acetate or clomiphene, were determined in 15 postmenopausal women. During the control periods considerable random day-to-day fluctuations in plasma gonadotropin levels occurred. Partial or complete gonadotropin suppression was observed with doses of EE as low as 5 μg daily, although a dose of 10 μg daily was needed to produce a consistent suppression of plasma LH and FSH in the majority of subjects. The previously observed progestogen-stimulated “ovulatory” surge in LH and FSH was confirmed in subjects whose gonadotropins were suppressed by large doses of EE but not by small doses. Clomiphene administration to subjects partially blocked the suppression of gonadotropin levels by EE.
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