The Medical and Surgical Practice of NaProTECHNOLOGY, 541-560, 2004

Chapter 41: Hypothalamic-Pituitary-Ovarian Dysfunction

Thomas W Hilgers

Author affiliations
  • Pope Paul VI Institute for the Study of Human Reproduction, Omaha, Nebraska. ROR
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Abstract

Disruptions along the hypothalamic-pituitary-ovarian axis — including luteal phase deficiency, inadequate LH surges, and follicular maturation failure — are among the most common and underdiagnosed contributors to infertility and recurrent pregnancy loss. Targeted hormone supplementation guided by cycle-specific progesterone and estradiol assays, timed to CrMS biomarkers, restores functional ovulatory and luteal competence without suppressing the axis.

Topics

how does the GnRH pulse generator control the menstrual cycle, why pulsatile GnRH and not continuous GnRH, can stress suppress ovulation through CRH and beta-endorphin, beta-endorphin and menstrual cycle dysfunction in endometriosis, estrogen receptor deficiency poor cervical mucus infertility, LH receptor disorder in endometriosis ovary, low progesterone luteal phase regular cycles neuroendocrine cause, hypothalamic pituitary ovarian dysfunction causes of infertility

Cite this article

Hilgers, T. W. (2004). Chapter 41: Hypothalamic-Pituitary-Ovarian Dysfunction. *The Medical and Surgical Practice of NaProTECHNOLOGY*, 541-560.

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