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Luteal cysts and unexplained infertility: biochemical and ultrasonic evaluation

Hamilton MP et al., 1990

Fertility and sterility, 54(1), 32-37

PMID 2113489 Source

Abstract

A prospective, controlled study of ovarian function using ovarian ultrasound and daily plasma hormone estimations (estradiol, progesterone [P], follicle-stimulating hormone [FSH], luteinizing hormone [LH]) was carried out on 175 spontaneously cycling patients with unexplained infertility. Forty-one (23.4%) demonstrated luteal phase cyst formation. In 21 cycles the dominant follicle reduced in size after the LH peak (cystic corpus luteum cycles), and in 20 no shrinkage was seen (luteinized unruptured follicles). Progesterone concentrations in the early luteal phase were significantly reduced in the luteinized unruptured follicle cycles. Elevation in plasma FSH was seen in the early follicular and luteal phases of both cyst forming groups and may be due to disturbances in ovarian metabolism. Follicular rupture is important for efficient P release by the corpus luteum.

Topics

Infertility > Female Factor > Ovulatory DysfunctionDiagnostics > Ultrasound > Follicular MonitoringReproductive Endocrinology > Luteal Phase > DeficiencyDiagnostics > Hormone Assays > Progesterone
luteinized unruptured follicle syndrome, luteal phase cyst unexplained infertility, luf syndrome ultrasound diagnosis, corpus luteum cystic formation, follicular rupture progesterone release, early luteal phase progesterone deficiency, ovarian ultrasound daily hormone monitoring, dominant follicle failure to rupture, luteal phase defect ultrasound findings, unexplained infertility ovarian function assessment, fsh elevation luteal phase cyst, anovulation ultrasound hormone correlation

Cite this article

Hamilton, M. P., Fleming, R., Coutts, J. R., Macnaughton, M. C., & Whitfield, C. R. (1990). Luteal cysts and unexplained infertility: biochemical and ultrasonic evaluation. *Fertility and sterility*, *54*(1), 32-37.

Keywords

Adult, Corpus Luteum, Cysts, Estradiol, Female, Follicle Stimulating Hormone, Follicular Phase, Humans, Infertility, Luteal Phase, Luteinizing Hormone, Ovarian Diseases, Ovarian Follicle, Progesterone, Prospective Studies, Ultrasonography

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