Abstract
The aim of the study was to assess the effect of a single injection of the GnRH agonist decapeptyl on gonadotropin secretion in girls with different pubertal disorders. The test was performed in two groups of girls with premature thelarche (younger and older than 2 years of age), girls with premature adrenarche and postmenarcheal girls with policystic ovaries. The GnRH agonist decapeptyl stimulated gonadotropins secretion in pre- and postmenarcheal girls. The responsiveness of LH was increased significantly in puberty. FSH response was exaggerated in the girls with premature thelarche before the age of 2, but in older premenarcheal girls with the same disorder it was not different than in girls with premature adrenarche. It is concluded that a single dose of the GnRH agonist decapeptyl is a safe and efficacious test for assessment of the function of the pituitary gland in pre-and postmenarcheal girls.
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Burger HG, Yamada Y, Bangah ML, McCloud PI, Warne GL (1991) Serum gonadotropin, sex steroid and immuno-reactive inhibine levels in the two years of life. J Clin Endocrinol Metab 72:682–686
Conn PM, Crowley WF (1991) Gonadotropin-releasing hormone and its analogues. N Engl J Med 324:93–103
Dickerman Z, Lewin R, Laron Z (1976) Response of plasma LH and FSH to synthetic LHRH in children at various pubertal stages. Am J Dis Child 130:634–638
Ghai K, Rosenfeld RL (1994) Maturation of normal pituitary-testicu-lar axis as assessed by gonadotropin-releasing hormone agonist challenge. J Clin Endocrinol Metab 78:1336–1340
Griffin IJ, Cole TJ, Duncan KA, Hollman AS, Donaldson MDC (1995) Pelvic ultrasound measurement in normal girls. Acta Paediatr 84:536–543
Ibanez L, Potau N, Zampolli M, Virdis R, Gussinye M, Carrascosa A, Saenger P, Vicens-Calvet E (1994) Use of leuprolide acetate response patterns in the early diagnosis of pubertal disorders: comparison with the gonadotropin-releasing hormone test. J Clin Endocrinol Metab 78:30–35
Kelch RP, Hopwood NJ, Marshall JC (1980) Diagnosis of gonadotropin deficiency in adolescents — limited usefulness of a standard gonadotropin releasing hormone test in obese boys. J Pediatr 97:820–824
Lucky AW, Rich BH, Rosenfeld RL, Fang VS, Roche-Bender N (1980) Bioactive LH: a test to discriminate true precocious puberty from premature thelarche and adrenarche. J Pediatr 97:214–216
Małecka-Tendera E, Trzciąkowska A, Muchacka M (1996) Early and late onset premature thelarche are different pathological entities (abstract). Horm Res 46 [Supp 2]:111
Pescovitz OH, Hench KD, Barnes KM, Loriaux DL, Cutler GB (1988) Premature thelarche and precocious puberty: the relationship between clinical presentation and the gonadotropin response to luteinizing hormone-releasing hormone. J Clin Endocrinol Metab 67:474–479
Reiter EO, Root AW, Duckett GE (1976) The response of pituitary go-nadotropes to a constant infusion of luteinizing hormone-releasing hormone (LHRH) in normal prepubertal and pu-bertal children and in children with abnormalities of sexual development. J Clin Endocrinol Metab 43:400–411
Rosenfeld RL, Perovic N, Ehrmann DA, Barnes RB (1996) Acute hormonal response to the gonadotropin releasing hormone agonist leuprolide: dose-response studies and comparison to nafarelin — a clinical research center study. J Clin Endocrinol Metab 81: 3408–3411
Venturoli S, Porcu E, Fabbri R, Pluchinotta V, Ruggerl S, Marcrelli S, Paradisi R, Flamingi C (1995) Longitudinal change of sonographic ovarian aspects and endocrine parameters in irregular cycles of adolescence. Pediatr Res 38:974–980
White D, Leigh A, Wilson C, Donaldson A, Franks S (1995) Gonadotropin and gonadal steroid response to a single dose of long-acting agonist of go-nadotropin-releasing hormone in ovulatory and anovulatory women with polycystic ovary syndrome. Clin Endocrinol 42:475–481
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Małecka-Tendera, E., Januszek-Trzciąkowska, A., Muchacka-Bianga, M. et al. Acute gonadotropin response to the gonadotropin releasing hormone agonist (decapeptyl) in girls with pubertal pathology. Ann Diagn Paed Pathol 2, 9–12 (1998). https://doi.org/10.1007/s100570050002
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DOI: https://doi.org/10.1007/s100570050002