Skip to main content
Log in

Prolactin pulsatility in polycystic ovarian disease

  • Comment
  • Published:
Journal of Endocrinological Investigation Aims and scope Submit manuscript

Abstract

Secretion patterns of LH and prolactin were studied in 5 nonobese (group A) and 7 obese (group B) women with polycystic ovaries (PCO) by taking blood samples at 15-min intervals for 6 h. Serum LH level showed a distinct pulsatility in all patients. There was no significant difference in the mean pulse rate of LH between group A (6.2 ± 0.45, mean + SE) and group V (5.8 + 0.24). A pulsatile secretion pattern in prolactin was also found in 11 of the 12 PCO patients studied, the pulse rate being 3.2 ± 1.0 in group A and 3.9 ± 0.45 in group B. 79% of prolactin pulses coincided with those of LH but their amplitude was significantly lower than that of LH. In the total group of PCO patients a positive correlation was found between the serum concentrations of prolactin and free estradiol (r = 0.85), and prolactin and estrone (r = 0.78) indicating that estrogens participate in the regulation of prolactin secretion in polycystic ovarian disease. Four patients showed a steep decrease in the plasma prolactin level at the beginning of the study period suggesting a sensitive stress response.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Rebar R., Judd H.L., Yen S.S.C., Rakoff J., Vandenberg G., Naftolin F. Characterization of the inappropriate gonadotropin secretion in polycystic ovary syndrome. J.Clin. Invest. 57: 1320, 1976.

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  2. Lobo RA, Granger L., Goebelsmann U., Mishell D.R. Elevations in unbound serum estradiol as possible mechanism for inappropriate gonadotropin secretion in women with PCO. J. Clin. Endocrinol. Metab. 52: 156, 1981.

    Article  PubMed  CAS  Google Scholar 

  3. Falaschi P, Del Pozo E, Rocco A., Toscano V, Petrange-li E., Pompei P., Frajese G. Prolactin release in polycystic ovary. Obstet. Gynecol. 55: 579, 1980.

    PubMed  CAS  Google Scholar 

  4. Vermeulen A., Stoica T., Verdonck L. The apparent free testosterone concentration. An index of androgenicity. J. Clin. Endocrinol. Metab. 33: 759, 1971.

    Article  PubMed  CAS  Google Scholar 

  5. Yen S.S.C. The polycystic ovary syndrome. Clin. Endocrinol. (Oxf.) 12: 177, 1980.

    Article  CAS  Google Scholar 

  6. Corenblum V., Taylor P.J. The hyperprolactinemic polycystic ovary syndrome may not be a distinct entity. Fertil. Steril. 38: 549, 1982.

    PubMed  CAS  Google Scholar 

  7. Quigley M.E., Rakoff J.S., Yen S.S.C. Increased luteinizing hormone sensitivity to dopamine inhibition in polycystic ovarian disease. J. Clin. Endocrinol. Metab. 52: 231, 1981.

    Article  PubMed  CAS  Google Scholar 

  8. Bäckström C.T., McNeilly A.S., Leask R.M., Baird D.T. Pulsatile secretion of LH, FSH, prolactin, oestradiol and progesterone during the human menstrual cycle. Clin. Endocrinol. (Oxf.) 17: 29, 1982.

    Article  Google Scholar 

  9. Aksel S. On the correlation of luteinizing hormone-releasing hormone, luteinizing hormone, and prolactin levels in plasma of women with normal menstrual cycles. Am. J. Obstet. Gynecol. 141: 362, 1981.

    PubMed  CAS  Google Scholar 

  10. Cetel N.S., Yen S.S.C. Concomitant pulsatile release of prolactin and luteinizing hormone in hypogonadal women. J. Clin. Endocrinol. Metab. 56: 1313, 1983.

    Article  PubMed  CAS  Google Scholar 

  11. Libermann M.E., Maurer R.A., Gorski J. Estrogen control of prolactin synthesis in vitro. Proc. Natl. Acad. Sci. USA 75: 5946, 1983.

    Article  Google Scholar 

  12. D’Agata R., Gulizia S., Vicari E., Aliffi A., Polosa P. Effect of androgens on prolactin (PRL) release in humans. Acta Endocrinol. (Kbh.) 90: 409, 1979

    Google Scholar 

  13. Adler R.A., Noel G.L, Wartofsky L., Frantz A.G. Failure of oral water loading and intravenous hypotonic saline to depress plasma prolactin in man. J. Clin. Endocrinol. Metab. 41: 383, 1975.

    Article  PubMed  CAS  Google Scholar 

  14. Moult P.J.A., Dacie J.E., Rees LH., Besser G.M. Prolactin pulsatility in patients with gonadal dysfunction. Clin. Endocrinol. (Oxf.) 14: 387, 1981.

    Article  CAS  Google Scholar 

  15. Lorenzo E.M. Familial study of hirsutism J. Clin. Endocrinol. Metab. 31: 556, 1970.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Laatikainen, T., Tulenheimo, A. Prolactin pulsatility in polycystic ovarian disease. J Endocrinol Invest 8, 157–161 (1985). https://doi.org/10.1007/BF03350674

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03350674

Key-words

Navigation