Skip to main content

Menstrual Cycle: Some Uncertain Aspects

  • Chapter
The Endometrium
  • 49 Accesses

Abstract

For a long time endometrial biopsy was the only unbiased and precise parameter for clinical investigation of the human menstrual cycle. With the development of techniques to measure hormone concentrations in plasma, the earlier methodology was abandoned. Interest in this target tissue is again growing, but for different reasons. Because hormonal measurements indicate a momentary physiological value, whereas the endometrium reflects various stages of hormonal influence, sampling and histological examination of this tissue can demonstrate the normal correlated influences of hypophysial and ovarian hormones, or show a functional disorder of the hypothalamic-ovarian axis. New insights into the cellular and molecular physiology of the endometrium are probably necessary for understanding implantation mechanisms. This paper will be devoted to the effects of hormones on the endometrium. Rather than a sempiternal report on the known physiological aspects of the menstrual cycle, we will focus on the unknown aspects of synchronized events that control human reproduction. It does not seem useful to describe the concentrations of the different hypophysial and ovarian hormones or necessary to relate the feedback system or the hormonal mode of action at the cellular level.

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Auletta, F.J., Agins, H., and Scommegna, A., 1978, Prostaglandin F mediation of the inhibitory effect of estrogen on the corpus luteum of the rhesus monkey, Endocrinology, 103:1183.

    Article  PubMed  CAS  Google Scholar 

  • Barraclough, C.A., 1979, Central nervous regulation of the preovulatory release of FSH and LH from the pituitary gland, in: “Human Ovulation,” E.S.E. Hafez, ed., North Holland Publishing Co., Amsterdam, p. 101.

    Google Scholar 

  • Batta, S.K., Wentz, A.C., and Channing, C.P., 1980, Steroidogenesis by human ovarian cell types in culture: influence of mixing of cell types and effect of added testosterone, J. Clin. Endocrinol. Metab., 50:274.

    Article  PubMed  CAS  Google Scholar 

  • Behrman, H.R., Luborsky-Moore, J.L., Pang, C.Y., Wright, K., and Dorflinger, L.J., 1979, Mechanisms of PGF2α action in functional luteolysis, Adv. Exp. Med. Biol., 112:557.

    PubMed  CAS  Google Scholar 

  • Ben-Jonathan, N., Oliver, C., Weiner, H.J., Mical, R.S., and Porter, J.C., 1977, Dopamine in hypophysial portal plasma of the rat during the estrous cycle and throughout pregnancy, Endocrinology, 100:452.

    Article  PubMed  CAS  Google Scholar 

  • Bjersing, L., 1979, Intraovarian mechanisms of ovulation, in: “Human Ovulation,” E.S.E. Hafez, ed., North Holland Publishing Co., Amsterdam, p. 149.

    Google Scholar 

  • Bogdanove, E.M., 1963, Direct gonad-pituitary feedback: an analysis of effects of intracranial estrogenic depots on gonadotropin secretion, Endocrinology, 73:696.

    Article  PubMed  CAS  Google Scholar 

  • Boyd, A.E., and Reichlin, S., 1978, Neural control of prolactin secretion in man, Psychoneuroendocrinology, 3:113.

    Article  PubMed  CAS  Google Scholar 

  • Bruni, J.F., Van Vugt, D., Marshall, S., and Meites, J., 1977, Effects of naloxone, morphine and methionine-enkephalin on serum prolactin, luteinizing hormone, follicle stimulating hormone, thyroid stimulating hormone and growth hormone, Life Sci., 21:461.

    Article  PubMed  CAS  Google Scholar 

  • Carguille, C.M., Vaitukaitis, J.L., Bermudez, J.A., and Ross, G.T., 1973, A differential effect of ethinyloestradiol upon plasma FSH and LH relating to time of administration in the menstrual cycle, J . Clin. Endocrinol., 36:87, 1973.

    Article  Google Scholar 

  • Catt, K.J., Harwood, J.P., Richert, N.D., Conn, P.M., Conti, M., and Dufau, M.L., 1979, Luteal desensitization: hormonal regulation of LH receptors, adenylate cyclase and steroidogenic responses in the luteal cell, Adv. Exp. Med. Biol., 112:647.

    PubMed  CAS  Google Scholar 

  • Channing, C.P., 1979, Follicular nonsteroidal regulators, Adv. Exp. Med. Biol., 112:327.

    PubMed  CAS  Google Scholar 

  • Channing, C.P., Anderson, L.D., and Batta, S.T., 1978, Follicular growth and development, Clin. Obstet. Gynecol., 5:375.

    CAS  Google Scholar 

  • Corenblum, B., Pairaudeau, N., and Shewshuk, A.B., 1976, Prolactin hypersecretion and short luteal defects, Obstet. Gynecol., 4:486.

    Google Scholar 

  • Crowley, W.F., and McArthur, J.W., 1980, Stimulation of the normal menstrual cycle in Kallman’s syndrome by pulsatile administration of LHRH, J. Clin. Endocrinol. Metab., 5:173.

    Article  Google Scholar 

  • Del Pozo, E., Wyss, H., Tolis, G., Alcaniz, J., Campana, A., and Naftolin, F., 1979, Prolactin and deficient luteal function, Obstet. Gynecol., 53:282.

    PubMed  Google Scholar 

  • Dimino, H.J., Elfont, E.A., and Berman, S.K., 1979, Changes in ovarian mitochondria: early indicators of follicular luteinization, Adv. Exp. Med. Biol., 112:505.

    PubMed  CAS  Google Scholar 

  • di Zerega, G.S., and Hodgen, G.D., 1980a, The primate ovarian cycle: suppression of human menopausal gonadotropin-induced follicular growth in the presence of the dominant follicle, J. Clin. Endocrinol. Metab., 50:819.

    Article  Google Scholar 

  • di Zerega, G.S., and Hodgen, G.D., 1980b, Cessation of folliculo-genesis during the primate luteal phase, J. Clin. Endocrinol. Metab., 51:158.

    Article  Google Scholar 

  • di Zerega, G.S., Nixon, W.E., and Hodgen, G.D., 1980, Intercycle serum FSH elevations: significance in recruitment and selection of the dominant follicle and assessment of corpus luteum normalcy, J. Clin. Endocrinol. Metab., 50:1046.

    Article  Google Scholar 

  • Evans, W.S., Rogol, A.D., MacCod, R.M., and Thorner, M.O., 1980, Dopaminergic mechanisms and LH secretion. I. Acute administration of the dopamine agonist bromocryptine does not inhibit LH release in hyperprolactinemic women, J. Clin. Endocrinol. Metab., 50:103.

    Article  PubMed  CAS  Google Scholar 

  • Fuxe, K., Löfsröm, A., Hokfelt, T., Ferland, L., Andersson, K., Agnati, L., Eneroth, P., Gustafsson, J.P., and Skett, P., 1978, Influence of central catecholamines on LHRH-containing pathways, Clin. Obstet. Gynecol., 5:251.

    CAS  Google Scholar 

  • Gautray, J.P., Jolivet, A., Robyn, C., Colin, M.C., and Eberhard, A., 1977, Investigation neuroendocrinienne de la phase folliculaire, au cours de cycles spontanes et après stimulation oestrogènique, Ann. Endocrinol. (Paris), 38:371.

    CAS  Google Scholar 

  • Genazzini, A.R., Camanni, F., Massara, F., Picciolini, E., Cocchi, D., Belforte, L., and Müller, E.E., 1980, A new pharmacological approach to the diagnosis of hyperprolactinemic states: the nomifensine test, Acta Endocrinol., 93:139.

    Google Scholar 

  • Hanker, J.P., and Schneider, H.P.G., 1980, Pulsatile LH-RH substitution in hypothalamic amenorrhea, Acta Endocrinol., [Suppl.]234:74.

    Google Scholar 

  • Hillier, S.G., van den Boogaard, A.M.J., Reichert, L.E., and van Hall, E.V., 1980, Intraovarian sex steroid hormone interactions and the regulation of follicular maturation: aroma-tization of androgens by human granulosa cells in vitro, J. Clin. Endocrinol. Metab., 50:640.

    Article  PubMed  CAS  Google Scholar 

  • Hoff, J.D., Lasley, B.L., Wang, E.F., and Yen, S.S.C., 1977, The two pools of pituitary gonadotropin: regulation of the menstrual cycle, J. Clin. Endocrinol. Metab., 44:302.

    Article  PubMed  CAS  Google Scholar 

  • Jaffe, R.B., and Keye, W.R., 1974, Estradiol augmentation of pituitary responsiveness to gonadotropin releasing hormone in women, J. Clin. Endocrinol. Metab., 39:850.

    Article  PubMed  CAS  Google Scholar 

  • Judd, S.J., Rakoff, J.S., and Yen, S.S.C., 1978, Inhibition of gonadotropin and prolactin release by dopamine: effect of endogenous estradiol levels, J. Clin. Endocrinol. Metab., 47:494.

    Article  PubMed  CAS  Google Scholar 

  • Knobil, E., 1974, On the control of gonadotropin secretion in the rhesus monkey, Recent Progr. Horm. Res., 30:1.

    PubMed  CAS  Google Scholar 

  • Knobil, E., 1980a, The neural control of the menstrual cycle, Acta Endocrinol., [Suppl.]234:154.

    Google Scholar 

  • Knobil, E., 1980b, The role of signal pattern in the hypothalamic control of gonadotropin secretion, in: “Rythmes et Reproduction,” Masson et Cie, Paris, p. 73.

    Google Scholar 

  • Knobil, E., Plant, T.M., Wildt, L., Belchetz, P.E., and Marshall, G., 1980, Control of the rhesus monkey menstrual cycle: permissive role of hypothalamic gonadotropin-releasing hormone, Science, 207:1371.

    PubMed  CAS  Google Scholar 

  • Krey, L.C., Butler, W.R., and Knobil, E., 1975, Surgical disconnection of the medial basal hypothalamus and pituitary function in the rhesus monkey. I. Gonadotropin secretion, Endocrinology, 96:1073.

    Article  PubMed  CAS  Google Scholar 

  • Lachelin, G.C.L., Leblanc, H., and Yen, S.S.C., 1977, The inhibitory effect of dopamine agonists on LH release in women, J. Clin. Endocrinol. Metab., 44:728.

    Article  PubMed  CAS  Google Scholar 

  • Leyendecker, G., Struve, T., Nocke, W., and Hansmann, M., 1980, The permissive role of Gn-RH in the regulation of the human menstrual cycle. Pathophysiologic aspects and therapeutic consequences, Acta Endocrinol., [Suppl.]234:157.

    Google Scholar 

  • Leblanc, H., Lachelin, G.C.L., Abu-Fadil, S., and Yen, S.S.C., 1976, Effect of dopamine infusion on pituitary hormone secretion in humans, J. Clin. Endocrinol. Metab., 43:688.

    Article  Google Scholar 

  • Lindner, H.R., 1979, Mechanism and significance of luteal desensitization, Adv. Exp. Med. Biol., 112:703.

    PubMed  CAS  Google Scholar 

  • Louvet, J.P., Harman, S.M., Schreiber, J.R., and Ross, G.T., 1975, Evidence for a role of androgens in follicular maturation, Endocrinology, 97:366.

    Article  PubMed  CAS  Google Scholar 

  • McNatty, K.P., 1979a, Follicular determinants of corpus luteum function in the human ovary, Adv. Exp. Med. Biol., 112:465.

    CAS  Google Scholar 

  • McNatty, K.P., 1979b, Relationship between plasma prolactin and the endocrine microenvironment of the developing human antral follicle, Fertil. Steril., 32:433.

    CAS  Google Scholar 

  • McNeilly, A.S., and Chard, T., 1974, Circulating levels of prolactin during the menstrual cycle, Clin. Endocrinol., 3:105.

    Article  CAS  Google Scholar 

  • Meites, J., Bruni, J.F., Van Vugt, D.A., and Smith, A.F., 1979, Relation of endogenous opioid peptides and morphine to neuroendocrine functions, Life Sci., 24:1337.

    Article  Google Scholar 

  • Modlinger, R.S., Schonmuller, J.M., and Arora, S.P., 1980, Adeno-corticotropin release by tryptophan in man, J. Clin. Endocrinol. Metab., 50:360.

    Article  PubMed  CAS  Google Scholar 

  • Morley, J.E., Baranetsky, N.G., Wingert, T.D., Carlson, H.E., Hershman, J.M., Melmed, S., Levin, S.R., Jamison, K.R., Weitzman, R., Chang, R.J., and Varner, A.A., 1980, Endocrine effects of naloxone-induced opiate receptor blockade, J. Clin. Endocrinol. Metab., 50:251.

    Article  PubMed  CAS  Google Scholar 

  • Muhlenstedt, D., Bonnet, H.G., Hanker, J.P., and Schneider, H.P.G., 1978, Short luteal phase and prolactin, Int. J. Fertil., 23:213.

    PubMed  CAS  Google Scholar 

  • Nathan, R.S., Tabrizi, M.A., Halpern, F.S., and Sachar, E.J., 1980, Effect of cyproheptadine and atropine on the diurnal PRL responses to insulin induced hypoglycemia in normal man, J. Clin. Endocrinol. Metab., 51:90.

    Article  PubMed  CAS  Google Scholar 

  • Niswender, G.D., Menon, K.M.J., and Jaffe, R.B., 1972, Regulation of the corpus luteum during the menstrual cycle and early pregnancy, Fertil. Steril., 23:432.

    PubMed  CAS  Google Scholar 

  • Ondo, J.G., 1974, Gamma-aminobutyric acid effects on pituitary gonadotropin secretion, Science, 186:738.

    Article  PubMed  CAS  Google Scholar 

  • Peillon, F., Vincens, M., Cesselin, F., Doumita, R., and Mowszowicz, I., 1979, Cycles anovulatoires avec normoprolactinemie apparente. Traitment par bromocryptine, Nouv. Press Med., 8/40:3269.

    Google Scholar 

  • Powell, W.S., Hammarström, S., and Samuelson, B., 1974, Prostaglandin F receptor in human corpus luteum, Lancet, 1:1120.

    Article  PubMed  CAS  Google Scholar 

  • Quigley, M.E., and Yen, S.S.C., 1980, The role of endogenous opiates on LH secretion during the menstrual cycle, J. Clin. Endocrinol. Metab., 51:1979.

    Article  Google Scholar 

  • Ross, G.T., and Hillier, S.G., 1978, Luteal maturation and luteal phase defect, Clin. Obstet. Gynecol., 5:391.

    CAS  Google Scholar 

  • Seimanoff, M.K., Pramik-Holdaway, M.J., and Weiner, R.I., 1976, Concentration of dopamine and norepinephrine in discrete hypothalamic nuclei during the rat estrous cycle, Endocrinology, 99:326.

    Article  Google Scholar 

  • Seppala, M., Hirvonen, E., and Rauta, T., 1976, Hyperprolactinemia and luteal insufficiency, Lancet, 1:229.

    Article  PubMed  CAS  Google Scholar 

  • Shaar, C.J., Frederickson, R.C.A., Dininger, N.B., and Jackson, L., 1977, Enkephalin analogues and naloxone modulate the release of GH and PRL. Evidence for regulation by an endogenous opioid peptide in brain, Life Sci., 21:853.

    Article  PubMed  CAS  Google Scholar 

  • Shemesh, M., and Hansel, W., 1975, Stimulation of prostaglandin synthesis in bovine ovarian tissues by arachidonic acid and LH, Biol. Reprod., 13:448.

    Article  PubMed  CAS  Google Scholar 

  • Singh, E.J., Baccarini, I.M., and Zuspan, F.P., 1975, Levels of prostaglandins F2α and E2 in human endometrium during the menstrual cycle, Am. J. Obstet. Gynecol., 121:1003.

    PubMed  CAS  Google Scholar 

  • Takahara, J., Yunoki, S., Yakushiji, W., Yamauchi, J., Yamane, Y., and Ofuji, T., 1977, Stimulatory effects of Gamma-hydroxy-butyric acid on growth hormone and prolactin release in humans, J. Clin. Endocrinol. Metab., 44:1014.

    Article  PubMed  CAS  Google Scholar 

  • Thibault, C., and Levasseur, M.C., 1979, La Fonction Ovarienne Chez les Mammifères,” Masson et Cie, Paris.

    Google Scholar 

  • Tyson, J.E., and Pinto, H., 1978, Identification of the possible significance of prolactin in human reproduction, Clin. Obstet. Gynecol., 5:411.

    CAS  Google Scholar 

  • Vande Wiele, R.L., and Turksoy, R.N., 1965, Treatment of amenorrhea and of anovulation with human menopausal and chorionic gonadotropins, J. Clin. Endocrinol. Metab., 25:369.

    Article  Google Scholar 

  • Van Loon, G.R., Ho D., and Kim, C., 1980, Beta-endorphin-induced decrease in hypothalamic dopamine turnover, Endocrinology, 106:76.

    Article  PubMed  Google Scholar 

  • Vekemans, M., Delvoye, P., L’Hermite, M., and Robyn, C., 1977, Serum prolactin levels during the menstrual cycle, J. Clin. Endocrinol. Metab., 44:1222.

    Article  Google Scholar 

  • Wang, C.F., Lasley, B.L., Lein, A., and Yen, S.S.C., 1976, The functional changes of pituitary gonadotrophs during the menstrual cycle, J. Clin. Endocrinol. Metab., 42:718.

    Article  PubMed  CAS  Google Scholar 

  • Westwerdt, W., Müller, O., Brandau, H., 1979, Structural analysis of granulosa cells from human ovaries in correlation with function, Adv. Exp. Med. Biol., 112:123.

    Google Scholar 

  • Wildt, L., Marshall, G., and Knobil, E., 1980, Experimental induction of puberty in the infantile female rhesus monkey, Science, 207:1373.

    PubMed  CAS  Google Scholar 

  • Yen, S.S.C., 1978, The human menstrual cycle (Integrative function of the hypothalamic-pituitary-ovarian-endometrial axis), in: “Reproductive Endocrinology,” S.S.C. Yen and R.B. Jaffe, ed., W.B. Saunders Co., Philadelphia, p. 126.

    Google Scholar 

  • Yen, S.S.C., and Lein, A., 1976, The apparent paradox of the negative and positive feedback control system on gonadotropin secretion, Am. J. Obstet. Gynecol. 126:942.

    PubMed  CAS  Google Scholar 

  • Yen, S.S.C., and Tsai, C.C., 1972, Acute gonadotropin release induced by exogenous estradiol during the midfollicular phase of the menstrual cycle, J. Clin. Endocrinol. Metab., 34:298.

    Article  PubMed  CAS  Google Scholar 

  • Yen, S.S.C., VandenBerg, G., Rebar, R., and Ehara, Y., 1972, Variation of pituitary responsiveness to synthetic LRF during different phases of the menstrual cycle, J. Clin. Endocrinol. Metab., 35:931.

    Article  PubMed  CAS  Google Scholar 

  • Young, J.R., and Jaffe, R.B., 1976, Strength duration characteristics of estrogen effects on gonadotropin response to gonadotropin releasing hormone in women. II. Effects of varying concentrations of estradiol, J. Clin. Endocrinol. Metab., 42:432.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1981 Plenum Press, New York

About this chapter

Cite this chapter

Gautray, J.P. (1981). Menstrual Cycle: Some Uncertain Aspects. In: de Brux, J., Mortel, R., Gautray, J.P. (eds) The Endometrium. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-3977-9_1

Download citation

  • DOI: https://doi.org/10.1007/978-1-4684-3977-9_1

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4684-3979-3

  • Online ISBN: 978-1-4684-3977-9

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics