ENDOCRINE EVENTS AND LIFE STAGES OF WOMEN

Authors

  • Mir Hassan Khan
  • Jahangir A. Khan
  • Mohammad Idrees

Abstract

The sex of every baby is determined at the time ofconception1. If a "Y" carrying sperm fertilizes anovum, the sex of the developing fetus will be male. Ifthe ovum is fertilized by a sperm carrying Xchromosome, the result will be a female embryo. Oneach side of the embryo, a primitive gonad arises fromthe genital ridge2. The gonad develops a cortex and amedulla. Until the sixth week of development, thesestructures are identical in both sexes. In case of XYchromosomes, the medulla develops into a testisduring the 7-8 weeks and the cortex regresses1. Leydigcells appear next and small amount of testosterone issecreted for growing male sex organs of fetus2. Whilein case of XX chromosomes, the cortex develops intoan ovary and the medulla regresses. The embryonicovary does not secrete hormones. Each of theembryonic ovaries is initially populated by about 1000to 2000 primordial germ cells which through rapidproliferation give rise in each ovary to about threemillion oocytes1. This number of oocyte is reducedthrough cell death to 1 million at birth and each ofthem is surrounded by a single layer of flattenedepithelial cells, granulosa cells. The ovum remainsinactive and is suspended in the prophase stage ofmeiotic division till puberty1. After puberty inresponse to GnRH from hypothalamic pituitary glandsproduce gonadotrophic hormones. The responsibilityof imprinting the fetal hypothalamus to produce a maleor female pattern of gonadotrophin release has beenascribed to testosterone

References

Guyton, A.C. Textbook of medical physiology. 8th

edition. WB Saunders company. Philadelphia, London.

; 885- 927.

Mishell. D.R., Davajan, V. & Lobo. R.A. Infertility,

contraception and reproductive endocrinology. Third

edition. Blackwell Scientific Publications. Oxford

London. 1994; 34- 46.

Grumbach, M.M., Kaplan, S.L. The

neuroendocrinology of human puberty: An autogenetic

perspective, in Grumbach MM, Sizonenko PC. Aubert

MC (Eds). Control of the onset of puberty. Baltimore.

Willioms and Wilkins, 1990; pp. 1- 68.

Faimon, C., Winter, J.S.P., Reyes, F.I. Pattern of

gonadotrophins and gonadal steroids throughout life.

Clin. Obstet. Gynaecol. 1976;3: 467-84.

Jabbar, F.A.B. and Wong, S.S. Menarcheal age,

marriage and reproduction among Saudi women.

Annals of Saudi Medicine. 1988; 8(6): 438-42.

Khan, M.H. Biochemical studies of progesterone in

pregnancy. Ph.D.(Biochemistry) thesis. Department of

chemistry. University of Peshawar, 1996.

MC-Nathy, K.P. Baird, D.T. & Olton, A. Concentration

of estrogens and androgens in human ovarian venous

plasma and follicular fluid throughout the menstrual

cycle. J. Endocrinal. 1976; 71: 7-85.

Dighe, K.K. & Hunter, W.M. A solid phase

radioimmunoassay for plasma progesterone. Biochem.

J. 1974; 143: 219-31.

Godfrey, K.A., Aspillaga, M.O., Taylor, A. & Lind, T.

The relation of circulating progesterone and oestradiol

concentrations to the onset of menstruation. Br. J.

Obstet. Gynaecol. 1981; 88: 899-903.

Daughaday, W.H. The adenohypophysis, in: Text book

of endocrinology, Williams, R.H.(ed.), W.B. Saunders

Co., London. 1981. PP.80-86.

Kletzky, O.A., Davajan, V. & Nakamura, R.M. Clinical

categorization of patients with secondary amenorrhea

using progesterone-induced uterine bleeding and

measurement of serum gonadotrophin levels. Am. J.

Obstet. Gynaecol. 1975; 121: 69.

Lenton, E.A., Neal, L.M. & Suleiman, R. Plasma

concentrations of HCG from the time of implantation

until the second week of pregnancy. Fertil. Steril. 1982;

: 773.

Braunstein, G.D., Rasor, J. & Alder, D. Serum HCG

levels throughout normal pregnancy. Am. J. Obstet.

Gynaecol. 1976; 126: 678.

Solomon, S. Formation and metabolism of neutral

steroids in the human placenta and fetus. J. Clin.

Endocrinol. Metab. 1966; 26: 762-72.

Landau. R.L. & Lugibihl, K. The effect of

progesterone on the concentration of plasma amino

acids in man. Metabolism. 1967: 16: 1114-22.

Tietz, N.W. Text book of clinical Chemistry. W.B.

Saunder Company. Philadelphia. London. 1986; pp

-1147.

Kuscu, E., Vicdan, K. & Turhan, N.O. et al. The

hormonal profile in ectopic pregnancies. J. Pak. Med.

Assoc. 1994; 44(2): 45-47.

Diezfalusy. E. Endocrine functions of the human fetus

and placenta. Am. J. Obstet. Gynaecol. 1974; 119: 419-

Ferre, F., Breuiller. M. & Tanguy. G. Steroid

concentrations and 3 beta hydroxy steroid

dehydrogenase activity in human placenta. Am. J.

Obstet. Gynaecol. 1980: 138 (5): 500-504.

Taylor, M.J., Webb, R., Mitchell, M.D. & Robinson,

J.S. Effect of progesterone withdrawal in sheep during

late pregnancy. J. Endocrinol. 1982: 92: 85-93.

Schmidt-Goldwitzer, M. & Saxena, B.B. Acta

endocrinological. 1975; 80: 262.

Biswas. S. & Rodeck, C.H. Plasma prolactin levels

during pregnancy. Br. J. Obstet. Gynaecol. 1976; 83:

-87.

Diaz. S. Cardenas, H. & Brandies. A. Endocrine profile

in the first month postpartum and the length of

lactational amenorrhea. J. Clin. Endocrinol. Metab.

; 68: 946-55.

Koninck. P.R., Trappeniers, H. & Vanassche, F.A.

Prolactin concentration in vaginal fluid. A new method

for diagnosing ruptured membranes. Br. J. of Obstet.

and Gynaecol. 1981: 88: 607-10.

Turbul, A.C. Pattern, P.T., Flint. A.P.E. & Keirrse.

M.J.N.C. Significant fall in progesterone and rise in

estradiol levels in human peripheral plasma before

onset of labour. Lancet. 1974; 1: 101.

Casey, M.L., Winkel, C.A. & Porter, J.C. et al.

Endocrine regulation of the initiation and maintenance

of parturition. Clin. Perinatal. 1983; 10: 709.

Liggins, G.C., Fairclough, R.J., Griews, S.A. &

Kendall, J.Z. The mechanisms of initiation of

parturition in the ewe. Recent Prog. Horm. Res. 1973;

: 111.

Kremer, J.A.M.. Thomas. C.M.G. & Rolland, R. Return

of gonadotrophic function in postpartum women during

bromocriptine treatment. Fertil. Steril. 1989; 51: 622.

Delvoye, P., Demaegd. M., Nyampeta, U. Serum

prolactin, gonadotrophin and estradiol in menstruating

and amenorrheic mothers during two years’ lactation.

Am. J. Obstet. Gynaecol. 1978; 130: 635.

Sassin, J.F., Frantz, A.G. Weitzman, E.G. & Kapen, S.

Serum prolactin 24-hour pattern. Science. 1972; 177:

Jaszmann, E.J.B. Epidemiology of the climacteric

syndrome, In Campbell, S. (ed): Management of the

menopause and postmenopausal years. Lancaster,

England, MTP Press. 1976; P.12.

Mary, C., Martin, M.D., Block, J.E. & Sarah, D.

Menopause without symptoms: The endocrinology of

menopause among rural Mayan Indians. Am. J. Obstet.

Gynecol. 1993; 168: 1839-45.

Sherman, B.M., West. J.H. & Korenmann, S.G. The

menopausal transition: Analysis of LH, FSH, estradiol

and progesterone concentrations during menstrual

cycles of older women. J. Clin. Endocrinol. Metab.

; 42: 629-36.

Erlik, Y., Tataryn, I.V. & Meldrum, D.R. Association

of waking episodes with menopausal hot flushes.

JAMA. 1981; 245: 1741.

Charles, A.G. Estrogen replacement after menopause.

When is warranted? Pak. Med. J. 1990; 15-17.

Missouri, S.L. Progestin replacement in the

menopause: Effects on the endometrium and serum

lipids. Current opinion in Obstetrics and Gynaecology.

; 6: 284-92

Most read articles by the same author(s)

1 2 > >>