Association between endometriosis and hyperprolactinemia in infertile women.

Seddigheh Esmaeilzadeh, Parvaneh Mirabi, Zahra Basirat, Mahtab Zeinalzadeh, Soraya Khafri
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Abstract

Background: The association of endometriosis with hyperprolactinemia is controversial.

Objective: The present study aimed to determine the frequency of endometriosis and association of prolactin with endometriosis in infertile women.

Materials and methods: 256 infertile women who underwent diagnostic laparoscopy for the evaluation of infertility, referred to Fatemezahra Infertility and Reproductive Health Research Center were included in a cross-sectional study. The presence of endometriosis was evaluated. To investigate the association of endometriosis with hyperprolactinemia, the patients whose infertility was not caused by endometriosis were included as control group. Serum prolactin (PRL) level was measured in both groups. The comparison of basal serum PRL levels between the two groups was performed, using independent t-test. One way ANOVA was used to determine PRL association with endometriosis stages.

Results: The frequency of endometriosis was found to be 29%. PRL levels were significantly higher in endometriosis group compared to control group (23.02±1.25 vs. 17.22±1.22 respectively, p=0.004). Statistically significant associations were found between staging of endometriosis and prolactin levels (p=0.01).

Conclusion: Hyperprolactinemia may be associated with endometriosis and its progression.

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不孕妇女子宫内膜异位症与高泌乳素血症之间的关系。
背景:子宫内膜异位症与高泌乳素血症的关系是有争议的。目的:本研究旨在确定不孕妇女子宫内膜异位症的发生率及催乳素与子宫内膜异位症的关系。材料和方法:256名在Fatemezahra不孕症和生殖健康研究中心接受诊断性腹腔镜检查的不孕症妇女被纳入一项横断面研究。评估子宫内膜异位症的存在。为了探讨子宫内膜异位症与高泌乳素血症的关系,将非子宫内膜异位症引起的不孕患者作为对照组。测定两组血清泌乳素(PRL)水平。比较两组患者基础血清PRL水平,采用独立t检验。单因素方差分析用于确定PRL与子宫内膜异位症分期的关系。结果:子宫内膜异位症发生率为29%。子宫内膜异位症组PRL水平明显高于对照组(分别为23.02±1.25∶17.22±1.22,p=0.004)。子宫内膜异位症分期与催乳素水平有统计学意义(p=0.01)。结论:高催乳素血症可能与子宫内膜异位症及其进展有关。
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发文量
93
审稿时长
6-12 weeks
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