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Biomedical subjects

J Botella-Llusiá

Publications and source records attributed to J Botella-Llusiá.

14 recordsLinked to original sources
PubMed1980

Testosterone and 17 beta-oestradiol secretion of the human ovary. I. normal young women, and premenopausal women with endometrial hyperplasia.

Testosterone and 17 beta-oestradiol were determined in blood obtained from the ovarian veins of 26 women, 16 of whom were young and regularly ovulating and menstruating, and 10 of whom were premenopausal with uterine bleedings and endometrial hyperplasia. The concentrations of these two hormones in the cubital veins of the premenopausal women were also determined. It was found that the concentrations of the two hormones were not significantly greater in the premenopausal women than in the control group of young normally ovulating and menstruating women in the periovulatory phase of the menstural cycle, but that the ovarian secretion rates of both hormones, particularly of testosterone, were considerably greater in the premenopausal women. In these women the concentrations of both hormones were significantly lower in the cubital veins than in the ovarian veins. The conclusion is that the augmented oestrogenic effect on the endometrium and on other target organs of premenopausal women with endometrial hyperplasia may be due not only to an increased ovarian secretion rate of estradiol, but also and more specifically to an increased ovarian secretion rate of testosterone, and to the rapid vonversion of this hormone into oestradiol in the periphery.

Adolescent↗
PubMed1980

Testosterone and 17 beta-oestradiol secretion of the human ovary. II. normal postmenopausal women, postmenopausal women with endometrial hyperplasia and postmenopausal women with adenocarcinoma of the endometrium.

A study of the concentration of testosterone and of 17 beta-estradiol in blood drawn from the ovarian and cutal veins of normal oestrogen-deficient postmenopausal women and of postmenopausal women with signs of oestrogen activity, and the subsequent computation of the ovarian production rates of these two hormones, show that in the latter group of women there is a high ovarian secretion of testosterone. The theory is advanced that this ovarian-secreted testosterone is rapidly converted into 17 beta-oestradiol, and that, by thus increasing the levels of circulating oestrogens, ovarian-secreted testosterone contributes, albeit indirectly, to endometrial hyperplasia and possibly to endometrial carcinoma.

Adenocarcinoma↗
PubMed1978

Clinical studies with d-Trp 6-luteinizing hormone-releasing hormone in anovulatory women.

Nine anovulatory patients with hypothalamic-pituitary dysfunction were treated with d-Trp6-luteinizing hormone-releasing hormone, an analog with far greater gonadotropin-releasing activity than luteinizing hormone-releasing hormone. Four of eight patients, who were formerly unsuccessfully treated with clomiphene, human chorionic gonadotropin, and human menopausal gonadotropin, ovulated after treatment with the peptide alone or with peptide preceded by clomiphene, and three became pregnant. The ninth patient, who had amenorrhea and anovulation due to excessive loss of weight caused by anorexia nervosa, also ovulated after treatment with the analog. These results demonstrate the effectiveness of this potent analog for induction of ovulation and pregnancy and point favorably toward clinical applications.

Adult↗
PubMed1978

[Biological parameters of virilism in women].

Comparative results of the suppression-stimulation test by dexamethasone and chorionic gonadotropin, chromatographic separation of 17-ketosteroids, and plasma testosterone levels in the ovarian and adrenal veins, in cases of virilism in women. Thirteen patients with hirsutism and virilization were investigated as follows: 1. measurement of plasma testosterone (T) levels by radioimmunoassay (RIA) during suppression-stimulation tests by the administration of Dexamethasone (DXM) and chorionic Gonadotropin (HCG). 2. chromatographic determination of urinary 17-ketosteroids, pregnanediol (P2), and pregnanetriol (P3). An attempt was made to classify virilism as "ovarian" or "adrenal" based on the results of 1. and 2. 3. bilateral ovarian and adrenal venous catheterization through the femoral vein to measure T (RIA) levels. 4. laparotomy with bilateral wedge resections of the ovaries for therapeutic and biopsy purposes. Surgical catheterization of the ovarian veins was carried out during the operation. The results of these tests show that: a) the dynamic DXM-HCG test can be used to separate those cases in which the ovary is not involved in T formation from those in which, apparently, it is involved. b) chromatographic determination of urinary steroids has no aetiological value, as the variations in the different fractions are not significant. c) in all patients, the principal source of T is the adrenals and not the ovaries, even when there is an increase in T in the ovarian efferent blood vessels.

Adrenal Glands↗
PubMed1977

Trial of a new analogue of LH-RH in normal subjects and in cases of anovulatory sterility.

A new and potent analogue of luteinizing hormone releasing-hormone (LH-RH), the des-gly-6-D-trypt-LH-RH which was synthesized in 1975 by Schally and his group, was assessed in normal volunteers, both men and women and in six cases of anovulatory sterility. The new substance seems to be one of the most active FSH and LH releasing factors. Its effect is stronger in the female than in the male, acting more actively on LH than FSH release. The magnitude of the effect is greater not only in amount but also in time, the levels of gonadotrophins after the injection being higher and remaining much longer. This last property, makes the new substance specially suitable for the treatment of anovulatory sterility. Of six sterile women, one ovulated and two became pregnant.

Adolescent↗
PubMed1975

The pituitary reserve in FSH and LH in amenorrheic and anovulatory women.

The pituitary gonadotropic response of FSH and LH "reserve" was studied in ten normal women, twelve amenorrheic and two impuberal patients, as compared with six sterile women with anovulatory cycles. The method as the intravenous injection of 100 microgrs. of synthetic porcine LH-RH followed by the radioimmunologic estimation of FSH and LH in plasms, before and after 15, 30, 45, 60, 90 and 120 minutes. This method allows an accurate estimation of the capacity of the adenohypophysis to release gonadotropins, the so called gonadotropic reserve. There are observed four types fo gonadotropic response to the LH-RH injection. Anovulatory sterile women and prepuberal girls have a very similar pattern with normal or very decreased FSH reserve and marked diminution in LH levels. Primary amenorrhea due to ovarian failure presents basal high values of both gonadotropins and increased response to the LH-RH stimulation. In primary amenorrhea without ovarian failure and in secondary amenorrhea, the LH patterns were normal, but in some cases a slight decrease in the FSH curve was observed. The method is regarded as very useful in the diagnosipothalumus-Pituitary-Ovary) Axis.

Adolescent↗