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Biomedical subjects

U Abdulla

Publications and source records attributed to U Abdulla.

16 recordsLinked to original sources

The effect of clomiphene citrate treatment on cervical mucus and plasma estradiol and progesterone levels.

OBJECTIVES: To study the relationship between cervical mucus (CM) quality, postcoital test (PCT) results and plasma estradiol (E2) in clomiphene citrate (CC)-treated women. A subsidiary aim was to study the relationship between CM quality and plasma progesterone (P). DESIGN: Untreated women were compared with oligo-ovulatory patients given CC. SETTING: Infertility Clinic, Fazakerley Hospital, United Kingdom. PATIENTS, PARTICIPANTS: Fifty-one untreated patients and 31 women given CC. INTERVENTIONS: The treated women were given 50 mg/d CC from days 2 to 6 of their cycle. MAIN OUTCOME MEASURES: A CM assessment, a PCT, plasma E2, and P were performed at the anticipated time of ovulation based on at least two previous basal body temperature charts and menstrual patterns. RESULTS: In untreated women there was a very strong tendency for CM quality to improve with rising plasma E2 levels and to worsen with rising plasma P levels. There was a significant association between CM quality and PCT results. Similar results were found in CC-treated women, except that plasma E2 was very significantly higher and there was a significant inverse relationship between plasma E2 and CM quality. CONCLUSION: High plasma E2 in the periovulatory phase in CC-treated women is a marker for increased sensitivity to and continuing action of the antiestrogen. This impairs the quality of the CM.

Cervix Mucus↗

Plasma progesterone levels as an index of ovulation.

Plasma progesterone levels were measured in three groups of untreated women. (1) Nine women with follicle rupture, proved by laparotomy or laparoscopy, had values of greater than or equal to 40 nmol/l on days 18-24 (days-10- -5 from the next period); thus a value of less than 40 nmol/l should not be taken as evidence of ovulation. (2) Nineteen healthy women with normal menstrual histories had hormone assays on alternate days during one cycle. In five of them all values were less than 38 nmol/l. (3) Forty women had a single progesterone assay on days 20-29 of a conceptual cycle. Eight of them had a level less than 40 nmol/l. Ovulation had certainly occurred in all of them, but it is difficult to assess whether the sample timing was optimal since there was no following menstrual period. Progesterone levels in drug-induced conceptual cycles were in general higher than those in spontaneous pregnancy cycles. Women with luteinization of the unruptured follicle frequently had values of greater than 40 nmol/l. Conversely, a secretory endometrium was not uncommon in cycles with values of less than 38 nmol/l.

Adult↗

Study of chromosomes in the newborn after ultrasonic fetal heart monitoring in labour.

The effect of continuous-wave ultrasound on the chromosomes of newborn infants has been investigated. Twenty-four women were studied during labour. The fetal heart was monitored by a Sonicaid FM2 monitor applied to the abdomen, and continuous monitoring undertaken for intervals varying from 1 hour 5 minutes to 9 hours 25 minutes. There was no increase in the number of chromosome aberrations in cultures of blood taken from the insonated babies when compared with controls.

Chromosome Aberrations↗

Effect of ultrasound on chromosomes of lymphocyte cultures.

In-vitro experiments have been undertaken to assess the effect of ultrasound at diagnostic and therapeutic levels on chromosomes of human lymphocyte cultures. The frequency used was about 2 MHz. The intensity was that of diagnostic level, 23 mW/cm(2), which was increased stepwise to 3.5 W/cm(2). The time of exposure varied from two to eight hours. No difference could be detected between the numbers of cells with aberrations in the insonated and control cultures, but aggregation of red cells was observed at high intensities.

Cell Aggregation↗

Chromosome breakage and ultrasound.

Human lymphocyte cultures were examined for chromosome damage after exposure to ultrasound. Control and treated slides were scored "blind" and showed no evidence of damage due to ultrasound. Neither was there evidence of chromosome damage in blood cultures from six infants whose mothers had ultrasound during pregnancy when compared with that from six infants whose mothers had not. Our results suggest that if diagnostic ultrasound causes chromosome damage it does so with less frequency than acceptable levels of diagnostic x-irradiation.

Adult↗