AIM: To examine the long term effect of bone marrow transplantation (BMT) on ovarian function in girls. METHODS: Eighteen girls who underwent BMT before menarche, had been disease free for more than six years, and were over 14 years of age at the time of study were investigated. The preparative regimen consisted of irradiation and chemotherapy. The occurrence of menarche and changes in basal serum follicle stimulating hormone (FSH) concentrations were studied. RESULTS: Twelve patients achieved menarche at a median age of 12.8 years. Age at transplant was significantly younger in patients who achieved menarche than in those who did not (mean (SD), 7.2 (0.5) v 11.1 (1.7) years). Basal FSH began to rise to menopausal concentrations after 10 years of age, and the girls who did not experience menarche had a sustained rise in FSH concentrations. Among those with raised FSH concentrations, five girls experienced menarche while serum FSH values were decreasing and four achieved menarche while FSH remained raised. CONCLUSIONS: The high incidence of menarche suggests a favourable outcome of ovarian function in girls who undergo BMT at a young age.
AIM: To examine the long term effect of bone marrow transplantation (BMT) on ovarian function in girls. METHODS: Eighteen girls who underwent BMT before menarche, had been disease free for more than six years, and were over 14 years of age at the time of study were investigated. The preparative regimen consisted of irradiation and chemotherapy. The occurrence of menarche and changes in basal serum follicle stimulating hormone (FSH) concentrations were studied. RESULTS: Twelve patients achieved menarche at a median age of 12.8 years. Age at transplant was significantly younger in patients who achieved menarche than in those who did not (mean (SD), 7.2 (0.5) v 11.1 (1.7) years). Basal FSH began to rise to menopausal concentrations after 10 years of age, and the girls who did not experience menarche had a sustained rise in FSH concentrations. Among those with raised FSH concentrations, five girls experienced menarche while serum FSH values were decreasing and four achieved menarche while FSH remained raised. CONCLUSIONS: The high incidence of menarche suggests a favourable outcome of ovarian function in girls who undergo BMT at a young age.
Authors: S Milliken; R Powles; P Parikh; M Whitehead; I Mayes; A Prentice; A Falconer; H Aboud; G Helenglass; A Nandi Journal: Bone Marrow Transplant Date: 1990-02 Impact factor: 5.483
Authors: S Spinelli; S Chiodi; A Bacigalupo; A Brasca; M V Menada; A R Petti; G Ravera; F Gualandi; M T VanLint; M Sessarego Journal: Bone Marrow Transplant Date: 1994-09 Impact factor: 5.483
Authors: J E Sanders; C D Buckner; D Amos; W Levy; F R Appelbaum; K Doney; R Storb; K M Sullivan; R P Witherspoon; E D Thomas Journal: J Clin Oncol Date: 1988-05 Impact factor: 44.544
Authors: J E Sanders; J Hawley; W Levy; T Gooley; C D Buckner; H J Deeg; K Doney; R Storb; K Sullivan; R Witherspoon; F R Appelbaum Journal: Blood Date: 1996-04-01 Impact factor: 22.113
Authors: H M Shulman; K M Sullivan; P L Weiden; G B McDonald; G E Striker; G E Sale; R Hackman; M S Tsoi; R Storb; E D Thomas Journal: Am J Med Date: 1980-08 Impact factor: 4.965
Authors: Min Ho Jung; Kyoung Soon Cho; Jae Wook Lee; Nak Gyun Chung; Bin Cho; Byung Kyu Suh; Hack Ki Kim; Byung Churl Lee Journal: J Korean Med Sci Date: 2009-11-09 Impact factor: 2.153