Literature DB >> 13680264

Serum follicle-stimulating hormone level is a predictor of bone mineral density in patients with hormone replacement therapy.

Haruko Kawai1, Madoka Furuhashi, Nobuhiko Suganuma.   

Abstract

METHODS: A retrospective study regarding the relationship between serum hormonal levels and bone mineral density (BMD) was performed in 125 women with hormone replacement therapy (HRT). Serum estradiol (E(2)), luteinizing hormone (LH), follicle-stimulating hormone (FSH), and BMD were evaluated before and at 12 and 24 months of HRT.
RESULTS: There was a significant increase in E(2) and decrease in FSH at both 12 (E(2), 39.3+/-76.6 pg/ml to 71.0+/-67.9 pg/ml; FSH, 67.9+/-36.3 mIU/ml to 47.9+/-29.0 mIU/ml) and 24 months (E(2), 68.3+/-54.5 pg/ml; FSH, 45.3+/-24.4 mIU/ml). LH level was high at baseline (26.5+/-16.1 mIU/ml) and decreased at 12 months (22.9+/-14.0 mIU/ml). On the contrary, it increased from 12 to 24 months (27.4+/-14.9 mIU/ml). In the lumbar spine BMD, a significant rise was seen only in the first 12 months (0.933+/-0.157 g/cm(2) to 0.938+/-0.152 g/cm(2)). When percentage change was analyzed, a significant positive correlation was found between E(2) and BMD and a negative correlation between gonadotropin levels and BMD.
CONCLUSION: These data demonstrate that serum gonadotropin levels, especially FSH, are a good marker to predict BMD in women with HRT.

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Year:  2003        PMID: 13680264     DOI: 10.1007/s00404-003-0532-7

Source DB:  PubMed          Journal:  Arch Gynecol Obstet        ISSN: 0932-0067            Impact factor:   2.344


  13 in total

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