Abstract
During reproductive life, women experience at monthly intervals remarkable alterations in hormonal output. This is characterized by an impressive increase in serum LH, FSH and estradiol at midcycle followed by a manyfold increase in serum progesterone in the ensuing luteal phase. The events at midcycle hallmark profound changes in the neuroendocrine hypothalamus (1). These involve the arrival of neurotransmitter-related signals to the peptidergic neurons elaborating the gonadotropin releasing hormone (GnRH), a decapeptide in nature.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Naftolin, F., Tolis, G.: 1978. Neuroendocrine regulation of the menstrual cycle clinics in Ob/Gyn, 21: 17–29.
Adams, T.E., Norman, R.L., Spies, G.G.: 1981. Gonadotropin releasing hormone receptor binding and pituitary responsiveness in estradiol-primed monkeys. Science. 213: 1388–1390.
Yen, S.S.C.: 1978. Chronic anovulation due to CNS-hypothalamic-pituitary dysfunction in: Reproductive Endocrinology. Eds. S.S.C. Yen and R. Jaffe. Saunders, pp. 341–372.
Jarrell, J., Meltzer, S., Tolis, G.: Anorexia Nervosa; a review of the endocrine abnormalities in the hypothalamic pituitary axis. In Clinical Neuroendocrinology. Eds. G. Tolis, F. Laurie, J.B. Martin, F. Naftolin, Raven Press, 1979
Nillius, S.J., Wide, L.: 1977. The pituitary responsiveness to acute and chronic administration of GnRH in acute and recovery stages of anorexia nervosa. In: Anorexia Nervosa. Ed. R. Vigersky, Raven Press, pp. 225–241.
Tolis, G., Richardson, S., Kinch, R.: 1981. Hormone profiles in suprahypophyseal amenorrhea. Neuroendocrinology Letters 3: 119.
Crispin, J., Richardson, S., Tolis, G.: 1981. Hormonal derangements in typical anorexia nervosa. Neuroendocrinology Letters 3: 67.
Schindler, A.E., Frick, V., Mikschi, M., Goser, R., Keffer, E.: 1979. Evaluation and long-term follow-up of patients with psychogenic amenorrhea. In: Psychoneuroendocrinology of reproduction. Zicheffa, L., and Pancheri, P., (Eds), Elsevier/ North-Holland Biomedical Press.
Leyendecker, G., Wildt, L., Hansmann, M.: 1980. Pregnancies following chronic intermittent (pulsatile) administration of GnRH by means of a portable pump. A new approach to the treatment of infertility in Hypothalamic Amenorrhea. J. Clin. Endocrinol Metab. 51: 1214–1216.
Friesen, H.G., Tolis, G.: 1977. The use of bromocriptine in the galactorrhea-amenorrhea syndromes. Clin. Endocrinol. 6: 91–99. (uppl.)
Metz, P., and Wagner, G.: 1981. Penile Circumference and Erection. Urol. 18 (3): 268–270.
Smith, A.D.: 1981. Causes and Classification of Impotence. Urol. Clin. N.A. 8 *1): 79–89.
Bors, E., and Comars, E.A.: 1960. Neurological disturbances of sexual function with special reference to 529 patients with spinal cord injury. Urol. Surv. 10: 191–222.
Krane, R.J., and Siroky, M.B.: 1981. Neurophysiology of Erection. Urol. Clin. N.A. 8 (1): 91–102.
Lapides, J., Friend, C.R., Ajemion, E.P., and Reus, W.S.: 1962. Denervation supersensitivity as a test for neurogenic bladder. Surg. Gynecol. Obstet. 114: 241–244.
Krane, R.J., and Siroky, M.B.: 1980. Studies on Sacral Evoked Potentials. J. Urol. 124: 872–876.
Barry, J.M., and Hodges, C.V.: 1978. Impotence: A Diagnostic Approach. J. Urol. 119: 575–578.
Engel, G., Burnham, S.J., and Carter, M.T.: 1978. Penile blood pressure in the evaluation of erectile impotence. Fert. Steril. 30 (6): 687–690.
Malvar, T., Baron, J., and Clark, S.S.: 1973. Assessment of Potency with the Doppler Flowmeter. Urol. 2: 396–400.
Queral, L.A., Whitehouse, W.M. Jr., Flinn, W.R., Zarins, C.K., Bergan, J.J., and Yao, J.S.T.: 1979. Pelvic Hemodynamics after Aorto-Iliac Reconstruction. Surg. 86: 799–809.
Goldstein, I., Siroky, M.B., Nath, R.L., Menzoian, J.L., and Krane, R.J.: (in Press) Vasculogenic Impotence: Role of the Pelvic Steal Test. J. Urol.
Jevtich, J.J.: (in Press) Special Diagnostic Techniques Vascular Non-invasive Methods in Male Sexual Dysfunction. Krane, R.J., and Siroky, M.B. (Eds) Little, Brown and Co., Boston, Ma.
Weideman, C.L., and Northcutt, R.C.: Endocrine aspects of impotence. Urol. Clin. N.A. 8 (1): 143–151, (1981)
Ebbehoj, J., and Wagner, G.: 1979. Insufficient Penile Erection Due to Abnormal Drainage of Cavernous Bodies. Urol. 13 (5): 507–510.
Michal, V., and Pospichal, J.: 1978. Phalloarteriography in the Diagnosis of Erectile Impotence. World J. Surg. 2: 239–248.
Wagner, G., and Uhrenholdt, A.: 1980. Blood flow measurement by clearance in the human corpus cavernosum in the flaccid and erect states. in Vasculogenic Impotence. Zorgniotti, A., and Rossi, G. (Eds.) Charles C. Thomas, Springfield, Illinois.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1983 Plenum Press, New York
About this chapter
Cite this chapter
Goldstein, I., Tolis, G. (1983). Recent Diagnostic Aspects in the Evaluation of Psychogenic Amenorrhea and Impotence. In: Krakowski, A.J., Kimball, C.P. (eds) Psychosomatic Medicine. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-4496-4_21
Download citation
DOI: https://doi.org/10.1007/978-1-4684-4496-4_21
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4684-4498-8
Online ISBN: 978-1-4684-4496-4
eBook Packages: Springer Book Archive