Frederick Naftolin

Induction of menstruation with bromocryptine in patients with euprolactinemic amenorrhea

Three nulliparous women presented with secondary amenorrhea with no evidence of endocrinopathy and normal skull x-ray. Pulsatile gonadotropin secretion was reduced, but an adequate pituitary gonadotropin reserve was demonstrable with luteinizing hormone-release factor provocation. The administration of bromocryptine was associated with amplification of pulsatile secretion of gonadotropins and was followed, in two of the three, by ovulatory menstruation. It is suggested that bromocryptine should be considered for induction of menstruation in euprolactinemic secondary amenorrhea.

The effect of estrogens on hypothalamic structure and function.

Data accumulated from studies of several species indicate that sex steroids are metabolized by neuroendocrine tissues in a manner analogous to that of other target tissues. Evidence that androgens or their estrogenic metabolites affect the morphology and function of the nervous system in fetal, newborn, developing, and adult rats is presented. The destruction of neural processes subsequent to the administration of large doses of estrogen to intact rats can now be added to the previously known effects on synaptogenesis, cell morphology, and function. We believe this destruction to be a form of chemical deafferentation and that it may underlie age-related hypothalamic failure and the development of multifollicular ovaries in the rat. Implications for other species are not clear at present.

Effects of Estradiol-Induced Lesions of the Arcuate Nucleus on Gonadotropin Release in Response to Preoptic Stimulation in the Rat

Female Wistar rats treated with a single subcutaneous injection of 2 mg estradiol valerate (EV) develop gradually progressive, multifocal lesions of the arcuate nucleus. They also exhibit vaginal estrus and endocrine profiles characteristic of animals sustaining anterior hypothalamic deafferentation. In this study, EV-treated females with the arcuate lesions released significantly less LH 1 h following electrochemical stimulation of the medial preoptic area (MPOA) than did normally cycling controls in proestrus. FSH release in response to MPOA stimulation was the same for both groups. As plasma LH concentrations were not significantly different between EV-treated and control animals 1 h after the injection of a potent LHRH analog, the reduced LH response to MPOA stimulation appears to reflect a primarily hypothalamic defect. However, the EV treatment also affected pituitary responsiveness to long-term stimulation as evidenced by reduced LH responses to the LHRH analog after 2 and 3 h. No such differences were seen in the FSH response.

Breast Examination does not Elevate Serum Prolactin

Serum prolactin and cortisol levels were measured in 24 patients entering the Royal Victoria Hospital infertility center both before and after a thorough physical examination that included a pelvic examination and a search for galactorrhea in both breasts. There was no significant change in the levels of prolactin or cortisol in the group as a whole in those with normal prolactin values and those with high basal prolactin values (P less than 0.05). The possible role of stress in the mediation of occasional elevation of basal prolactin values is discussed in relation to the serum cortisol levels.

Pubertal age, weight, and weight gain in the individual female new world monkey (Cebus albifrons)

From February 1972 to August 1974 ten immatureCebus albifrons monkeys were weighed and vaginal swabbing performed at monthly or shorter intervals to determine age and weight at the onset of puberty. The average weight (±S.E.M.) at birth and at puberty was 226±5.8 g and 1,617±32.45 g, respectively. The average age at puberty was 3.59±0.17 years. The average weight velocity for all ten monkeys shows the maximum rate of weight gain to occur shortly after birth and decrease rapidly to its smallest prepubertal increment at nine months of age (weaning). From nine months there is a post-weaning weight spurt which reaches its greatest velocity at an average age of 15 months. Thereafter, the weight velocity decreases to its lowest level. Individual weight velocity curves of each of the ten animals show a slight prepubertal weight spurt which is not obvious in the average growth curve.

Changing Profiles in Vasectomy Subjects in the Past Decade

Two groups of vasectomy patients were reviewed: 376 men operated upon between 1968 and 1971 and 608 between 1974 and 1978. Average age, length of marriage, and number of living children prior to vasectomy were greater in the first group (P less than 0.01). The results are compatible with the idea that couples are planning smaller families and turning increasingly to vasectomy as a reliable permanent birth control method immediately following the completion of their families.