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Journal of Clinical Endocrinology & Metabolism Vol. 71, No. 1 235-242
doi:10.1210/jcem-71-1-235
Copyright © 1990 by the Endocrine Society.
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The Effect of Prostaglandin Synthetase Inhibitors on Human Preovulatory Follicular Fluid Prostaglandin, Thromboxane, and Leukotriene Concentrations*

ALVAN R. PRIDDY, STEPHEN R. KILLICK, MAX ELSTEIN, JULIE MORRIS, MARK SULLIVAN, LATA PATEL and MURDO ELDER

Departments of Obstetrics and Gynaecology (A.R.P., S.R.K., M.E.) and Statistics (J.M.), University Hospital of South Manchester Manchester
The Department of Obstetrics and Gynaecology, Hammersmith Hospital (M.S., L.P., M.E.) London, United Kingdom

Address requests for reprints to: Alvan Priddy, M.R.C.O.G., Department of Obstetrics and Gynaecology, University Hospital of South Manchester, West Didsbury, Manchester, M20 8LR, United Kingdom.

This study evaluates the eicosanoid concentration in luteinized unruptured follicles (LUFs) on the ovaries of patients who had been treated with inhibitors of prostaglandin synthetase. Indomethacin, bromfenac, or azapropazone (or a placebo) was administered orally to 41 women during the periovulatory period. Follicular development was monitored by serial ultrasound examinations, and the onset of ovulation was regulated by an injection of hCG. Follicular fluid was aspirated during sterilization by minilaparotomy, which was performed just before the expected time of ovulation. Prostaglandin E2 and PGF2{alpha} levels in the fluid were significantly reduced by indomethacin and bromfenac compared to those after placebo treatment. Bromfenac also reduced the follicular fluid leukotriene B4 level. Therefore, the development of luteinized unruptured follicles after treatment with nonsteroidal antiinflammatory drugs appears to be associated with a significant decrease in the synthesis of ovarian eicosanoids.

* This work was supported by A.H. Robbins Ltd.

Received August 4, 1989.




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Copyright © 1990 by The Endocrine Society