Hormonal Characteristics of Women Receiving Ovarian Tissue Transplantation with or without Endogenous Ovarian Activity
Ovarian tissue cryopreservation (OTC) and transplantation of frozen/thawed ovarian tissue (OTT) are used for fertility preservation in girls and women. Here, we evaluated the hormonal characteristics of women with or without postmenopausal levels of FSH at the time of OTT to study differences and co...
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2021
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oai:doaj.org-article:9b751f35c5d3466a8a4d03c4e974c9422021-11-25T18:00:33ZHormonal Characteristics of Women Receiving Ovarian Tissue Transplantation with or without Endogenous Ovarian Activity10.3390/jcm102252172077-0383https://doaj.org/article/9b751f35c5d3466a8a4d03c4e974c9422021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/22/5217https://doaj.org/toc/2077-0383Ovarian tissue cryopreservation (OTC) and transplantation of frozen/thawed ovarian tissue (OTT) are used for fertility preservation in girls and women. Here, we evaluated the hormonal characteristics of women with or without postmenopausal levels of FSH at the time of OTT to study differences and conditions that best support the initiation of ovarian function. A total of 74 women undergoing OTT (<i>n</i> = 51 with menopausal levels of FSH; <i>n</i> = 23 with premenopausal levels) were followed by measurements of FSH, LH, AMH, and oestradiol. Concentrations of FSH and LH returned to premenopausal levels after 20 weeks on average, with a concomitant increase in oestradiol. Despite resumption of ovarian activity, AMH concentrations were in most instances below the detection limit in the menopausal group, suggesting a low ovarian reserve. Despite a higher age in the premenopausal group, they more often experienced an AMH increase than the menopausal group, suggesting that conditions in the premenopausal ovary better sustain follicle survival, perhaps due to the higher concentrations of oestradiol. Collectively, this study highlights the need for improving follicle survival after OTT. Age and the amount of tissue transplanted are important factors that influence the ability to regain ovarian activity and levels of FSH may need to be downregulated and oestradiol increased prior to OTT.Vinnie Hornshøj GreveMargit DueholmLinn Salto MamsenStine Gry KristensenErik ErnstClaus-Yding AndersenMDPI AGarticletransplantation of ovarian tissueFSHAMHregaining ovarian activityageMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5217, p 5217 (2021) |
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transplantation of ovarian tissue FSH AMH regaining ovarian activity age Medicine R |
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transplantation of ovarian tissue FSH AMH regaining ovarian activity age Medicine R Vinnie Hornshøj Greve Margit Dueholm Linn Salto Mamsen Stine Gry Kristensen Erik Ernst Claus-Yding Andersen Hormonal Characteristics of Women Receiving Ovarian Tissue Transplantation with or without Endogenous Ovarian Activity |
description |
Ovarian tissue cryopreservation (OTC) and transplantation of frozen/thawed ovarian tissue (OTT) are used for fertility preservation in girls and women. Here, we evaluated the hormonal characteristics of women with or without postmenopausal levels of FSH at the time of OTT to study differences and conditions that best support the initiation of ovarian function. A total of 74 women undergoing OTT (<i>n</i> = 51 with menopausal levels of FSH; <i>n</i> = 23 with premenopausal levels) were followed by measurements of FSH, LH, AMH, and oestradiol. Concentrations of FSH and LH returned to premenopausal levels after 20 weeks on average, with a concomitant increase in oestradiol. Despite resumption of ovarian activity, AMH concentrations were in most instances below the detection limit in the menopausal group, suggesting a low ovarian reserve. Despite a higher age in the premenopausal group, they more often experienced an AMH increase than the menopausal group, suggesting that conditions in the premenopausal ovary better sustain follicle survival, perhaps due to the higher concentrations of oestradiol. Collectively, this study highlights the need for improving follicle survival after OTT. Age and the amount of tissue transplanted are important factors that influence the ability to regain ovarian activity and levels of FSH may need to be downregulated and oestradiol increased prior to OTT. |
format |
article |
author |
Vinnie Hornshøj Greve Margit Dueholm Linn Salto Mamsen Stine Gry Kristensen Erik Ernst Claus-Yding Andersen |
author_facet |
Vinnie Hornshøj Greve Margit Dueholm Linn Salto Mamsen Stine Gry Kristensen Erik Ernst Claus-Yding Andersen |
author_sort |
Vinnie Hornshøj Greve |
title |
Hormonal Characteristics of Women Receiving Ovarian Tissue Transplantation with or without Endogenous Ovarian Activity |
title_short |
Hormonal Characteristics of Women Receiving Ovarian Tissue Transplantation with or without Endogenous Ovarian Activity |
title_full |
Hormonal Characteristics of Women Receiving Ovarian Tissue Transplantation with or without Endogenous Ovarian Activity |
title_fullStr |
Hormonal Characteristics of Women Receiving Ovarian Tissue Transplantation with or without Endogenous Ovarian Activity |
title_full_unstemmed |
Hormonal Characteristics of Women Receiving Ovarian Tissue Transplantation with or without Endogenous Ovarian Activity |
title_sort |
hormonal characteristics of women receiving ovarian tissue transplantation with or without endogenous ovarian activity |
publisher |
MDPI AG |
publishDate |
2021 |
url |
https://doaj.org/article/9b751f35c5d3466a8a4d03c4e974c942 |
work_keys_str_mv |
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