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The Somatotrophic Axis and the Reproductive Process in Health and Disease

  • Conference proceedings
  • © 1995

Overview

Part of the book series: Serono Symposia USA (SERONOSYMP)

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Table of contents (24 papers)

  1. Growth Hormone and Its Receptor: State of the Art

  2. Pubertal, Menstrual, Gestational, and Menopausal Adaptation

  3. Growth Hormone: The Ovarian Connection

Keywords

About this book

For many years now, our understanding of the somatotrophic and reproduc­ tive axes has evolved essentially independently, both fields of study reaching a highly advanced, although far from complete, level of under­ standing. Along the way, however, it became apparent that in some circumstances the reproductive and somatotrophic axes may be inter­ dependent. Inklings to this effect were at times feeble and at other times more convincing. Among those inklings are the clinical recognition by pediatric endocrinologists of the apparent association between isolated GH deficiency and delayed puberty, as well as of the apparent permissive, pUberty-promoting property of GH. Equally important is a body of experi­ mental studies establishing the ovary of multiple species as a site of GH reception and action. Arguing against an essential role for GH in the reproductive process is the observation that individuals who have GH resistance of the Laron variety are fertile arid that isolated GH deficiency does not constitute an absolute barrier to the attainment of sexual maturation and fertility. The intraovarian insulin-like growth factor (IGF) hypothesis proposes that IGFs may serve as amplifiers of gonadotropin action. Although the dependence of intraovarian IGFs on systemic GH action has never been unequivocally demonstrated, that leap of faith has often been made. The intraovarian IGF hypothesis serves as the rationale for the adjunctive use of GH in the induction of ovulation.

Editors and Affiliations

  • Division of Reproductive Endocrinology, Department of Obstetrics and Gynecology, University of Maryland School of Medicine, Baltimore, USA

    Eli Y. Adashi

  • Division of Endocrinology and Metabolism, Department of Medicine, University of Virginia Health Sciences Center, Charlottesville, USA

    Michael O. Thorner

Bibliographic Information

  • Book Title: The Somatotrophic Axis and the Reproductive Process in Health and Disease

  • Editors: Eli Y. Adashi, Michael O. Thorner

  • Series Title: Serono Symposia USA

  • DOI: https://doi.org/10.1007/978-1-4612-2518-8

  • Publisher: Springer New York, NY

  • eBook Packages: Springer Book Archive

  • Copyright Information: Springer-Verlag New York, Inc. 1995

  • Hardcover ISBN: 978-0-387-94419-7Due: 23 June 1995

  • Softcover ISBN: 978-1-4612-7567-1Published: 27 September 2011

  • eBook ISBN: 978-1-4612-2518-8Published: 06 December 2012

  • Edition Number: 1

  • Number of Pages: XVIII, 332

  • Topics: Endocrinology, Gynecology, Human Physiology, Cell Biology

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