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Mid-Menstrual Cycle Decline in Creatinine and Urea Clearances

 

作者: M.H. Gault,   L. Chafe,   V. Prabhakaran,  

 

期刊: Nephron  (Karger Available online 1994)
卷期: Volume 67, issue 2  

页码: 158-166

 

ISSN:1660-8151

 

年代: 1994

 

DOI:10.1159/000187919

 

出版商: S. Karger AG

 

关键词: Renal function;Creatinine clearance;Menstrual cycle

 

数据来源: Karger

 

摘要:

In 6 pre-menopausal and 6 post-menopausal women we compared urine volume and excretion of creatinine and urea daily from day 2 of the 1st period of menstruation to day 1 of the 2nd, along with clearances of creatinine (CCr) and urea (C-urea). Clearances were based on 7 serum samples which were taken on day 2 of the 1st menstruation and on days 8,14,15,16, 21, and day 1 of the next menstruation, when 4 cycling hormones were also assayed. Mean group ages were 35 and 59 years for pre- and post-menopausal women. CCr cycled only in the pre-menopausal group, with a nadir around the time of ovulation. The mean CCr combining days 14 and 15 was lower than that for the average of the 5 other days by 22% (p < 0.003) in the pre-menopausal but not in the post-menopausal group (p = 0.99). Average CCr values fell from the peak mean of 129 ml/min on day 8 in the follicular phase to the mean nadir of 93 ml/min for days 14 and 15 and recovered to 117 ml/min by day 1 of the 2nd menstruation; the percent fall in CCr ranged from 9 to 39%. A mid-cycle nadir was also present for C-urea (p = 0.03), also found only in the pre-menopausal group. We conclude that, in pre-menopausal women, there is generally a fall in CCr and C-urea from a peak in the follicular phase to a nadir around ovulation.

 

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