Plasma levels of FSH, LH, progesterone (P), 17-hydroxy-progesterone (17-OHP), and estradiol-173 (E 2 ) were measured daily by radioimmunoassay in eleven menstrual cycles from eleven normally menstruating women. The following criteria were used as indirect evidence for a normal ovulatory cycle: 1) mid-cycle LH peak, 2) luteal phase of 12-16 days duration, and 3) plasma progesterone above 5 ng/ml 5-8 days after the LH peak. Nine of eleven cycles studied were considered normal. A mid-cycle peak of E 2 and 17-OHP was observed in every normal cycle studied.In one of the normal cycles, two peaks of plasma E 2 occurred respectively on days 9 and 22. However, 17-OHP levels were low on day 9 and elevated on day 22. A gonadotropin surge occurred on day 22 followed by a normal luteal phase. The other two abnormal cycles studied either showed low levels of E 2 and 17-OHP or a peak of only one of the two steroids. The data suggest that in women, there is a relationship between the steroids 17-OHP and E 2 , and the mid-cycle surge of gonadotropins. (/ Clin Endocr 34: 312, 1972) T HE ADVENT of radioimmunoassay (1) has permitted quantitation of polypeptide hormones in small volumes of biological materials and has made frequent sampling feasible (2-4). Due to this breakthrough in methodology, the pattern of plasma immunoreactive FSH and LH during the normal menstrual cycle has been established (5-18). More recently, the principle of radioimmunoassay was applied to the measurement of steroid hormones in plasma (19-33). Using this and other similar techniques, various investigators have studied the relationship between the mid-cycle surge of gonadotropins and plasma levels of progestins and estrogens (24,34-43). These studies have improved our knowledge concerning mechanisms involved in the mid-cycle ovulatory surge of gonadotropins in women. In an attempt to tackle this question, we have studied daily plasma levels of the gonadotropins LH and FSH and of the steroid hormones progesterone (P), 17-hydroxyprogesterone (17-OHP), and estradiol-17(3 (E 2 ) during eleven Received August 6, 1971. menstrual cycles. The results of this study suggest that, in women, 17-hydroxyprogesterone and estradiol-17(3 are both related to the mid-cycle surge of gonadotropins.
Materials and MethodsSubjects. Eleven women in apparent good health on no medications and with histories of regular menstrual cycles were studied. The clinical data on these subjects are summarized in Table 1. The follicular phase (pre-LH peak duration) was denned as the time interval between the first day of menses and the LH peak. The luteal phase (post-LH peak duration) was the interval between the LH peak and the first day of the following menses. The following criteria were used to define a normal ovulatory cycle (38,44):1) mid-cycle LH peak; 2) luteal phase duration between 12 and 16 days; and 3) plasma progesterone levels above 5 ng/ml 5-8 days after the LH peak.Method. Plasma FSH (17), LH (5), progesterone (23), 17-hydroxyprogesterone (24), and estradiol-17(3 (25) were...