Authors

Emily Barrett, Ph.D., Lauren E. Parlett, Ph.D., Gayle C. Windham, Ph.D., Shanna H. Swan, Ph.D.

Volume 101, Issue 6, Pages 1773–1780.e1

Abstract

Objective:

To examine ovarian function in relation to parity and time since last birth.

Design:

Cross-sectional study.

Setting:

Health-care program in California.

Patient(s):

346 naturally cycling women, aged 18 to 39 years.

Intervention(s):

None.

Main Outcome Measure(s):

Mean follicular urinary estradiol metabolite concentration (E1C) (cycle days −8 to −1), mean luteal progesterone metabolite concentration (PdG) (days 0 to +10), and cycle phase lengths in ovulatory cycles.

Result(s):

After the women had collected daily urine samples for up to eight menstrual cycles, we measured the E1C and PdG using enzyme-linked immunoassay. The cycle phase lengths were calculated from the hormone profiles and daily diaries. Women who had given birth within the previous 3 years had lower E1C than the nulliparous women and women who last given birth >3 years earlier. Among the parous women, E1C was positively associated with the time since last birth. Women who last gave birth >3 years earlier had longer follicular phases than the nulliparous women. There were no associations between parity and PdG or luteal phase length.

Conclusion(s):

Our cross-sectional data suggest that ovarian function differs in nulliparous and parous women and is positively associated with the time since last birth. Longitudinal research is needed to explore within-woman changes in ovarian function prepartum and postpartum.

Read the full text at: http://www.fertstert.org/article/S0015-0282(14)00200-3/fulltext