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Sex Hormones Secretion Pattern in Pregnant Sickle Cell Subjects in Niger Delta Region, South of Nigeria

Sex Hormones Secretion Pattern in Pregnant Sickle Cell Subjects in Niger Delta Region, South of Nigeria

作     者:F. C. Ezeiruaku E. M. Eze C. U. Okeke 

作者机构:Department of Medical Laboratory Science Faculty of Basic Medical Sciences College of Health Sciences Niger Delta University Wilberforce Island Nigeria Department of Medical Laboratory Science Faculty of Science Rivers State University Port Harcourt Nigeria Department of Prosthetics and Orthotics School of Health Technology Federal University of Technology Owerri Nigeria 

出 版 物:《Open Journal of Endocrine and Metabolic Diseases》 (内分泌与新陈代谢疾病期刊(英文))

年 卷 期:2018年第8卷第7期

页      面:145-156页

学科分类:1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主  题:Hormones Progesterone Estradiol Sickle Cell Secretion Trimesters 

摘      要:Sickle cell anemia (SCA) patients are reported with infertility and low rate of pregnancies. This is associated with wide range of reproductive issues that are still relevant because of the complications and problems of the disease that still persist till date. This study was carried out to establish the secretion pattern of the sex hormones (Progesterone and Estradiol) in the three trimesters of pregnant sickle cell disease subjects in the Niger Delta Region, south of Nigeria. The study included twenty (20) pregnant sickle cell anemia subjects with average age of 27.4 years and twenty (20) apparently healthy (Hemoglobin AA) subjects with average age of 28.2 years. Their samples collection started when they registered for antenatal care at the clinics within the first trimester of pregnancy. The Enzyme Linked Immunosorbent assay (ELISA) method was used in the measurement of the hormones in the plasma of the subjects. The result showed a statistical significant reduction (P 0.05) in the values of the hormones in the three trimesters obtained for the sickle cell disease (SCD) subjects when compared with apparently healthy subjects with the same age range. Statistical analysis showed a strong positive correlation ((r = 0.8151 for Estradiol and r = 0.8793) for Progesterone) between the secretion of the sex hormones, in the sickle cell subjects and the control. The result is attributed to the sickle cell gene abnormality and the treatment of SCA that affects the endocrine system by inhibiting the production of gonadotropins from the pituitary gland. The SCD itself does not directly damage the reproductive system;however it can affect other systems which will eventually cause harm to the reproductive system. The study concluded that the sickle cell anemia patients require the administration of the hormone drugs during pregnancy to prevent to a certain extent, complications arising from hormonal imbalance.

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