Kitsize | 96 |
Method | RIA(CT) |
Incubationtime | 1x2h(37°C) |
Standardrange | 0.12-36ng/mL |
Specimen/Volumes | 50µLSerum |
Substrate/isotope | 125I<220kBq |
RegulatoryStatus: | EU:CE |
RadioimmunoassayfortheinvitroquantitativemeasurementofhumanProgesteroneinserum.
ProgesteroneisaC-21steroidhormone(molecularweight:314.5)whichissynthesizedfromcholesterolviapregnenoloneinthegranulosaandthecacellsofthecorpusluteumundertheinfluenceofLH.Themajorproductionsitesareovaryandplacentaandsomewhattheadrenalcortexinbothmenandwomen.Progesteroneisrapidlymetabolizedintheliver.Bloodlevelsareverylowduringthefollicularphasewhereasonedoesobserveasharplyincreaseduringthelutealphaseofmenstrualcyclesreachingamaximumsome5to10daysafterthemidcycleLHpeak.
Clinicalapplications
Serumprogesteronelevels,whicharelowduringthefollicularphase,increaseduringthelutealphaseofmenstrualcycle.Unlesspregnancyoccurs,theprogesteroneleveldeclines4daysbeforethenextmenstrualperiod.Thus,themeasurementofprogesteronelevelsconstitutesawell-establishedmethodfordetectionofovulation.Buttherearemanycaseswheretheprogesteronemeasurementsarealsoofinterest:
- Tochecktheeffectivenessofovulationinduction;
- Tomonitortheembryotransferandprogesteronereplacementtherapy;
- Todetectthepatientsatriskforabortionduringthebeginningofpregnancy;
- Toaidinthediagnosticofectopicpregnancy;
- Todetectallovariantumor(benignandmalign)inpostmenopausalwomen;
- Todiagnoseluteinizedunrupturedfolliclebythedosageof17beta-estradiolandprogesteronelevelsinperitonealfluid;
- ThesteroidprofilesoffollicularfluidsandtheratioofE2/PROGallowdetectinganormaloradysfunctionalovulationinduction.(Theemptyfollicularsyndromemayreflectadysfunctionalovulationinduction).