The Pathophysiology of Miscarriage in Women with Polycystic Ovary Syndrome. Review and Proposed Hypothesis of Mechanisms Involved

Paulina A. Essah, Kai I. Cheang, John E. Nestler

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The polycystic ovary syndrome (PCOS) is characterized by chronic anovulation and hyperandrogenism, and is the most common cause of anovulatory infertility in developed countries1,2. Affected women suffer not only from infertility, but also from a high rate of early pregnancy loss, defined as miscarriage during the first trimester …

The Adult Consequences of Feminising Genital Surgery in Infancy. A Growing Skepticism

Sarah M. Creighton

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In contemporary management of the infant with ambiguous genitalia assigned to a female gender surgery plays a central role. Once the infant is assigned to a female sex of rearing, feminising genital surgery almost always follows in an attempt to restore normality. This management is now being challenged by adult patients and other medical …

Growth, pubertal development, skeletal maturation and bone mass acquisition in athletes

Neoklis A. Georgopoulos, Kostas B. Markou, Anastasia Theodoropoulou, George A. Vagenakis, Panagiotis Mylonas, Apostolos G. Vagenakis

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The genetic potentials for growth can be fully expressed only under favourable environmental conditions. Excessive physical training may negatively affect growth, especially during puberty. Sports that require a strict control of energy input in the presence of a high energy output are of particular concern. In gymnastics, a different pattern in skeletal maturation was observed …

A Paradox: The Roles of Inositolphosphoglycans in mediating insulin sensitivity and Hyperandrogenism in the Polycystic Ovary Syndrome

Kai I. Cheang, Paulina Essah, John E. Nestler

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Current evidence suggests that insulin resistance contributes to the pathophysiologic features of the polycystic ovary syndrome (PCOS). The observation that insulin resistance is a central feature of PCOS leads to studies of the insulin signaling system in this disorder. This article reviews the possible role of putative insulin mediators, inositolphosphoglycans (IPG) mediators, in PCOS. We will focus on how IPGs mediate (a) hyperandrogenism and (b) insulin sensitivity in this disorder…

Roles of Protein Kinase A (PKA) and PKC on Corticotropin-Releasing Hormone (CRH)-Induced Elevation of Cytosolic Calcium from Extra- and Intra-cellular Sources

Irini Dermitzaki, Christos Tsatsanis, Vassiliki-Ismini Alexaki, Elias Castanas, Andrew N. Margioris

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Corticotropin-releasing hormone (CRH) affects cytosolic calcium ion levels. The aim of the present work was to examine the role of protein kinase A (PKA)- and PKC-dependent signalling pathways in mediating the effect of CRH on calcium ion influx (from extra-cellular sources) and calcium ion mobilization (from intra-cellular stores)…

Growth without growth hormone (GH): A case report

Polyzois Makras, Dimitris Papadogias, Grigoris Kaltsas, Nikolaos Kaklas, Georgios Piaditis

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Growth without growth hormone (GH) has occasionally been described in patients with organic pituitary pathology, and even more rarely in patients with idiopathic pituitary hormone deficiency. The mechanism of growth without GH remains a mystery. We describe a 17-year old male who grew 38.5 cm in height over a 7-year period, despite the fact that he had established panhypopituitarism…

The significance of the number seven in ancient Greece and its relation to Endocrinology

Menalaos L. Batrinos

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Many ancients held various beliefs about the supernatural virtues of certain numbers. In ancient Greece, the school of Pythagoras (590 BC) taught the doctrine of the numerical essence of natural events. In accordance with this theory, the number 7 was considered a sacred number and thus vital to human life…