The monitoring of the menstrual status of female athletes by salivary steroid determination and ultrasonography

Ovarian impairments of female recreational distance runners during a season of training

This study was carried out to investigate the relationship between the level of training and the impairment of ovarian function among female recreational distance runners, and its reversibility. Thirty-six female distance runners self-recorded, for 7 consecutive days each month, the duration and distance of daily running from October 1989 to May 1990 in Great Britain. During the last 3 months of the survey, saliva samples were taken for progesterone assay and a subsample was measured for body composition. No trend in weight loss was observed over the season of training. Amenorrheic (AM) and oligomenorrheic (Oligo) runners had a significantly lower body mass index than eumenorrheic (EU) and irregularly menstruating (IM) runners. The amenorrheic and oligomenorrheic subjects did not show any rise in progesterone, at any time, during the 3 months of sampling. The eumenorrheic subjects showed evidence of a rise in progesterone, though the mean level was always significantly lower than that of sedentary controls. The most severely impaired runners (AM and Oligo) ran more than EU or irregularly menstruating runners in this sample, had lower body weight, a younger age and had a significantly lower body mass index (BMI). They tended to run faster during training sessions than those with apparently normal menstrual cycle or just irregular periods. It is suggested that low BMI, which is an indicator of body energy stores, reflects the intensity of regular training runs among female athletes with a stable body weight. It is possible that repeated elevations of beta-endorphins or other suppressors of gonadotropin release, secreted above a level of training commonly exceeded by long distance runners, when concurrent with energy restriction, could contribute to impairment of menstrual cycle.

Reference values for luteal progesterone measured by salivary radioimmunoassay

OBJECTIVE

To establish age-stratified reference values for salivary luteal P levels.

DESIGN

One hundred thirty-six regularly menstruating women (18 to 48 years of age), screened for weight, exercise, and steroid medication use, collected daily saliva samples for one complete menstrual cycle. Luteal P levels were measured by 3H-RIA, and data were aligned by day of next menstrual onset. Means (+/- 1 SD range) and percentiles, calculated using both untransformed and log transformed data, were calculated for each luteal day and for indices of luteal P production.

RESULTS

Reference values for salivary daily luteal P levels and indices of luteal P are presented for three age groups (18 to 24 years, 25 to 39 years, and 40 to 48 years).

CONCLUSION

The age-stratified reference values presented here can be used, without collateral clinical procedures, to assess salivary luteal P levels. Salivary monitoring is ideally suited for research and long-term clinical observation, but the characteristics of salivary P data may limit the usefulness of these values for individual diagnosis.

Comparison of cortisol concentrations in saliva and plasma of dogs

It is increasingly important to have simple, non-invasive indicators of stress in animals. Studies in various species have shown that concentrations of cortisol in saliva relate closely to plasma levels of the free hormone; the aim of the present procedure was to show a similar correlation in the dog. Baseline blood and saliva samples were collected concurrently from six male beagles. Synthetic adrenocorticotrophic hormone was given and further samples were collected at 0.25, 0.5, one, two and 2.5 hours later. The results indicated a statistically significant correlation between the levels of cortisol in blood and saliva. Concentrations in saliva were between 5 and 10 per cent of those in plasma at each collection time. To demonstrate a response to a more natural stimulus, saliva samples were taken from a dog during exposure to a known stressor for that individual. The results showed a marked, delayed increase from baseline which was maintained for at least 0.5 hours after stressing.