Endometrial fibrinolytic enzymes in women with normal menstruation and dysfunctional uterine bleeding.
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY 1993;
100:768-71. [PMID:
8399019 DOI:
10.1111/j.1471-0528.1993.tb14272.x]
[Citation(s) in RCA: 47] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
OBJECTIVE
To study fibrinolysis in the endometrium in women with normal menstruation and dysfunctional uterine bleeding (DUB).
DESIGN
Tissue plasminogen activator activity (t-PA) and antigen (t-PAAg) and plasminogen activator inhibitor Type 1 antigen (PAI-1) were measured in homogenates of endometrium sampled between 24 and 36 h after the onset of menstruation.
SUBJECTS
Women complaining of menorrhagia who had negative findings at clinical examination and curettage had their menstrual blood loss (MBL) measured from the third cycle after D&C. Those with MBL greater than 80 ml per cycle formed the DUB group.
MEASUREMENTS
Fibrinolytic enzyme antigen levels were measured with ELISAs. Tissue plasminogen activator activity was assayed by measuring the rate of conversion of Glu-plasminogen to plasmin, using a chromogenic plasmin substrate.
CONCLUSIONS
There is a strong positive correlation between endometrial t-PA activity on the second day of menstruation and measured menstrual loss (P < 0.05). Concentrations of endometrial t-PAAg and PAI-1 antigen are higher in women with DUB compared with normal women during menstruation.
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