Pulmonary Functions in Different Phases of Menstrual Cycle and its Relation with Serum Progesterone levels.
Pulmonary Functions in Different Phases of Menstrual Cycle & Serum Progesterone levels.
DOI:
https://doi.org/10.70284/njirm.v3i1.1963Keywords:
adolescent girls, pulmonary function, menstrual cycle, serum progesteroneAbstract
Background & objectives: Cyclical changes in the hormonal levels determine different phases of
menstrual cycle. These variations in hormonal levels are also responsible for variations in functional
parameters of many systems in the body. Many studies have highlighted the changes in respiratory
parameters in different phases of menstrual cycle. In this study, we have explored the factors that influence
lung function in adolescent girls focusing on the hormonal factors related to the menstrual cycle. Methods: 36
adolescent girls with normal menstrual cycle consented for the study. Pulmonary functions and serum
progesterone were measured during follicular and secretory phase of menstrual cycle after a detailed
menstrual history and screening for medical illness. Results : show a significantly higher serum progesterone
and FVC, FEV1 and PEFR during secretory phase. There was a strong positive correlation of Serum
progesterone in secretory phase with FVC and negative correlation with FEV1%. Interpretation & conclusion:
This improvement of pulmonary function during secretory phase is due to increase in serum progesterone
levels which have a dual effect of overall smooth muscle relaxation and hyperventilation. Supplement of
progesterone may be useful to avert premenstrual asthma and enhance the performance.
References
Laskowski, Jeffrey Hammel, Raed AD, Herbert
PW, Serpil CE. Effects of the Menstrual Cycle
on Lung Function Variables in Women with
Asthma. Am J Respir Crit Care Med 2009Vol
180. pp 304–310.2. Becklake MR, Kauffmann F. Gender differences
in airway behaviour over the human life span.
Thorax 1999; 54: 1119-38.
3. Skobeloff EM, Spivey WH, St Clair SS,
Schoffstall JM. The influence of age and sex on
asthma admissions. JAMA 1992; 268: 3437-40.
4. You Hoon Jeon, Hyeon Jong Yang, Bok Yang
Pyun. Lung Function in Korean Adolescent
Girls: in Association with Obesity and the
Menstrual Cycle. J Korean Med Sci 2009; 24:
20-5.
5. Das TK, Jana H. Basal oxygen consumption
during different phases of menstrual cycle.
Indian Journal Of Medical Research (B)
1991;94:16-19.
6. Chen HI, Tang YR. Effects of the menstrual
cycle on respiratory muscle function. American
Review of Respiratory Diseases 1989;140:1359-
62.
7. Pai RP, Prajna P, D’souza UJA. Correlative study
on blood pressure and lung function profiles
during different phases of menstrual cycle
among Indian population. Thai Journal of
Physiological Science 2004;17:30-34.
8. Mannan SR, Begum N, Begum S, Ferdousi S, Ali
T. Relationship of Forced Vital Capacity (FVC),
Forced Expiratory Volume in First Second
(FEV1)and FEV1/FVC% with Plasma
Progesterone Level during Different Phases of
Normal Menstrual Cycle J Bangladesh Soc
Physiol. 2007 Dec;2: 7-12.
9. Rajesh CS, Gupta and Vaney. Status of
pulmonary function tests in adolescent females
of Delhi. Indian J physiol pharmacol.
2000;44(4):442-448.
10. Rao GS, Rajan P, Walter S. Expiratory flow rate
changes during the menstrual cycle. Indian J.
physiol. pharmacol. 1991;35(1):74-76.
11. Polly ZA, Begum S, Ferdousi S, Begum N, Ali T,
Begum A. FVC, FEV1 and FEV1/FVC% In
Postmenopausal Women and Their
Relationship with Serum Progesterone and
Estrogen Level. J Bangladesh Soc Physiol. 2009
June; 4(1): 7-13.
12. Resmi SS, Samuel E, Kesavachandran C,
Shashidhar S. Effect of oral contraceptives on
respiratory function. Indian J. physiol.
Pharmacol. 2002;46(3):361-366.
13. Gokhale PA, Gokhale AV. Lung Functions during
different phases of menstrual cycle. The Indian
Practitioner 2002 Jun; 55(6): 353-356.
14. Parsons, Stephanie Megan. Exercise
ventilation: effects of menstrual cycle.
Electronic Theses and Dissertations. Texas Tech
University Electronic Theses and Dissertations:
2006; http://hdl.handle.net/2346/1054.
15. Bruno da Silva, S., de Sousa Ramalho Viana, E.
and Corderio de Sousa, M. B. Changes in peak
expiratory flow and respiratory strength during
menstrual cycle. Respiratory Physiology &
Neurobiology 2006 ;150:211-219.
16. Bayliss DA, Milihorn DE. Central neural
mechanisms of progesterone action:
Application to the respiratory system. Journal
of Applied Physiology 1992; 73(2):393-404.
17. Stahl ML, Orr WC, Males JL. Progesterone
levels and sleep related breathing during
menstrual cycles of normal women. Sleep
1985;8:227-230.