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Biochemical characterization of peritoneal fluid in women during the menstrual cycle
Abstract
Peritoneal fluid was collected at laparoscopy in women during the menstrual cycle and was assayed for protein and steroid hormone content. The total protein concentration in peritoneal fluid and the concentrations of the steroid hormone-binding proteins, transcortin and sex hormone-binding globulin, the polypeptide hormones, LH, FSH, and PRL, correlated with the plasma concentration but were lower; they were, respectively, 68%, 71%, 68%, 42%, and 34% of the plasma concentration. The concentrations of steroid hormones secreted by the ovary, i.e. 17 beta-estradiol, progesterone, androstenedione, and testosterone, were always equal or higher in peritoneal fluid than in plasma. In contrast, the concentrations of cortisol, a nonovarian steroid hormone, was 40% lower in peritoneal fluid than in plasma. No cyclic variations were observed in the peritoneal fluid concentrations of androstenedione and testosterone, two steroid hormones secreted by the stromal component of the ovary. On the contrary, the concentrations of 17 beta-estradiol and progesterone secreted by the follicular apparatus of the ovary increased sharply in peritoneal fluid after ovulation, reaching values of 44000 pg/ml and 3000 ng/ml, respectively. They declined progressively, whereas in plasma, peak concentrations were achieved only in the midluteal phase. In conclusion, the concentrations of 17 beta-estradiol and progesterone are much higher in peritoneal fluid than in plasma for at least 1 week after ovulation. We suggest that the secretion of the early, not yet vascularized, corpus luteum is directed preferentially toward the peritoneal cavity, creating a specific hormonal environment for the released oocyte and the oviduct.
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“Estrogen and P concentrations in PF (Supplemental Fig. 1) are much higher than in plasma, especially after ovulation (13).”
From Pathogenesis of deep endometriosis (2017) · cites this paper as [13]
In the citing paper
“It was calculated that after ovulation these steroids are secreted predominantly into the PF from where they are resorbed into plasma.”
From Pathogenesis of deep endometriosis (2017) · cites this paper as [13]
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Foster, E. A. (2003) · Medical Hypotheses · doi:10.1016/s0306-9877(03)00029-x · Cited by 1
Endometriosis and Pelvic Pain: Understanding Medical Treatment.Preprint
Koninckx, P. R., Ussia, A., Viganò, P., Wattiez, A., & Vercellini, P. (2024) · Preprints.org · doi:10.20944/preprints202403.0500.v1 · Cited by 1
Principles of medical therapy for endometriosis pain
Jansen, R. P. S. (1992) · Journal of Obstetrics and Gynaecology · doi:10.3109/01443619209045610
Chin, T.-H., Lin, C., Chang, S., Wang, H., Huang, H.-Y., Soong, Y., Wu, H., & Chu, P. (2019) · Taiwanese Journal of Obstetrics and Gynecology · doi:10.1016/j.tjog.2019.03.012
Howe, C. A., Coté, J. J., Stoos, C. T., Hallgren, J., Bredehoeft, M., & Waes, J. B. G. (2025) · Journal of the American Association for Laboratory Animal Science · doi:10.30802/aalas-jaalas-24-160 · Cited by 2
Thrombotic and Hemostatic Aspects of Assisted Conception
Koita-Kazi, I., Efthymiou, M., Cohen, H., & Serhal, P. F. (2015) · Springer eBooks · doi:10.1007/978-3-319-15120-5_23
Binda, M. M., de Wilde, M. S., Wilde, R. L. D., & Koninckx, P. R. (2026) · Journal of Clinical Medicine · doi:10.3390/jcm15051711
Endometriosis: A Cancer-Like Phenomenon
Setiawan, A., Syam, H. H., Permadi, W., Tjahyadi, D., Anwar, R., Carrasco-Urrutia, V. J., Zeineddine, S., & Angioni, S. L. (2026) · Obstetrics and gynecology. · doi:10.5772/intechopen.1015068
Metadata
- Authors
- KONINCKX, P. R., VERHOEVEN, G., VAN BAELEN, H., LISSENS, W. D., DE MOOR, P., & BROSENS, I. A.
- Affiliations
- KU Leuven (BE)
- ORCID
- BROSENS, I.A.
- Venue
- The Journal of Clinical Endocrinology & Metabolism
- Publisher
- The Endocrine Society
- Published
- 1980-12
- Volume
- 51
- Issue
- 6
- Pages
- 1239-1244
- ISSN
- 0021-972X (ISSN-L)
- 1945-7197
- OpenAlex
- W2066417972
- Cited by
- 101
- References
- 22
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 2 · 2022: 2 · 2021: 4 · 2020: 3 · 2019: 2 · 2018: 3 · 2017: 1 · 2016: 1 · 2015: 2 · 2013: 3 · 2012: 2
- FWCI
- 2.52
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
- Health Sciences › Medicine › Reproductive Medicine › Reproductive Biology and Fertility
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Endocrinology › Estrogen and related hormone effects
- Keywords
- peritoneal fluid, menstrual cycle, estradiol, progesterone, corpus luteum, ovulation, corticosteroid-binding globulin, sex hormone-binding globulin, luteinizing hormone, follicle-stimulating hormone, prolactin, cortisol, ovarian steroid secretion, plasma hormone levels
- MeSH terms
- Ascitic Fluid, Electrolytes, Estradiol, Female, Gonadotropins, Pituitary, Humans, Hydrocortisone, Menstruation, Progesterone, Sex Hormone-Binding Globulin, Transcortin
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