Ovarian function after bone marrow transplantation performed before menarche

    loading  Checking for direct PDF access through Ovid

Abstract

Aim

To examine the long term effect of bone marrow transplantation (BMT) on ovarian function in girls.

Methods

Eighteen girls who underwent BMT before menarche, had been disease free for more than six years, and were over 14 years of age at the time of study were investigated. The preparative regimen consisted of irradiation and chemotherapy. The occurrence of menarche and changes in basal serum follicle stimulating hormone (FSH) concentrations were studied.

Results

Twelve patients achieved menarche at a median age of 12.8 years. Age at transplant was significantly younger in patients who achieved menarche than in those who did not (mean (SD), 7.2 (0.5) v 11.1 (1.7) years). Basal FSH began to rise to menopausal concentrations after 10 years of age, and the girls who did not experience menarche had a sustained rise in FSH concentrations. Among those with raised FSH concentrations, five girls experienced menarche while serum FSH values were decreasing and four achieved menarche while FSH remained raised.

Conclusions

The high incidence of menarche suggests a favourable outcome of ovarian function in girls who undergo BMT at a young age.

Related Topics

    loading  Loading Related Articles