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Alcohol and Alcoholism Advance Access published online on January 31, 2007
Alcohol and Alcoholism, doi:10.1093/alcalc/agl094
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Copyright © The Author 2007. Published by Oxford University Press on behalf of the British Geriatrics Society.

Menstrual cycle in women addicted to alcohol during the first week following drinking cessation—changes of sex hormones levels in relation to selected clinical features

B. Augustynska1, M. Ziólkowski2, G. Odrowaz-sypniewska3, A. Kielpinski4, M. Gruszka3 and W. Kosmowski4

Department of Pathobiochemistry and Clinical Chemistry, Nicolaus Copernicus University, Bydgoszcz, Poland
Department of Psychiatry Nursing, Nicolaus Copernicus University, Bydgoszcz, Poland
Department of Laboratory Medicine, Nicolaus Copernicus University, Bydgoszcz, Poland
Department of Psychiatry, Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, Poland

augustynska{at}op.pl

Received 23 January 2006; in revised form 31 October 2006; accepted 1 November 2006


  Abstract

AIMS: To assess the prevalence of hormonal dysfunction in women addicted to alcohol during first week following drinking cessation; to determine whether fluctuations of hormone levels in follicular, ovulation and luteal phases in addicted women are equal to those normally found in healthy women; to determine the association between hormonal imbalances with selected clinical features.

METHODS: Biochemical parameters of liver function and hormone levels were assessed in 30 women treated for 30 days in a Short Term Therapy and Detoxification Ward. The following hormones were measured: prolactin (PROL), folliculotropin (FSH), luteotropin (LH), estradiol (ES) and testosterone (TEST)—(i) after menstruation, at follicular phase, between 5th and 7th day of the cycle; (ii) around ovulation, 11-14th day of the cycle; and (iii) before menstruation, at luteal phase, between 19th and 22th day of the cycle.

RESULTS: Mean PROL levels in all three cycle phases and progesterone level in follicular phase were above, while mean TEST level was below, the reference values. Over 50% of women had abnormally increased PROL values in all phases of the cycle while decreased values of PROG or LH were found in ~50% and >30% of study women.

CONCLUSIONS: The menstrual cycle disturbances in alcoholic women are most prominent around the middle part of the cycle and age influences the pattern of hormonal changes.


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