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Gonadal function in adolescents and young women with juvenile systemic lupus erythematosus

Rua Raul Pompe São Paulo, SP, CEP-05025-010, Brazil. clovisaas{at}icr.hcnet.usp.br

M M Leal

C Leone

Adolescent Gynaecology Service, School of Medicine, University of São Paulo, São Paulo, Brazil

V P Simone

Pediatric Radiology Unit, Department of Pediatrics, Children's Institute, School of Medicine, University of São Paulo, São Paulo, Brazil

A D Takiuti

Adolescent Gynecology Service, Department of Pediatrics, Children's Institute, School of Medicine, University of São Paulo, São Paulo, Brazil

M I Saito

Adolescent Gynaecology Service, School of Medicine, University of São Paulo, São Paulo, Brazil

M H B Kiss

Pediatric Rheumatology Unit, Department of Pediatrics, Children's Institute, School of Medicine, University of São Paulo, São Paulo, Brazil

The authors analysed the gonadal function and age of menarche of 23 female adolescentsand young women with SLE, and correlated these with clinical, SLEDAI and therapeutic parameters. The presence of one or more clinical and laboratory parameters defined normal gonadal function: normal menstrual cycles with or without dysmenorrhea; elevated cervical mucus length; normal levels of plasma FSH, LH, estradiol, progesterone, prolactin and testosterone; normal urinary hormonal cytology; serial pelvic ultrasound compatible with ovulatory pattern; and present or previous pregnancy. The mean age of menarche (13.5 1.4 years) was greater than that found among 2578 healthy Brazilian adolescents (12.5 1.3 years; P = 0.0002). The delay in menarche correlated with an increase in the duration of the disease (P = 0.0085) and the cumulative dose of prednisone (P = 0.0013) used until the appearance of the menarche. The mean phase length in SLE was 31.5 10.3. Sixteen female (70%) patients showed normal and seven (30%) abnormal gonadal function. Gonadal function was not correlated with parameters of SLE. These results suggest that the patients of this study reach adulthood with a high chance of fertility.

Key Words: adolescent • gonadal function • hormone • menarche • systemic lupus erythematosus

Lupus, Vol. 11, No. 7, 419-425 (2002)
DOI: 10.1191/0961203302lu219oa


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