Amenorrhea historical perspective

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Historical Perspective

  • The Egyptian ancient belief honored menstrual blood as a life-giving nature. The Mesopotamian mother goddess, named Ninhursag, believed to create mankind from loam and her "blood of life".[1]
  • The first descriptions about disturbances in menstrual cycle are found in Papyrus Ebres [named after the Egyptologist Georg M. Ebers (1837-1898)], from New Kingdom period (1450-1550 B.C.E). They described the patients as a "women who suffers from the side of her pubic region as an irregularity of her menstruation".[2]
  • [3]
  • In Papyrus Edwin Smith [named for an American antiques dealer (1822-1906)], from 2900 B.C.E, first definition of amenorhea presented as "woman suffering in her abdomen, so that the menstrual discharge can not leave her". There are also herbal treatments suggestions for this condition in the Papyrus.[4]
  • The term amenorrhea is derived from Greek language [a = negative, men = month, rhoia = flow]. The opposite is the normal menstrual period.
  • Historically, the term amenorrhea has often been used as a euphemism for "unwanted pregnancy" and many folk treatments for this condition were in fact abortifacients.
  • In 1855, William Brinton, a British physician, presented a woman with secondary amenorrhea caused by severe cachexia due to chronic peptic ulcer disease.[5]
  • In 1885, Maury Deas, a British physician, suggested Permanganate of Potash as a treatment option for psychosis associated amenorrhea.[6]
  • In 1894, Jollye, a British physician, described a girl with secondary amenorrhea along with some symptoms reflecting brain mass lesion.[7]
  • In 1910, Crowe, a Canadian physician, was the first researcher mentioned the pituitary gland as a regulator of gonads' stem cell. Crowe SJ, Cushing H and Homans J (1910) Experimental hypophysectomy. Bull Johns Hopkins Hosp 21,127–167
  • In 1912, Bernhard Aschner, an Austrian endocrinologist, found that the gonad control by pituitary gland is already controlled by another superior center in the brain. He suggested hypophysis, pituitary stalk, and centres superior to the medulla oblongata as the controlling systems. Their dysfunction lead to hypopituitarism and also hypogonadism.[8]
  • In 1926, Philip Smith, an American endocrinologist, experienced and approved that implanting animals' pituitary glands into other animals (mice, cats, and rabbits) leads to initiate their puberty process, enlarging their gonads.[9]
  • In 1926, Bernhard Zondek, a Israeli gynecologist, did the same experience, injecting adult humans' or cows' pituitary glands to some immature animals and witnessing the rapid rush of their puberty process. Zondek B (1926) Ueber die Funktion des Ovariums. Zeitschr Geburtsh Gynäkol 90,327.
  • In 1929, Bernhard Zondek, a Israeli gynecologist, identified that pituitary gland secrets two major hormones, that are completely controlling the sexual life and therefore maintaining the species. He named them "prolan A" and "prolan B", comes after the Latin word "prole" which means "descendant".[10]
  • In 1930, Philip Smith, an American endocrinologist, suggested that excision of pituitary gland in immature animals can lead to failure of sexual maturation; while, can lead to gonadal atrophy, regression of sexual characteristics, and infertility in mature animals.[11]
  • In 1930, Bernhard Zondek, a Israeli gynecologist, found prolan A responsible for follicular growth stimulation and prolan B responsible for ovulation induction and corpus luteum formation. Zondek revealed that prolan A and B together induced the "fuliculin" hormone from gonads, while prolan B alone induced both fuliculin and "lutein" hormones.[12]
  • In 1931, Fevold, an American zoologist, named fuliculin and lutein as follicle stimulating factor and luteinizing factor, respectively. Fevold, H. L., Hisaw, F. L., & Leonard, S. L. (1931). The gonad stimulating and the luteinizing hormones of the anterior lobe of the hypophesis. American Journal of Physiology--Legacy Content97(2), 291-301.

References

  1. "Menstruation in ancient Egypt, by Petra Habiger, at the Museum of Menstruation and Women's Health".
  2. Sigerist, Henry (1951). A history of medicine. New York: Oxford. ISBN 9780195001020.
  3. "Reorganized text". JAMA Otolaryngol Head Neck Surg. 141 (5): 428. 2015. doi:10.1001/jamaoto.2015.0540. PMID 25996397.
  4. Breasted, James (1930). The Edwin Smith surgical papyrus, published in facsimile and hieroglyphic transliteration with translation and commentary in two volumes. Chicago, Ill: University of Chicago, Oriental Institute. ISBN 0-918986-73-7.
  5. Brinton W (1856). "ROYAL FREE HOSPITAL. ULCER OF THE STOMACH, COMPLICATED WITH AMENORRHOEA, TREATED SUCCESSFULLY". Assoc Med J. 4 (158): 22–4. PMC 2439376. PMID 20741224.
  6. Deas PM (1885). "Note on the Use of Permanganate of Potash in Cases of Insanity Associated with Amenorrhoea". Br Med J. 1 (1268): 778–9. PMC 2256047. PMID 20751231.
  7. Jollye FW (1894). "A Case of Amenorrhoea with Brain Symptoms". Br Med J. 1 (1747): 1354–5. PMC 2404280. PMID 20754906.
  8. Aschner, Bernhard (1912). "Ueber die Beziehungen zwischen Hypophysis und Genitale". Archiv für Gynaekologie. 97 (2): 200–228. doi:10.1007/BF01726121. ISSN 0003-9128.
  9. Smith, P. E. (1926). "Hastening Development of Female Genital System by Daily Homoplastic Pituitary Transplants". Experimental Biology and Medicine. 24 (2): 131–132. doi:10.3181/00379727-24-3260. ISSN 1535-3702.
  10. Zondek, Bernhard (1929). "Weitere Untersuchungen zur Darstellung, Biologie und Klinik des Hypophysenvorderlappen-Hormons (Prolan)". Klinische Wochenschrift. 8 (4): 157–159. doi:10.1007/BF01748589. ISSN 0023-2173.
  11. Steelman, Sanford L.; Pohley, Florence M. (1953). "ASSAY OF THE FOLLICLE STIMULATING HORMONE BASED ON THE AUGMENTATION WITH HUMAN CHORIONIC GONADOTROPIN". Endocrinology. 53 (6): 604–616. doi:10.1210/endo-53-6-604. ISSN 0013-7227.
  12. Zondek, Bernhard (1930). "über die Hormone des Hypophysenvorderlappens". Klinische Wochenschrift. 9 (6): 245–248. doi:10.1007/BF01765181. ISSN 0023-2173.


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