PLASMA UNCONJUGATED OESTRIOL AND UNCONJUGATED OESTRADIOL-17β IN LATE PREGNANCY: INDIVIDUAL FLUCTUATION OF CONCENTRATIONS FROM DAY TO DAY AND EVERY 10 MINUTES

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Abstract
Plasma unconjugated estriol (E3) and unconjugated estradiol-17.beta. (E2) were determined by radioimmunoassay. In 10 normal women in their last month of pregnancy the individual fluctuation of E3 concentrations (mean of the coefficients of variation, CV) from day to day (over 5 days) was 15.6% (range 6.4-26.2%). The individual fluctuation of E2 determined in 8 of these women was 16.9 (10.4-25.5)%. In 6 of the same women who had blood samples collected every 10 min (for 3 h) the individual fluctuation of E3 concentrations was 13.8 (7.0-25.1)%, and of E2 was 16.1 (11.3-26.0)%. The degree of fluctuation of E3 in individuals was in proportion to the mean concentration, unlike E2, suggesting that in clinical practice individual changes in E3 values would be as easy to interpret at low levels as at high levels. The finding that concentrations of plasma unconjugated E3 fluctuate in individuals no more than for E2 or than reported for total E3, and less than reported for 24-h urinary estrogens, lends practical support to the theoretical preference for the assay of plasma unconjugated E3 to assess feto-placental function.

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