Phase II year
1986
(last award dollars: 1987)
The overall Phase II aim of this project is to examine the usefulness of CUE readings for predicting and confirming ovulation. Methodological refinements will be used to develop it into an instrument that will be simple, inexpensive, and reliable.A detailed and expanded investigation of the concept will be done at the primary site (data on >300 cycles) with independent verification on a smaller scale (150 cycles) at secondary sites. Besides luteinizing hormone assays for defining ovulation in most cycles, ultrasound will be used in 70 cycles to examine the relation of CUE reading changes to ovulation. As a thorough understanding of the physiological mechanisms involved is important, the relationships between ACTH, aldosterone, salivary electrolytes, and CUE salivary readings (SR) will be examined. As part of this trial, the contributions of estrogen through the renin-angiotensin system to changes in aldosterone, hence SR, will be defined.Usefulness of the method in induced ovulations was indicated in preliminary studies. This phase will an important market segment; therefore, this application will be studied in 40 clomiphene and 20 "pergonal" induced cycles. Methodological development will be directed toward refining of sensor design, miniaturizing and prototyping the final microprocessor based instrument.National Institute of Child Health and Human Development (NICHD)