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Leukocyte changes across menstruation, ovulation, and mid‐luteal phase and association with sex hormone variation
Author(s) -
Nowak Judyta,
Borkowska Barbara,
Pawlowski Boguslaw
Publication year - 2016
Publication title -
american journal of human biology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.559
H-Index - 81
eISSN - 1520-6300
pISSN - 1042-0533
DOI - 10.1002/ajhb.22856
Subject(s) - ovulation , luteal phase , menstrual cycle , menstruation , white blood cell , hormone , endocrinology , medicine , physiology , andrology , biology , immunology
Objectives Total leukocyte count (white blood cells—WBC) and the count of each subpopulation vary across the menstrual cycle, but results of studies examining the time and direction of these changes are inconsistent and methodologically flawed. Besides, no previous study focused on leukocyte count on the day of ovulation. Methods Blood samples were obtained from 37 healthy and regularly cycling women aged 19.8–36.1 years. Samples were taken three times: during menstruation (M), ovulation (O), and in the mid‐luteal phase (ML). WBC, neutrophils, lymphocytes, mixed cells, progesterone (P,) and estradiol (E) were measured in each of the three target phases of the cycle. Results Compared to menstruation, WBC ( P = 0.002) and neutrophils ( P < 0.001) increased around ovulation and remained stable in the mid‐luteal phase, whereas lymphocyte and mixed cell counts did not change throughout the menstrual cycle. There were some correlations of sex hormone variation with leukocyte changes between M and O (positive for E and WBC, negative for P and WBC and for P and neutrophil count; P < 0.05), but not between O and ML. Conclusions Peripheral leukocyte changes taking place in the second half of the cycle are already observable on the day of ovulation and they are associated with sex hormone variation. We speculate that these changes may lead to increased immune protection against pathogens at a time when fertilization and implantation typically occur. Am. J. Hum. Biol. 28:721–728, 2016. © 2016 Wiley Periodicals, Inc.