Sex Hormone Levels and Pain Thresholds in the Luteal Phase of Healthy Women

Luyao Zhang,1 Mingyang Sun,1 Weiwei Ding,1 Nan Zhao,2 Wei Zhang1 1Department of Anesthesiology and Perioperative Medicine, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou University, Zhengzhou, People’s Republic of China; 2Department of Ultrasound, Henan Provincial People’s Hospit...

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Main Authors: Zhang L, Sun M, Ding W, Zhao N, Zhang W
Format: Article
Language:English
Published: Dove Medical Press 2025-06-01
Series:International Journal of Women's Health
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Online Access:https://www.dovepress.com/sex-hormone-levels-and-pain-thresholds-in-the-luteal-phase-of-healthy--peer-reviewed-fulltext-article-IJWH
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author Zhang L
Sun M
Ding W
Zhao N
Zhang W
author_facet Zhang L
Sun M
Ding W
Zhao N
Zhang W
author_sort Zhang L
collection DOAJ
description Luyao Zhang,1 Mingyang Sun,1 Weiwei Ding,1 Nan Zhao,2 Wei Zhang1 1Department of Anesthesiology and Perioperative Medicine, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou University, Zhengzhou, People’s Republic of China; 2Department of Ultrasound, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou University, Zhengzhou, People’s Republic of ChinaCorrespondence: Wei Zhang, Department of Anesthesiology and Perioperative Medicine, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou University, No. 7 Weiwu Road, Zhengzhou, 450000, People’s Republic of China, Tel +86 037165580445, Email myhope2005@163.comObjective: To explore the relationship between the level of endogenous sex hormones in the luteal phase and the pain threshold of healthy subjects, and to find the influencing factors of the change in female pain threshold.Methods: Sixty-eight unmarried and nulliparous women, aged 22– 28 years old, had regular menstruation with a cycle of 26– 30 days, did not smoke, had no pain, no drug abuse, no gynecological problems, and had not participated in other clinical trials in the past 3 months. Blood was collected for analysis of sex hormone concentrations including follicle-stimulating hormone (FSH), luteinizing hormone (LH), and four different pain thresholds were measured after abdominal ultrasound confirmed that the menstrual cycle was in the luteal phase.Results: During the luteal phase, a greater cold pain threshold was correlated with lower FSH (β=− 0.743, P=0.012). A greater ischemic pain threshold was correlated with higher LH concentrations (β=1.397, P=0.011). A lower needle pain threshold was associated with higher FSH concentrations (β=0.32, P=0.006), which could explain 19.8% of the total variance of pain from a needle used to draw blood pain threshold.Conclusion: The needle pain threshold, cold pain threshold, ischemic pain threshold in the luteal phase of female healthy volunteers was, respectively, correlated with the concentrations of FSH or LH. These findings suggest that when formulating pain management strategies for women, the level of sex hormone concentrations should be considered, especially during the luteal phase, which may help provide more precise pain interventions for female patients and improve their pain experience.Keywords: follicle-stimulating hormone, luteinizing hormone, pain threshold, female healthy volunteers, luteal phase
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spelling doaj-art-e26fe2eab96d4efd9e3bd3742977da1c2025-08-20T03:29:49ZengDove Medical PressInternational Journal of Women's Health1179-14112025-06-01Volume 17Issue 117451754103808Sex Hormone Levels and Pain Thresholds in the Luteal Phase of Healthy WomenZhang L0Sun M1Ding W2Zhao N3Zhang W4Department of Anesthesiology and Perioperative MedicineDepartment of Anesthesiology and Perioperative MedicineDepartment of Anesthesiology and Perioperative MedicineDepartment of UltrasoundDepartment of Anesthesiology and Perioperative MedicineLuyao Zhang,1 Mingyang Sun,1 Weiwei Ding,1 Nan Zhao,2 Wei Zhang1 1Department of Anesthesiology and Perioperative Medicine, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou University, Zhengzhou, People’s Republic of China; 2Department of Ultrasound, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou University, Zhengzhou, People’s Republic of ChinaCorrespondence: Wei Zhang, Department of Anesthesiology and Perioperative Medicine, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou University, No. 7 Weiwu Road, Zhengzhou, 450000, People’s Republic of China, Tel +86 037165580445, Email myhope2005@163.comObjective: To explore the relationship between the level of endogenous sex hormones in the luteal phase and the pain threshold of healthy subjects, and to find the influencing factors of the change in female pain threshold.Methods: Sixty-eight unmarried and nulliparous women, aged 22– 28 years old, had regular menstruation with a cycle of 26– 30 days, did not smoke, had no pain, no drug abuse, no gynecological problems, and had not participated in other clinical trials in the past 3 months. Blood was collected for analysis of sex hormone concentrations including follicle-stimulating hormone (FSH), luteinizing hormone (LH), and four different pain thresholds were measured after abdominal ultrasound confirmed that the menstrual cycle was in the luteal phase.Results: During the luteal phase, a greater cold pain threshold was correlated with lower FSH (β=− 0.743, P=0.012). A greater ischemic pain threshold was correlated with higher LH concentrations (β=1.397, P=0.011). A lower needle pain threshold was associated with higher FSH concentrations (β=0.32, P=0.006), which could explain 19.8% of the total variance of pain from a needle used to draw blood pain threshold.Conclusion: The needle pain threshold, cold pain threshold, ischemic pain threshold in the luteal phase of female healthy volunteers was, respectively, correlated with the concentrations of FSH or LH. These findings suggest that when formulating pain management strategies for women, the level of sex hormone concentrations should be considered, especially during the luteal phase, which may help provide more precise pain interventions for female patients and improve their pain experience.Keywords: follicle-stimulating hormone, luteinizing hormone, pain threshold, female healthy volunteers, luteal phasehttps://www.dovepress.com/sex-hormone-levels-and-pain-thresholds-in-the-luteal-phase-of-healthy--peer-reviewed-fulltext-article-IJWHFollicle-stimulating hormoneLuteinizing hormonePain thresholdFemale healthy volunteersLuteal phase.
spellingShingle Zhang L
Sun M
Ding W
Zhao N
Zhang W
Sex Hormone Levels and Pain Thresholds in the Luteal Phase of Healthy Women
International Journal of Women's Health
Follicle-stimulating hormone
Luteinizing hormone
Pain threshold
Female healthy volunteers
Luteal phase.
title Sex Hormone Levels and Pain Thresholds in the Luteal Phase of Healthy Women
title_full Sex Hormone Levels and Pain Thresholds in the Luteal Phase of Healthy Women
title_fullStr Sex Hormone Levels and Pain Thresholds in the Luteal Phase of Healthy Women
title_full_unstemmed Sex Hormone Levels and Pain Thresholds in the Luteal Phase of Healthy Women
title_short Sex Hormone Levels and Pain Thresholds in the Luteal Phase of Healthy Women
title_sort sex hormone levels and pain thresholds in the luteal phase of healthy women
topic Follicle-stimulating hormone
Luteinizing hormone
Pain threshold
Female healthy volunteers
Luteal phase.
url https://www.dovepress.com/sex-hormone-levels-and-pain-thresholds-in-the-luteal-phase-of-healthy--peer-reviewed-fulltext-article-IJWH
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