2021 · The Journal of steroid biochemistry and molecular biology · paywalled
Direct measurement of pregnanediol 3-glucuronide (PDG) in dried urine spots by liquid chromatography-mass spectrometry to detect ovulation
Handelsman et al.
The finding, in our words
Handelsman et al. validated a direct LCMS assay for pregnanediol glucuronide in dried urine spots without deconjugation. In ten women monitored across one menstrual cycle, using two or three consecutive first-void samples reduced false-negative ovulation detection from eight per cent to 2.6 per cent and 1.9 per cent respectively, enabling accurate home-based fertility assessment.
A paraphrase to the Library’s standard, never the abstract. The source is one link away and is always the authority.
The Inito Fertility Monitor demonstrated strong agreement with laboratory ELISA for measuring urinary estrone-3-glucuronide, pregnanediol glucuronide and luteinising hormone, with coefficients of variation around 5%. It identified a novel ovulation confirmation criterion that distinguished ovulatory from anovulatory cycles with 100% specificity and an area under the curve of 0.98, supporting accurate decentralised fertility monitoring.
Four dried urine spots across a day matched a 24-hour liquid collection for 17 reproductive hormones and metabolites, with intraclass correlations above 0.90.
This study found that dried urine metabolite patterns followed serum concentrations. It shows excellent agreement for the 4-spot method versus 24-hour collections and dried versus liquid urine, with intraclass correlation coefficients greater than 0.95.
For decentralised testing, a study found dry vaginal self-samples using Copan FLOQSwabs stored up to two weeks at room temperature maintain DNA quality. However, first-void urine collected with the Colli-Pee device may be less sensitive for HPV detection, showing lower positivity and higher cycle threshold values, median Ct 30 versus 27 for other samples.
Home DBS sampling gave testosterone results that agreed well with venous blood in men on intramuscular testosterone undecanoate, but showed falsely high values in those using topical gel, likely from skin contamination. Patients preferred home collection for its convenience, suggesting DBS is viable for decentralised monitoring of injectable testosterone if patients are taught proper technique.