The DOI matches its Crossref record; 40 of the 40 references it cites were found in a registry or an index.
Men with Acquired Hypogonadotropic Hypogonadism Treated with Testosterone may be Fertile
Abstract
Men with acquired hypogonadotropic hypogonadism treated with testosterone are generally assumed to be infertile. The finding of two such patients with unexpected fertility and normal sperm counts prompted an evaluation of spermatogenesis in additional men with this condition. Case records were initially searched and one similar case with fertility was found. Subsequently, 12 consecutive men with acquired hypogonadotropic hypogonadism were evaluated for gonadal function and sperm production while receiving testosterone. In five of the cases with proven spermatogenesis, exon 10 of the FSH receptor was sequenced to look for activating mutations. The original three cases and four of the subsequent 12 men had sperm concentrations > or = 15 million/ml. Two additional men had concentrations of 1 million/ml and six were azoospermic. Residual LH and FSH levels were slightly higher in those with maintained spermatogenesis prior to testosterone replacement. No activating mutations were found in exon 10 of the FSH receptor in the five cases studied. We conclude that men with acquired hypogonadotropic hypogonadism being treated with testosterone should not be assumed to be sterile, as we have found that more than half have been shown to have persistent spermatogenesis with more than one-third having sperm concentrations > or = 15 million/ml. This may be related to fact that gonadotropin levels in such patients are present, albeit low. Semen analyses in such men should be routinely carried…
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Hormone replacement therapy invariably causes a reduction in circulating FSH and LH levels.
“HRT invariably causes a reduction in circulating FSH and LH levels (101).”
From Hormonal Replacement in Hypopituitarism in Adults: An Endocrine Society Clinical Practice Guideline (2016) · cites this paper as [101]
Hormone replacement therapy can reduce FSH by up to 60% and LH by up to 50%.
“Clinicians could observe reductions of up to 60% for FSH and 50% for LH.”
From Hormonal Replacement in Hypopituitarism in Adults: An Endocrine Society Clinical Practice Guideline (2016) · cites this paper as [101]
Citations
Cites
Aittomäki, K., Dieguez-Lucena, J. L., Pakarinen, P., Sistonen, P., Tapanainen, J. S., Gromoll, J., Kaskikari, R., Sankila, E.-M. K., Lehväslaiho, H., Reyes‐Engel, A., et al. (1995) · Cell · doi:10.1016/0092-8674(95)90275-9 · Cited by 975
Tapanainen, J. S., Aittomäki, K., Jiang, M., Vaskivuo, T. E., & Huhtaniemi, I. T. (1997) · Nature Genetics · doi:10.1038/ng0297-205 · Cited by 566
Contraceptive efficacy of testosterone-induced azoospermia in normal men
Wu, F. C. W. (1990) · The Lancet · doi:10.1016/0140-6736(90)92416-f · Cited by 514
Contraceptive efficacy of testosterone-induced azoospermia and oligozoospermia in normal men
World Health Organization Task Force on Methods for the Regulation of Male Fertility (1996) · Fertility and Sterility · doi:10.1016/s0015-0282(16)58221-1 · Cited by 431
Wu, F. C. W. (1990) · PubMed · Cited by 288
Gromoll, J., Simoni, M., & Nieschlag, E. (1996) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.81.4.8636335 · Cited by 284
Male Hypogonadism Due to a Mutation in the Gene for the β-Subunit of Follicle-Stimulating Hormone
Phillip, M., Arbelle, J. E., Segev, Y., & Parvari, R. (1998) · New England Journal of Medicine · doi:10.1056/nejm199806113382404 · Cited by 252
The endocrine regulation of spermatogenesis: independent roles for testosterone and FSH
McLachlan, R. I., Wreford, N. G., O’Donnell, L., KRETSER, D. M. D., & Robertson, D. M. (1996) · Journal of Endocrinology · doi:10.1677/joe.0.1480001 · Cited by 246
Contraceptive efficacy of testosterone‐induced azoospermia in normal men
ZHANG, G. ‐., Li, G., Wu, F. C. W., Baker, H. W. G., Wang, X., Soufir, J. C., Huhtaniemi, I. T., Paulsen, C. A., Gottlieb, C., Handelsman, D. J., et al. (1991) · International Journal of Gynecology & Obstetrics · doi:10.1016/0020-7292(91)90685-x · Cited by 245
Stimulation of Spermatogenesis by Gonadotropins in Men with Hypogonadotropic Hypogonadism
Finkel, D. M., Phillips, J. L., & Snyder, P. J. (1985) · New England Journal of Medicine · doi:10.1056/nejm198509123131102 · Cited by 240
Matsumoto, A. M. (1990) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-70-1-282 · Cited by 189
BURRIS, A. S., RODBARD, H. W., WINTERS, S. J., & SHERINS, R. J. (1988) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-66-6-1144 · Cited by 185
Lindstedt, G., Nyström, E., Matthews, C. H., Ernest, I., Janson, P. O., & Chatterjee, K. (1998) · Clinical Chemistry and Laboratory Medicine (CCLM) · doi:10.1515/cclm.1998.118 · Cited by 185
Simoni, M., Gromoll, J., Höppner, W., Kamischke, A., Krafft, T., Stähle, D., & Nieschlag, E. (1999) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.84.2.5500 · Cited by 185
Male Hypogonadotropic Hypogonadism
Whitcomb, R. W., & Crowley, W. F. (1993) · Endocrinology and Metabolism Clinics of North America · doi:10.1016/s0889-8529(18)30183-x · Cited by 166
McDonough, P. G., & Farley, T. (1996) · Fertility and Sterility · doi:10.1016/s0015-0282(16)58361-7 · Cited by 160
Spermatogenesis: its regulation by testosterone and FSH
Zirkin, B. R. (1998) · Seminars in Cell and Developmental Biology · doi:10.1006/scdb.1998.0253 · Cited by 150
VICARI, E., MONGIOÌ, A., CALOGERO, A. E., MONCADA, M. L., SIDOTI, G., POLOSA, P., & D'AGATA, R. (1992) · International Journal of Andrology · doi:10.1111/j.1365-2605.1992.tb01131.x · Cited by 145
Hormonal Therapy of Male Hypogonadism
Matsumoto, A. M. (1994) · Endocrinology and Metabolism Clinics of North America · doi:10.1016/s0889-8529(18)30072-0 · Cited by 112
Contraceptive efficacy of testosterone-induced azoospermia and oligozoospermia in normal men.
(1996) · PubMed · Cited by 111
SCHAISON, G., Young, J., Pholséna, M., NAHOUL, K., & Couzinet, B. (1993) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.77.6.8263139 · Cited by 103
SUN, Y.-T., IRBY, D. C., Robertson, D. M., & de Kretser, D. M. (1989) · Endocrinology · doi:10.1210/endo-125-2-1000 · Cited by 100
Swerdloff, R. S., Bagatell, C. J., Wang, C., Anawalt, B. D., Berman, N., Steiner, B., & Bremner, W. J. (1998) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.83.10.5184 · Cited by 92
Handelsman, D. J., Spaliviero, J. A., Simpson, J. M., Allan, C. M., & Singh, J. (1999) · Endocrinology · doi:10.1210/endo.140.9.6958 · Cited by 83
Simoni, M., Gromoll, J., & Nieschlag, E. (1997) · Endocrine Reviews · doi:10.1210/edrv.18.6.0320 · Cited by 82
Male Hypogonadism Due to a Mutation in the Gene for the beta-Subunit of Follicle-Stimulating Hormone
Phillip, M., Arbelle, J. E., Segev, Y., & Parvari, R. (1999) · The Journal of Urology · doi:10.1016/s0022-5347(01)62014-7 · Cited by 77
Stimulation of Spermatogenesis in Stalk-Sectioned Rhesus Monkeys by Testosterone Alone*
Marshall, G. R., Wickings, E. J., Lüdecke, K., & Nieschlag, E. (1983) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-57-1-152 · Cited by 75
Huang, H. F. S., Marshall, G. R., Rosenberg, R., & Nieschlag, E. (1987) · European Journal of Endocrinology · doi:10.1530/acta.0.1160433 · Cited by 71
Marshall, G. R., Zorub, D. S., & Plant, T. M. (1995) · Endocrinology · doi:10.1210/endo.136.8.7628387 · Cited by 62
Hayes, F. J., Seminara, S. B., & Crowley, W. F. (1998) · Endocrinology and Metabolism Clinics of North America · doi:10.1016/s0889-8529(05)70039-6 · Cited by 62
Inactivating FSH receptor mutations and gonadal dysfunction
Tapanainen, J. S., Vaskivuo, T. E., Aittomäki, K., & Huhtaniemi, I. T. (1998) · Molecular and Cellular Endocrinology · doi:10.1016/s0303-7207(98)00179-8 · Cited by 54
Isolated Follicle-Stimulating Hormone Deficiency in Man
Maroulis, G. B., Parlow, A. F., & Marshall, J. R. (1977) · Fertility and Sterility · doi:10.1016/s0015-0282(16)42734-2 · Cited by 52
Prospects for New Hormonal Male Contraceptives
Cummings, D. E., & Bremner, W. J. (1994) · Endocrinology and Metabolism Clinics of North America · doi:10.1016/s0889-8529(18)30074-4 · Cited by 52
Matsumoto, A. M., & Bremner, W. J. (1985) · Journal of Andrology · doi:10.1002/j.1939-4640.1985.tb00829.x · Cited by 50
Isolated follicle-stimulating hormone deficiency in men: successful long-term gonadotropin therapy
Al-Ansari, A. A. K., Khalil, T., Kelani, Y., & Mortimer, C. H. (1984) · Fertility and Sterility · doi:10.1016/s0015-0282(16)48148-3 · Cited by 28
MOZAFFARIAN, G., HIGLEY, M., & Paulsen, C. A. (1983) · Journal of Andrology · doi:10.1002/j.1939-4640.1983.tb00766.x · Cited by 22
Isolated FSH Deficiency in a Male
Hägg, E., Tollin, C., & Bergman, B. O. (1978) · Scandinavian Journal of Urology and Nephrology · doi:10.3109/00365597809179732 · Cited by 22
Persistence of Spermatogenesis in Hypogonadotropic Hypogonadism Treated with Testosterone
Baranetsky, N. G., & Carlson, H. E. (1980) · Fertility and Sterility · doi:10.1016/s0015-0282(16)45141-1 · Cited by 15
Isolated deficiency of follicle-stimulating hormone in man: a case report and literature review.
Díez‐Sebastián, J., Iglesias, P., Sastre, J., Salvador, J. U. P., Gómez-Pan, A., Otero, I. R.-M., & Granizo, V. (1994) · PubMed · Cited by 14
Swerdloff, R. S., Bagatell, C. J., Wang, C., Anawalt, B. D., Berman, N., Steiner, B., & Bremner, W. J. (1999) · Obstetrical & Gynecological Survey · doi:10.1097/00006254-199905000-00021 · Cited by 8
Flagged first, then by citations
Research works printed but not linked: 1
- Winters SJ. Clinical disorders of the testis. In: DeGroot LJ, Jameson JL, eds., Endocrinology, 4th ed. Philadelphia: W. B. Saunders Co., 2001:2269–2290.
Cited by
Sorted by citations
Hormonal Replacement in Hypopituitarism in Adults: An Endocrine Society Clinical Practice Guideline
Fleseriu, M., Hashim, I. A., Karavitaki, N., Melmed, S., Murad, M. H., Salvatori, R., & Samuels, M. H. (2016) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2016-2118 · Cited by 945
Petersenn, S., Fleseriu, M., Casanueva, F. F., Giustina, A., Biermasz, N., Biller, B. M. K., Bronstein, M., Chanson, P., Fukuoka, H., Gadelha, M., et al. (2023) · Nature Reviews Endocrinology · doi:10.1038/s41574-023-00886-5 · Cited by 411
Self-citationPitteloud, N., Dwyer, A. A., DeCruz, S., Lee, H., Boepple, P. A., Crowley, W. F., & Hayes, F. J. (2008) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2007-2548 · Cited by 65
Lue, Y., Wang, C., Liu, Y., Hikim, A. P. S., Zhang, X., Ng, C., Hu, Z., Li, Y.-C., Leung, A., & Swerdloff, R. S. (2006) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2005-1808 · Cited by 65
Male acquired hypogonadotropic hypogonadism: Diagnosis and treatment
Salenave, S., Trabado, S., Maione, L., Brailly‐Tabard, S., & Young, J. (2012) · Annales d Endocrinologie · doi:10.1016/j.ando.2012.03.040 · Cited by 51
Exercise improves biomarkers of health and stress in animals fed ad libitum
Alessio, H. M., Hagerman, A. E., Nagy, S., Philip, B., Byrnes, R. N., Woodward, J. L., Callahan, P., & Wiley, R. L. (2004) · Physiology & Behavior · doi:10.1016/j.physbeh.2004.10.010 · Cited by 47
Shimon, I., Lubina, A., Gorfine, M., & Ilany, J. (2006) · Journal of Andrology · doi:10.2164/jandrol.05140 · Cited by 21
Maione, L., Sarfati, J., Gonfroy‐Leymarie, C., Salenave, S., Brailly‐Tabard, S., Chanson, P., Trabado, S., Kaiser, U. B., & Young, J. (2022) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/clinem/dgac194 · Cited by 20
Matsumoto, A. M., & Bremner, W. J. (2016) · Elsevier eBooks · doi:10.1016/b978-0-323-29738-7.00019-8 · Cited by 18
Matsumoto, A. M., & Bremner, W. J. (2011) · Williams Textbook of Endocrinology · doi:10.1016/b978-1-4377-0324-5.00019-5 · Cited by 18
Male Reproductive Organ and Sexual Differentiation Testing
(2009) · CRC Press eBooks · doi:10.1201/9781420079364.ch9
Metadata
- Authors
- Drincic, A., Arseven, O. K., Sosa, E., Mercado, M., Kopp, P., & Molitch, M. E.
- Affiliations
- Northwestern University (US)
- Mexican Social Security Institute (MX)
- Corresponding author
- Molitch, Mark E.
- Venue
- Pituitary
- Published
- 2003-03
- Volume
- 6
- Issue
- 1
- Pages
- 5-10
- ISSN
- 1386-341X (ISSN-L)
- 1573-7403
- OpenAlex
- W1560528387
- Semantic Scholar
- 8dc3d05f740d042e564aa7622501688880e8e6ef
- Cited by
- 11
- References
- 40
- Citations by year
- 2023: 1 · 2022: 1 · 2016: 2 · 2012: 1
- FWCI
- 0.92
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Pituitary (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Sperm and Testicular Function
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
- Health Sciences › Medicine › Reproductive Medicine › Hypothalamic control of reproductive hormones
- Keywords
- testosterone replacement therapy, male fertility, spermatogenesis, sperm count, gonadotropin levels, azoospermia, semen analysis
- MeSH terms
- Acromegaly, Adult, Androgens, Fertility, Follicle Stimulating Hormone, Humans, Hypogonadism, Luteinizing Hormone, Male, Middle Aged, Postoperative Complications, Spermatogenesis, Testosterone
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