Therapeutic uses of aromatase inhibitors in men
Abstract
PURPOSE OF REVIEW: In men estrogens are important for achieving and maintaining bone mass, epiphysial maturation and feedback on gonadotrophin secretion. Potent aromatase inhibitors offer a convenient way to suppress estrogen production in men. This review aims to present an overview of the potential indications for aromatase inhibitors in men and to discuss results of clinical trials. RECENT FINDINGS: Aromatase inhibitors are particularly useful to delay epiphysial maturation and increase predicted adult height in boys with pubertas praecox, idiopathic short stature and constitutional delay of puberty. In older men with late-onset hypogonadism aromatase inhibitors improve plasma testosterone levels but evidence for long-term benefit is presently lacking. Preliminary evidence shows no detrimental effects of aromatase inhibition on bone metabolism in men. SUMMARY: Aromatase inhibitors effectively delay epiphysial maturation in boys and improve testosterone levels in adult men and may be used to increase adult height in boys with pubertas praecox, idiopathic short stature and constitutional delay of puberty. Long-term efficacy and safety is not established in adult men and their use in older men with late-onset hypogonadism is therefore not yet recommended.
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Aromatase inhibitors use in women is associated with a modest increase in bone resorption.
“Aromatase inhibitors were proven to be safe, convenient and effective for the treatment of hormone sensitive breast cancer in women although their use is associated with a modest increase in bone resorption [2,3].”
From Aromatase inhibitors in men: effects and therapeutic options (2011) · cites this paper as [3]
Aromatase inhibitors were proven to be safe, convenient and effective for the treatment of hormone sensitive breast cancer in women.
“Aromatase inhibitors were proven to be safe, convenient and effective for the treatment of hormone sensitive breast cancer in women although their use is associated with a modest increase in bone resorption [2,3].”
From Aromatase inhibitors in men: effects and therapeutic options (2011) · cites this paper as [3]
Long-term use of potent aromatase inhibitors in postmenopausal women is associated with adverse effects on bone.
“In postmenopausal women with breast carcinoma, long-term use of potent aromatase inhibitors reduces circulating estradiol levels by 88% [31] and is associated with adverse effects on bone [2,3].”
From Aromatase inhibitors in men: effects and therapeutic options (2011) · cites this paper as [3]
Long-term use in postmenopausal women is associated with a moderate increase in bone resorption and a modest decrease in BMD compared with placebo.
“Long-term use in postmenopausal women is associated with a moderate increase in bone resorption and a modest decrease in BMD compared with placebo [2,3].”
From Aromatase inhibitors in men: effects and therapeutic options (2011) · cites this paper as [3]
Extensive experience with third-generation aromatase inhibitors in postmenopausal women did not reveal major side effects related to their use.
“Extensive experience with third-generation aromatase inhibitors in postmenopausal women did not reveal major side effects related to their use.”
From Aromatase inhibitors in men: effects and therapeutic options (2011) · cites this paper as [3]
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Caldas, A. D. A., Porto, A. L. A., Domingues, L., da Motta, C., & Casulari, L. A. (2009)
- Authors
- de Ronde, W.
- Venue
- Current Opinion in Endocrinology, Diabetes & Obesity
- Published
- 2007-06
- Volume
- 14
- Issue
- 3
- Pages
- 235-240
- ISSN
- 1752-296X (ISSN-L)
- OpenAlex
- W2790224787
- Cited by
- 26
- References
- 69
- Citations by year
- 2019: 2 · 2018: 1 · 2017: 2 · 2016: 1 · 2015: 2 · 2014: 3 · 2013: 1 · 2012: 1
- FWCI
- 0.52
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Opinion in Endocrinology Diabetes and Obesity (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Hypothalamic control of reproductive hormones
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Growth Hormone and Insulin-like Growth Factors
- Keywords
- aromatase inhibitors, men, estrogen suppression, idiopathic short stature, constitutional delay of growth and puberty, adult height, andropause, testosterone, bone metabolism
- MeSH terms
- Estrogen Antagonists, Estrogens, Humans, Luteinizing Hormone, Male, Phenotype, Testosterone, Aromatase Inhibitors
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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