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Neuroendocrine-gonadal axis in men: frequent sampling of LH, FSH, and testosterone
Abstract
Previous studies of episodic hormone secretion of the hypothalamic-pituitary-gonadal axis in normal men have produced conflicting results due to examinations of small cohorts of subjects or to limited sampling techniques. We evaluated gonadotropin and testosterone (T) secretory patterns in 20 normal men by sampling blood at 10-min intervals for luteinizing hormone (LH) and follicle-stimulating hormone (FSH). T concentrations were also analyzed at 20-min intervals in 10 subjects. A previously unappreciated spectrum of gonadotropin and T secretory patterns was observed in normal men. Both mean LH concentrations and mean LH pulse amplitudes varied fourfold between individuals. LH interpulse intervals varied from 30 to 480 min (mean 119 +/- 32). Results also suggested a relative refractory period at the level of the hypothalamus or pituitary. In three subjects, a striking nighttime accentuation of LH pulsations was noted. Through use of Fourier analysis, a diurnal variation in LH was observed in the population (P less than 0.02). Mean FSH levels showed marked variation between individual subjects, with discrete pulses rarely observed. No diurnal variation in FSH secretion was noted. Serum T concentrations determined at 6-h intervals ranged from 105 to 1,316 ng/dl between subjects. When T was measured at 20-min intervals, marked intermittent declines in the T concentrations to levels well below the normal range were observed in 3 of 10 subjects. T secretion was found to lag behind LH secretion by approximately 40 min (P less than 0.02).
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“Notably, frequent sampling studies have demonstrated that even healthy men may have frankly hypogonadal T levels over the course of a 24-hour period without experiencing hypogonadal symptoms (i.e., decreased libido and sexual dysfunction) (24).”
From Functional Hypogonadotropic Hypogonadism in Men: Underlying Neuroendocrine Mechanisms and Natural History (2019) · cites this paper as [24]
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Self-citation
Metadata
- Authors
- Spratt, D. I., O'Dea, L. S., Schoenfeld, D., Butler, J., Rao, P. N., & Crowley, W. F.
- Affiliations
- Massachusetts General Hospital (US)
- Venue
- American Journal of Physiology-Endocrinology and Metabolism
- Publisher
- American Physiological Society
- Published
- 1988-05-01
- Volume
- 254
- Issue
- 5
- Pages
- E658-E666
- ISSN
- 0193-1849 (ISSN-L)
- 1522-1555
- OpenAlex
- W1882996427
- Cited by
- 194
- References
- 31
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 1 · 2023: 1 · 2022: 4 · 2021: 3 · 2020: 3 · 2019: 6 · 2018: 6 · 2017: 3 · 2016: 12 · 2015: 5 · 2014: 2 · 2013: 3 · 2012: 9
- FWCI
- 4.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Physiology-Endocrinology and Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Center for Research Resources (RR-1066)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (HD15788, R01HD015788, T32HD007396, HD 18169, P30HD028138, U54HD028138)
- 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 › Reproductive Medicine › Sperm and Testicular Function
- Keywords
- hypothalamic-pituitary-gonadal axis, luteinizing hormone secretion, follicle-stimulating hormone secretion, testosterone secretion, pulsatile hormone secretion, LH pulse amplitude, diurnal variation, relative refractory period, normal men
- MeSH terms
- Adult, Blood Specimen Collection, Chronobiology Phenomena, Circadian Rhythm, Follicle Stimulating Hormone, Humans, Hypothalamo-Hypophyseal System, Luteinizing Hormone, Male, Reference Values, Testis, Testosterone
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