Cited by 126Reproductive Health and ContraceptionSperm and Testicular FunctionMale Reproductive Health Studies

The DOI matches its Crossref record; 85 of the 85 references it cites were found in a registry or an index.

Determinants of the Rate and Extent of Spermatogenic Suppression during Hormonal Male Contraception: An Integrated Analysis

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Abstract

CONTEXT: Male hormonal contraceptive methods require effective suppression of sperm output. OBJECTIVE: The objective of the study was to define the covariables that influence the rate and extent of suppression of spermatogenesis to a level shown in previous World Health Organization-sponsored studies to be sufficient for contraceptive purposes (< or =1 million/ml). DESIGN: This was an integrated analysis of all published male hormonal contraceptive studies of at least 3 months' treatment duration. SETTING: Deidentified individual subject data were provided by investigators of 30 studies published between 1990 and 2006. PARTICIPANTS: A total of 1756 healthy men (by physical, blood, and semen exam) aged 18-51 yr of predominantly Caucasian (two thirds) or Asian (one third) descent were studied. This represents about 85% of all the published data. INTERVENTION(S): Men were treated with different preparations of testosterone, with or without various progestins. MAIN OUTCOME MEASURE: Semen analysis was the main measure. RESULTS: Progestin coadministration increased both the rate and extent of suppression. Caucasian men suppressed sperm output faster initially but ultimately to a less complete extent than did non-Caucasians. Younger age and lower initial blood testosterone or sperm concentration were also associated with faster suppression, but the independent effect sizes for age and baseline testicular function were relatively small. CONCLUSION: Male hormonal contraceptives can be practically applied to a wide range of men but require coadministration of an androgen with a second agent (i.e. progestin) for earlier and more complete suppression of sperm output. Whereas considerable progress has been made toward defining clinically effective combinations, further optimization of androgen-progestin treatment regimens is still required.

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Crossref · 10.1210/jc.2007-2768

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Metadata

Authors
Liu, P. Y., Swerdloff, R. S., Anawalt, B. D., Anderson, R. A., Bremner, W. J., Elliesen, J., Gu, Y.-Q., Kersemaekers, W. M., McLachlan, R. I., Meriggiola, M. C., Nieschlag, E., Sitruk-Ware, R., Vogelsong, K., Wang, X.-H., Wu, F. C. W., Zitzmann, M., Handelsman, D. J., & Wang, C.
Affiliations
  • Concord Repatriation General Hospital (AU)
  • University of California, Los Angeles (US)
  • University of Washington (US)
  • The Queen's Medical Research Institute (GB)
  • Bayer (Germany) (DE)
  • Department of Endocrinology (Y.-Q.G.), National Research Institute for Family Planning, Beijing 100081, China
  • Organon (Netherlands) (NL)
  • Monash Medical Centre (AU)
  • IRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola (IT)
  • University Hospital Münster (DE)
  • Population Council (US)
  • World Bank (US)
  • Department of Jiangsu Family Planning Research Institute (X.-H.W.), Jiangsu 210029, China
  • Manchester Royal Infirmary (GB)
Corresponding author
  • Liu, Peter Y.
  • Wang, Christina
Venue
The Journal of Clinical Endocrinology & Metabolism
Published
2008-05-01
Volume
93
Issue
5
Pages
1774-1783
ISSN
  • 0021-972X (ISSN-L)
  • 1945-7197
OpenAlex
W2148017821
Cited by
126
References
85
Citations by year
2026: 4 · 2025: 9 · 2024: 7 · 2023: 13 · 2022: 6 · 2021: 5 · 2020: 8 · 2019: 3 · 2018: 8 · 2017: 5 · 2016: 6 · 2015: 5 · 2014: 6 · 2013: 9 · 2012: 6
FWCI
8.61
Type
journal article
Language
en
Open access
Locations
  • The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Research Explorer (The University of Manchester) (publishedVersion)
  • Archivio istituzionale della ricerca (Alma Mater Studiorum Università di Bologna) (submittedVersion)
Funders
  • University of Sydney
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (U54HD029990)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
  • Health Sciences › Medicine › Reproductive Medicine › Sperm and Testicular Function
  • Health Sciences › Medicine › Urology › Male Reproductive Health Studies
Keywords
male hormonal contraception, testosterone, progestins, semen analysis, sperm count, racial differences, age effects, testicular function
MeSH terms
Adolescent, Adult, Contraceptive Agents, Male, Humans, Male, Middle Aged, Progestins, Spermatogenesis, Testosterone, Body Mass Index, White People, Asian People

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