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Plasma Production Rates of Testosterone in Normal Adult Men and Women and in Patients with the Syndrome of Feminizing Testes1
Abstract
The daily plasma productionrate of testosterone was measured in normal men and women and in 2 patients with the complete form of the syndrome of feminizing testes from the product of the metabolic clearance rate of testosterone in plasma as determined following a single injection of the tritiated hormone, and the mean plasma nonisotopic concentration of the steroid. The latter values were obtained from the mean of plasma testosterone levels obtained at 9 am, 5 pm and 10 pm. A significant diurnal variation was found in the normal men but not in the normal women. The mean plasma concentration of testosterone in these subjects was 0.52 and 0.06 μg/100 ml, respectively. The metabolic clearance rates in the normal men (1670–2084 I/day) were approximately twice those obtained in normal female subjects (708–759 I/day). The difference appeared to be due primarily to a larger inner pool volume (V,) (Vs where K2 = 0) in the males. The plasma production rates of testosterone were 10.8, 6.8, 10.0 and 6.7 mg/day in males and 0.49, 0.49 and 0.44 mg/day in normal females. The male values compared reasonably well with those reported for the urinary testosterone glucuronoside method. However, in the female the daily plasma production rates of testosterone were considerably less than those obtained by the urinary metabolite technique. This suggests that in women, in contrast to men, a significantly greater proportion of total testosterone is synthesized from precursors in a separate anatomical compartment and conjugated before entering the circulation. Thus, the error involved in the measurement of testosterone production by the urinary metabolite method is considerably greater in women than in men. In the subjects with the syndrome of feminizing testes the inner pool volume (Vi) and the total volume of distribution (V1+V2) were similar to those observed in the normal adult females. The metabolic clearance rates of testosterone were 954 and 1072 I/day and this gave calculated plasma production rates of the steroid of 6.5 and 9.6 μg/day. The presence of normal adult male production rates of testosterone provides additional evidence in favor of the view that the manifestations of the syndrome are related to a defect in androgen action.
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“circulating testosterone exceeding 15-fold that of women at any age”
From Circulating Testosterone as the Hormonal Basis of Sex Differences in Athletic Performance (2018) · cites this paper as [4]
In the citing paper
“after puberty men produce 20 times more testosterone than women (4–7)”
From Circulating Testosterone as the Hormonal Basis of Sex Differences in Athletic Performance (2018) · cites this paper as [4]
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Metadata
- Authors
- SOUTHREN, A. L., TOCHIMOTO, S., CARMODY, N. C., & ISURUGI, K.
- Affiliations
- New York Medical College (US)
- Venue
- The Journal of Clinical Endocrinology & Metabolism
- Publisher
- The Endocrine Society
- Published
- 1965-11
- Volume
- 25
- Issue
- 11
- Pages
- 1441-1450
- ISSN
- 0021-972X (ISSN-L)
- 1945-7197
- OpenAlex
- W2041388451
- Cited by
- 108
- References
- 0
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 3 · 2022: 6 · 2021: 6 · 2020: 4 · 2019: 2 · 2018: 4 · 2017: 1 · 2016: 2 · 2015: 2 · 2014: 1 · 2013: 1
- FWCI
- 7.81
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Sexual Differentiation and Disorders
- Keywords
- testosterone, metabolic clearance rate, androgen insensitivity syndrome, diurnal variation, sex differences, volume of distribution
- MeSH terms
- Adult, Blood, Female, Humans, Male, Disorders of Sex Development, Testis, Testosterone
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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