Hormonal parameters of men with varicoceles before and after varicocelectomy

The gonadotropin responses to a 4-hour infusion of gonadotropin-releasing hormone (GnRH) and seminal plasma dihydrotestosterone (DHT) and testosterone levels were assessed before and 6 to 12 months after varicocelectomy in 22 men with varicoceles. Twelve men were severely Oligozoospermie (sperm dens...

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Veröffentlicht in:Fertility and sterility 1985-06, Vol.43 (6), p.905-910
Hauptverfasser: Hudson, Robert W., Perez-Marrero, Ramon A., Crawford, Vinton A., McKay, David E.
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container_end_page 910
container_issue 6
container_start_page 905
container_title Fertility and sterility
container_volume 43
creator Hudson, Robert W.
Perez-Marrero, Ramon A.
Crawford, Vinton A.
McKay, David E.
description The gonadotropin responses to a 4-hour infusion of gonadotropin-releasing hormone (GnRH) and seminal plasma dihydrotestosterone (DHT) and testosterone levels were assessed before and 6 to 12 months after varicocelectomy in 22 men with varicoceles. Twelve men were severely Oligozoospermie (sperm densities
doi_str_mv 10.1016/S0015-0282(16)48620-6
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Twelve men were severely Oligozoospermie (sperm densities&lt;10 × 106/ml), whereas 10 men had sperm densities between 11 and 30 × 106/ml. Each man had excessive gonadotropin responses to GnRH and lower than normal seminal plasma DHT levels preoperatively. Eight of the 12 severely Oligozoospermie men and 6 of the other 10 men had postoperative improvements in sperm density. These men (responders) had normalization of gonadotropin response and seminal plasma DHT levels. The nonresponders had identical hormonal parameters before and after surgery. These results indicate that the pantesticular defect in hormonal synthesis and spermatogenesis, seen in some men with varicoceles, can be reversible.</description><identifier>ISSN: 0015-0282</identifier><identifier>EISSN: 1556-5653</identifier><identifier>DOI: 10.1016/S0015-0282(16)48620-6</identifier><identifier>PMID: 3922807</identifier><identifier>CODEN: FESTAS</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Biological and medical sciences ; Birth control ; Dihydrotestosterone - blood ; Estradiol - blood ; Follicle Stimulating Hormone - blood ; Gonadotropin-Releasing Hormone ; Gynecology. Andrology. Obstetrics ; Humans ; Luteinizing Hormone - blood ; Male ; Medical sciences ; Oligospermia - blood ; Oligospermia - etiology ; Semen - analysis ; Sperm Count ; Sterility. 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Twelve men were severely Oligozoospermie (sperm densities&lt;10 × 106/ml), whereas 10 men had sperm densities between 11 and 30 × 106/ml. Each man had excessive gonadotropin responses to GnRH and lower than normal seminal plasma DHT levels preoperatively. Eight of the 12 severely Oligozoospermie men and 6 of the other 10 men had postoperative improvements in sperm density. These men (responders) had normalization of gonadotropin response and seminal plasma DHT levels. The nonresponders had identical hormonal parameters before and after surgery. These results indicate that the pantesticular defect in hormonal synthesis and spermatogenesis, seen in some men with varicoceles, can be reversible.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Birth control</subject><subject>Dihydrotestosterone - blood</subject><subject>Estradiol - blood</subject><subject>Follicle Stimulating Hormone - blood</subject><subject>Gonadotropin-Releasing Hormone</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Luteinizing Hormone - blood</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Oligospermia - blood</subject><subject>Oligospermia - etiology</subject><subject>Semen - analysis</subject><subject>Sperm Count</subject><subject>Sterility. 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Assisted procreation</topic><topic>Testosterone - blood</topic><topic>Varicocele - blood</topic><topic>Varicocele - complications</topic><topic>Varicocele - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hudson, Robert W.</creatorcontrib><creatorcontrib>Perez-Marrero, Ramon A.</creatorcontrib><creatorcontrib>Crawford, Vinton A.</creatorcontrib><creatorcontrib>McKay, David E.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Fertility and sterility</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hudson, Robert W.</au><au>Perez-Marrero, Ramon A.</au><au>Crawford, Vinton A.</au><au>McKay, David E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hormonal parameters of men with varicoceles before and after varicocelectomy</atitle><jtitle>Fertility and sterility</jtitle><addtitle>Fertil Steril</addtitle><date>1985-06</date><risdate>1985</risdate><volume>43</volume><issue>6</issue><spage>905</spage><epage>910</epage><pages>905-910</pages><issn>0015-0282</issn><eissn>1556-5653</eissn><coden>FESTAS</coden><abstract>The gonadotropin responses to a 4-hour infusion of gonadotropin-releasing hormone (GnRH) and seminal plasma dihydrotestosterone (DHT) and testosterone levels were assessed before and 6 to 12 months after varicocelectomy in 22 men with varicoceles. 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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; ScienceDirect Journals (5 years ago - present); Alma/SFX Local Collection
subjects Adult
Biological and medical sciences
Birth control
Dihydrotestosterone - blood
Estradiol - blood
Follicle Stimulating Hormone - blood
Gonadotropin-Releasing Hormone
Gynecology. Andrology. Obstetrics
Humans
Luteinizing Hormone - blood
Male
Medical sciences
Oligospermia - blood
Oligospermia - etiology
Semen - analysis
Sperm Count
Sterility. Assisted procreation
Testosterone - blood
Varicocele - blood
Varicocele - complications
Varicocele - surgery
title Hormonal parameters of men with varicoceles before and after varicocelectomy
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