Hormonal parameters in incidental varicoceles and those causing infertility

The gonadotropin responses to a 4-hour infusion of gonadotropin-releasing hormone (GnRH), the prolactin (PRL) responses to a bolus injection of thryotropin-releasing hormone (TRH), and seminal plasma dihydrotestosterone (DHT) levels were assessed before and 6 to 12months after varicocelectomy was pe...

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Veröffentlicht in:Fertility and sterility 1986-05, Vol.45 (5), p.692-700
Hauptverfasser: Hudson, Robert W., Perez-Marrero, Ramon A., Crawford, Vinton A., McKay, David E.
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container_end_page 700
container_issue 5
container_start_page 692
container_title Fertility and sterility
container_volume 45
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), the prolactin (PRL) responses to a bolus injection of thryotropin-releasing hormone (TRH), and seminal plasma dihydrotestosterone (DHT) levels were assessed before and 6 to 12months after varicocelectomy was performed in 56 infertile men with varicoceles and sperm densities
doi_str_mv 10.1016/S0015-0282(16)49343-X
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The men were divided into four groups, determined by their sperm densities and hormonal parameters. Groups I (18 men) and II (12 men) had sperm densities&lt;10 × 106/ml, and groups HI (16 men) and IV (10 men) had sperm densities of 11 to 30 × 106/ml. The men from groups I and III had excessive preoperative gonadotropin and PRL responses, and lower-than-normal seminal plasma DHT levels. The men in groups II and IV had normal hormonal values. After operation, 12 of the men from group I and 11 from group II had improvements in seminal and hormonal parameters. The other men in these two groups and all of the men in groups II and IV had no changes in seminal and hormonal parameters after operation. This study indicates that an assessment of these hormonal parameters may be useful in predicting which men with varicoceles are likely to have an improvement in sperm density after varicocele repair.</description><identifier>ISSN: 0015-0282</identifier><identifier>EISSN: 1556-5653</identifier><identifier>DOI: 10.1016/S0015-0282(16)49343-X</identifier><identifier>PMID: 3084304</identifier><identifier>CODEN: FESTAS</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Biological and medical sciences ; Birth control ; Dihydrotestosterone - metabolism ; Estradiol - blood ; Follicle Stimulating Hormone - blood ; Gonadotropin-Releasing Hormone ; Gynecology. Andrology. Obstetrics ; Hormones - metabolism ; Humans ; Infertility, Male - etiology ; Infertility, Male - metabolism ; Infertility, Male - surgery ; Luteinizing Hormone - blood ; Male ; Medical sciences ; Prolactin - blood ; Semen - metabolism ; Sperm Count ; Sperm Motility ; Sterility. Assisted procreation ; Testosterone - metabolism ; Thyroid Hormones - blood ; Thyrotropin-Releasing Hormone ; Varicocele - complications ; Varicocele - metabolism ; Varicocele - surgery</subject><ispartof>Fertility and sterility, 1986-05, Vol.45 (5), p.692-700</ispartof><rights>1986 American Society for Reproductive Medicine</rights><rights>1987 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c389t-6212445752c9b00045ce2554ac5c128daf9060ea178a7137a630ac4f50f6d66a3</citedby><cites>FETCH-LOGICAL-c389t-6212445752c9b00045ce2554ac5c128daf9060ea178a7137a630ac4f50f6d66a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0015-0282(16)49343-X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,45994</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=8040078$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3084304$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hudson, Robert W.</creatorcontrib><creatorcontrib>Perez-Marrero, Ramon A.</creatorcontrib><creatorcontrib>Crawford, Vinton A.</creatorcontrib><creatorcontrib>McKay, David E.</creatorcontrib><title>Hormonal parameters in incidental varicoceles and those causing infertility</title><title>Fertility and sterility</title><addtitle>Fertil Steril</addtitle><description>The gonadotropin responses to a 4-hour infusion of gonadotropin-releasing hormone (GnRH), the prolactin (PRL) responses to a bolus injection of thryotropin-releasing hormone (TRH), and seminal plasma dihydrotestosterone (DHT) levels were assessed before and 6 to 12months after varicocelectomy was performed in 56 infertile men with varicoceles and sperm densities&lt;30 × 106/ml. The men were divided into four groups, determined by their sperm densities and hormonal parameters. Groups I (18 men) and II (12 men) had sperm densities&lt;10 × 106/ml, and groups HI (16 men) and IV (10 men) had sperm densities of 11 to 30 × 106/ml. The men from groups I and III had excessive preoperative gonadotropin and PRL responses, and lower-than-normal seminal plasma DHT levels. The men in groups II and IV had normal hormonal values. After operation, 12 of the men from group I and 11 from group II had improvements in seminal and hormonal parameters. The other men in these two groups and all of the men in groups II and IV had no changes in seminal and hormonal parameters after operation. This study indicates that an assessment of these hormonal parameters may be useful in predicting which men with varicoceles are likely to have an improvement in sperm density after varicocele repair.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Birth control</subject><subject>Dihydrotestosterone - metabolism</subject><subject>Estradiol - blood</subject><subject>Follicle Stimulating Hormone - blood</subject><subject>Gonadotropin-Releasing Hormone</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Hormones - metabolism</subject><subject>Humans</subject><subject>Infertility, Male - etiology</subject><subject>Infertility, Male - metabolism</subject><subject>Infertility, Male - surgery</subject><subject>Luteinizing Hormone - blood</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Prolactin - blood</subject><subject>Semen - metabolism</subject><subject>Sperm Count</subject><subject>Sperm Motility</subject><subject>Sterility. Assisted procreation</subject><subject>Testosterone - metabolism</subject><subject>Thyroid Hormones - blood</subject><subject>Thyrotropin-Releasing Hormone</subject><subject>Varicocele - complications</subject><subject>Varicocele - metabolism</subject><subject>Varicocele - surgery</subject><issn>0015-0282</issn><issn>1556-5653</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1986</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMtKAzEUhoMotV4eoTALEV2MnkwuM7MSEW8ouFChu3CaOaORudRkKvTtTW3pVgiE8H8n5-djbMLhggPXl68AXKWQFdkZ1-eyFFKk0x025krpVGkldtl4i-yzgxC-AEDzPBuxkYBCCpBj9vTQ-7bvsEnm6LGlgXxIXBePdRV1Qwx-0DvbW2ooJNhVyfDZB0osLoLrPiJYkx9c44blEdursQl0vLkP2fvd7dvNQ_r8cv94c_2cWlGUQ6oznkmpcpXZchYrSWUpU0qiVZZnRYV1CRoIeV5gzkWOWgBaWSuodaU1ikN2uv537vvvBYXBtC7Efg121C-CyXVeylLKCKo1aH0fgqfazL1r0S8NB7OSaP4kmpUhE19_Es00zk02Cxazlqrt1MZazE82OQaLTe0x2gpbrAAJkBcRu1pjFGX8OPImWEedpcp5soOpevdPkV_Uq43a</recordid><startdate>19860501</startdate><enddate>19860501</enddate><creator>Hudson, Robert W.</creator><creator>Perez-Marrero, Ramon A.</creator><creator>Crawford, Vinton A.</creator><creator>McKay, David E.</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19860501</creationdate><title>Hormonal parameters in incidental varicoceles and those causing infertility</title><author>Hudson, Robert W. ; Perez-Marrero, Ramon A. ; Crawford, Vinton A. ; McKay, David E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-6212445752c9b00045ce2554ac5c128daf9060ea178a7137a630ac4f50f6d66a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1986</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Birth control</topic><topic>Dihydrotestosterone - metabolism</topic><topic>Estradiol - blood</topic><topic>Follicle Stimulating Hormone - blood</topic><topic>Gonadotropin-Releasing Hormone</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Hormones - metabolism</topic><topic>Humans</topic><topic>Infertility, Male - etiology</topic><topic>Infertility, Male - metabolism</topic><topic>Infertility, Male - surgery</topic><topic>Luteinizing Hormone - blood</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Prolactin - blood</topic><topic>Semen - metabolism</topic><topic>Sperm Count</topic><topic>Sperm Motility</topic><topic>Sterility. Assisted procreation</topic><topic>Testosterone - metabolism</topic><topic>Thyroid Hormones - blood</topic><topic>Thyrotropin-Releasing Hormone</topic><topic>Varicocele - complications</topic><topic>Varicocele - metabolism</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 in incidental varicoceles and those causing infertility</atitle><jtitle>Fertility and sterility</jtitle><addtitle>Fertil Steril</addtitle><date>1986-05-01</date><risdate>1986</risdate><volume>45</volume><issue>5</issue><spage>692</spage><epage>700</epage><pages>692-700</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), the prolactin (PRL) responses to a bolus injection of thryotropin-releasing hormone (TRH), and seminal plasma dihydrotestosterone (DHT) levels were assessed before and 6 to 12months after varicocelectomy was performed in 56 infertile men with varicoceles and sperm densities&lt;30 × 106/ml. The men were divided into four groups, determined by their sperm densities and hormonal parameters. Groups I (18 men) and II (12 men) had sperm densities&lt;10 × 106/ml, and groups HI (16 men) and IV (10 men) had sperm densities of 11 to 30 × 106/ml. The men from groups I and III had excessive preoperative gonadotropin and PRL responses, and lower-than-normal seminal plasma DHT levels. The men in groups II and IV had normal hormonal values. After operation, 12 of the men from group I and 11 from group II had improvements in seminal and hormonal parameters. The other men in these two groups and all of the men in groups II and IV had no changes in seminal and hormonal parameters after operation. This study indicates that an assessment of these hormonal parameters may be useful in predicting which men with varicoceles are likely to have an improvement in sperm density after varicocele repair.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>3084304</pmid><doi>10.1016/S0015-0282(16)49343-X</doi><tpages>9</tpages></addata></record>
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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 - metabolism
Estradiol - blood
Follicle Stimulating Hormone - blood
Gonadotropin-Releasing Hormone
Gynecology. Andrology. Obstetrics
Hormones - metabolism
Humans
Infertility, Male - etiology
Infertility, Male - metabolism
Infertility, Male - surgery
Luteinizing Hormone - blood
Male
Medical sciences
Prolactin - blood
Semen - metabolism
Sperm Count
Sperm Motility
Sterility. Assisted procreation
Testosterone - metabolism
Thyroid Hormones - blood
Thyrotropin-Releasing Hormone
Varicocele - complications
Varicocele - metabolism
Varicocele - surgery
title Hormonal parameters in incidental varicoceles and those causing infertility
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