Predicting sperm retrieval rates in testicular sperm extraction for azoospermia according to endocrine profiles

Background and Aims:  The present study was carried out to examine the predictive value of endocrine profiles as indicators of the sperm retrieval rate on testicular sperm extraction (TESE) in azoospermic men. Methods:  Prior to TESE, the serum levels of follicle stimulating hormone (FSH), luteinizi...

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Veröffentlicht in:Reproductive medicine and biology 2005-12, Vol.4 (4), p.239-245
Hauptverfasser: JINNO, MASAO, OZAKI, TSUNEO, NAKAMURA, YUKIO, IWASHITA, MITSUTOSHI
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container_title Reproductive medicine and biology
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creator JINNO, MASAO
OZAKI, TSUNEO
NAKAMURA, YUKIO
IWASHITA, MITSUTOSHI
description Background and Aims:  The present study was carried out to examine the predictive value of endocrine profiles as indicators of the sperm retrieval rate on testicular sperm extraction (TESE) in azoospermic men. Methods:  Prior to TESE, the serum levels of follicle stimulating hormone (FSH), luteinizing hormone (LH), prolactin, testosterone, dihydrotestosterone (DHT), estradiol and 17 α‐hydroxyprogesterone were measured and the sagittal cross‐sections of the testis were acquired using ultrasonography. Results:  The sperm retrieval rates according to the cause of azoospermia were 40% for idiopathic azoospermia, and 100% for obstructive azoospermia, cryptorchidsm and ejaculatory disorder. Based on the endocrinological profiles, the sperm retrieval rates showed significant differences at 100% for FSH  15 mIU/mL or LH  2 mIU/mL, 0% for FSH > 60 mIU/mL or LH > 12 mIU/mL, and 33% for the intermediate groups (P < 0.01). Comparison of the retrieval of spermatozoa and serum DHT level for the intermediate group also showed a significant difference, with retrieval rates of 58% for DHT  0.5 ng/mL and 0% for DHT > 0.5 ng/mL (P 
doi_str_mv 10.1111/j.1447-0578.2005.00113.x
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Methods:  Prior to TESE, the serum levels of follicle stimulating hormone (FSH), luteinizing hormone (LH), prolactin, testosterone, dihydrotestosterone (DHT), estradiol and 17 α‐hydroxyprogesterone were measured and the sagittal cross‐sections of the testis were acquired using ultrasonography. Results:  The sperm retrieval rates according to the cause of azoospermia were 40% for idiopathic azoospermia, and 100% for obstructive azoospermia, cryptorchidsm and ejaculatory disorder. Based on the endocrinological profiles, the sperm retrieval rates showed significant differences at 100% for FSH  15 mIU/mL or LH  2 mIU/mL, 0% for FSH &gt; 60 mIU/mL or LH &gt; 12 mIU/mL, and 33% for the intermediate groups (P &lt; 0.01). Comparison of the retrieval of spermatozoa and serum DHT level for the intermediate group also showed a significant difference, with retrieval rates of 58% for DHT  0.5 ng/mL and 0% for DHT &gt; 0.5 ng/mL (P &lt; 0.01). Conclusions:  The etiology, serum FSH, LH and DHT levels are useful in predicting the sperm retrieval rates on TESE in azoospermic patients. (Reprod Med Biol 2005; 4: 239–245)</description><identifier>ISSN: 1445-5781</identifier><identifier>EISSN: 1447-0578</identifier><identifier>DOI: 10.1111/j.1447-0578.2005.00113.x</identifier><identifier>PMID: 29662394</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Science Pty</publisher><subject>17β-Estradiol ; Andrology ; azoospermia ; Dihydrotestosterone ; endocrinology ; etiology ; Follicle-stimulating hormone ; Follicles ; In vitro fertilization ; Luteinizing hormone ; Ovaries ; Prolactin ; Serum levels ; Sperm ; sperm retrieval rate ; Testes ; testicular sperm extraction ; Testosterone ; Urology</subject><ispartof>Reproductive medicine and biology, 2005-12, Vol.4 (4), p.239-245</ispartof><rights>2005. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). 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Methods:  Prior to TESE, the serum levels of follicle stimulating hormone (FSH), luteinizing hormone (LH), prolactin, testosterone, dihydrotestosterone (DHT), estradiol and 17 α‐hydroxyprogesterone were measured and the sagittal cross‐sections of the testis were acquired using ultrasonography. Results:  The sperm retrieval rates according to the cause of azoospermia were 40% for idiopathic azoospermia, and 100% for obstructive azoospermia, cryptorchidsm and ejaculatory disorder. Based on the endocrinological profiles, the sperm retrieval rates showed significant differences at 100% for FSH  15 mIU/mL or LH  2 mIU/mL, 0% for FSH &gt; 60 mIU/mL or LH &gt; 12 mIU/mL, and 33% for the intermediate groups (P &lt; 0.01). Comparison of the retrieval of spermatozoa and serum DHT level for the intermediate group also showed a significant difference, with retrieval rates of 58% for DHT  0.5 ng/mL and 0% for DHT &gt; 0.5 ng/mL (P &lt; 0.01). Conclusions:  The etiology, serum FSH, LH and DHT levels are useful in predicting the sperm retrieval rates on TESE in azoospermic patients. 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Methods:  Prior to TESE, the serum levels of follicle stimulating hormone (FSH), luteinizing hormone (LH), prolactin, testosterone, dihydrotestosterone (DHT), estradiol and 17 α‐hydroxyprogesterone were measured and the sagittal cross‐sections of the testis were acquired using ultrasonography. Results:  The sperm retrieval rates according to the cause of azoospermia were 40% for idiopathic azoospermia, and 100% for obstructive azoospermia, cryptorchidsm and ejaculatory disorder. Based on the endocrinological profiles, the sperm retrieval rates showed significant differences at 100% for FSH  15 mIU/mL or LH  2 mIU/mL, 0% for FSH &gt; 60 mIU/mL or LH &gt; 12 mIU/mL, and 33% for the intermediate groups (P &lt; 0.01). Comparison of the retrieval of spermatozoa and serum DHT level for the intermediate group also showed a significant difference, with retrieval rates of 58% for DHT  0.5 ng/mL and 0% for DHT &gt; 0.5 ng/mL (P &lt; 0.01). 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subjects 17β-Estradiol
Andrology
azoospermia
Dihydrotestosterone
endocrinology
etiology
Follicle-stimulating hormone
Follicles
In vitro fertilization
Luteinizing hormone
Ovaries
Prolactin
Serum levels
Sperm
sperm retrieval rate
Testes
testicular sperm extraction
Testosterone
Urology
title Predicting sperm retrieval rates in testicular sperm extraction for azoospermia according to endocrine profiles
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