Leydig Cell Function in Idiopathic Oligospermia**The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Department of the Army or the Department of Defense.

Autor: Glass, Allan R., Vigersky, Robert A.
Zdroj: Fertility and Sterility; August 1980, Vol. 34 Issue: 2 p144-148, 5p
Abstrakt: To assess Leydig cell function in men with idiopathic oligospermia, serum levels of testosterone and 17-hydroxy progesterone were measured before and after the administration of human chorionic gonadotropin (hCG) to men with oligospermia (<20×106sperm/ml). Serum testosterone and 17-hydroxyprogesterone levels, both basally and after 2 or 72 hours of hCG stimulation of Leydig cell output, were the same in the oligospermic and control groups, although basal serum testosterone levels correlated directly with sperm density (r=0.34; P<0.05). The basal serum level of luteinizing hormone (LH) was slightly but significantly higher in the oligospermic group than in the control group (12.0±1.0 [SE] mIU/ml versus 9.5±0.5; P<0.05), as was the LH:testosterone ratio (2.45±0.20 versus 1.74±0.20; P<0.02). The combination of slightly elevated serum LH levels with unchanged basal serum levels of gonadal steroids suggests that men with idiopathic oligospermia have a mild, compensated Leydig cell defect. The mildness of this defect is reflected by the ability of maximal gonadotropic stimulation to increase androgen output.
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