Fertility induction in hypogonadotropic hypogonadal men.

Abstract:

:Men with hypogonadotropic hypogonadism (HH) are typically azoospermic, and yet HH is one of the few treatable forms of male infertility. Sperm induction protocols using gonadotrophins aim to replicate the natural endocrine control of spermatogenesis. Previously virilised men with adult-onset HH and normal testicular volume respond well to monotherapy in which human chorionic gonadotrophin (hCG) acts as a long-acting LH-analogue stimulating spermatogenesis. However, this approach is rarely successful for men with congenital HH (CHH) (eg, Kallmann syndrome), for whom combined gonadotrophin therapy (hCG + follicle-stimulating hormone [FSH]) is an absolute requirement to maximise fertility potential. Key baseline predictors of successful spermatogenesis-induction include prior spontaneous testicular development (ie, testicular volume [TV] > 4 mL), serum inhibin B (IB ) concentration >60 pg/mL and no history of maldescended testes (cryptorchidism).

journal_name

Clin Endocrinol (Oxf)

journal_title

Clinical endocrinology

authors

Prior M,Stewart J,McEleny K,Dwyer AA,Quinton R

doi

10.1111/cen.13850

subject

Has Abstract

pub_date

2018-12-01 00:00:00

pages

712-718

issue

6

eissn

0300-0664

issn

1365-2265

journal_volume

89

pub_type

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