Effect of surgical stress on pituitary-testicular function.

Abstract:

:The effect of surgical stress on the secretions of LH, FSH, testosterone (T) and oestradiol (E2) were studied in twelve male patients. During surgery LH rose significantly; post-operatively, LH fell but remained persistently elevated a week after operation. However, T and E2 fell progressively to a nadir on the second and fifth post-operative day respectively and remained suppressed. Serum FSH showed no significant change. Despite a post-operative decrease in sex hormone binding globulin (SHBG) binding capacity, non-SHBG bound T showed a decrease parallel to T. Multiple sampling studies showed that the secretions of LH were increased and that of T were decreased post-operatively. Following surgery, LH responses to LHRH were magnified, FSH and T responses showed no significant change when compared with the pre-operative responses. These data suggest that secretions of LH were increased during surgery. Following surgical stress, T and E2 concentrations were suppressed resulting in a compensatory elevation of LH concentrations.

journal_name

Clin Endocrinol (Oxf)

journal_title

Clinical endocrinology

authors

Wang C,Chan V,Yeung RT

doi

10.1111/j.1365-2265.1978.tb02208.x

subject

Has Abstract

pub_date

1978-09-01 00:00:00

pages

255-66

issue

3

eissn

0300-0664

issn

1365-2265

journal_volume

9

pub_type

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