Effects of Pasturella Multocida B: 2 and its immunogens (LPS and OMP) on reproductive hormones in Nili-Ravi Buffaloes / Efeitos de Pasteurella multocida B: 2 e seus imunógenos (LPS e OMP) em hormônios reprodutivos em búfalos Nili-Ravi

Abstract Livestock is a fundamental part of the agriculture industry in Pakistan and contributes more than 11.53% to GDP. Among livestock species, the buffaloes are regarded as the black gold of Pakistan. Being the highest milk producers globally, Nili-Ravi buffaloes are the most famous ones. Buffaloes are affected by many endemic diseases, and "Hemorrhagic septicemia" (HS) is one of them. This study was designed to ascertain the effects of experimental exposure ofP. multocida B:2 (oral) and its immunogens, i.e., LPS (oral and intravenous) and OMP (oral and subcutaneous) on reproductive hormonal profiles in Nili-Ravi buffaloes. Repeated serum samples were collected from the jugular vein of experimental animals for 21 days (0, 02, 04, 08, 12, 16, 20, 24, 36, 48, 72, 120, 168, 216, 264, 360, 456 and 504 hours). Hormonal assays to determine the serum concentrations of Gonadotropin-releasing hormone (GnRH), Follicle-stimulating hormone (FSH), Luteinizing hormone (LH), Estrogen (E2) and progesterone (P4) were performed using (MyBioSource) commercial Elisa kits. The hormonal profile of all treatment groups of the buffalo heifers exhibited significant (P<0.05) variations as compared to the control group (G-1). These results indicate suppression in Nili-Ravi buffaloes' reproductive hormonal profile on exposure to P. multocida B:2 and its immunogens. This influence warrants that exposure to H.S may be a possible reason for delayed puberty and poor reproduction performance in Nili-Ravi buffaloes.

Resumo A pecuária é uma parte fundamental da indústria agrícola no Paquistão e contribui com 11,53% do PIB nacional. Entre as espécies de gado, os búfalos são considerados o ouro negro do Paquistão. Sendo os maiores produtores de leite em todo o mundo, os búfalos Nili-Ravi são os mais famosos. Os búfalos são afetados por muitas doenças endêmicas, entre as quais a "septicemia hemorrágica" (SH). Este estudo busca verificar os efeitos da exposição experimental de P. multocida B:2 (oral) e seus imunógenos, ou seja, LPS (oral e intravenoso) e OMP (oral e subcutâneo), nos perfis hormonais reprodutivos em búfalos Nili-Ravi. Amostras de soro repetidas foram coletadas da veia jugular de animais experimentais por 21 dias (0, 2, 4, 8, 12, 16, 20, 24, 36, 48, 72, 120, 168, 216, 264, 360, 456 e 504 horas). Os ensaios hormonais para determinar as concentrações séricas do hormônio liberador de gonadotrofina (GnRH), hormônio foliculoestimulante (FSH), hormônio luteinizante (LH), estrogênio (E2) e progesterona (P4) foram realizados usando kits comerciais Elisa (MyBioSource). O perfil hormonal de todos os grupos de tratamento das novilhas bubalinas apresentou variações significativas (P < 0,05) em relação ao grupo controle (G-1). Esses resultados indicam supressão no perfil hormonal reprodutivo de búfalos Nili-Ravi na exposição a P. multocida B:2 e seus imunógenos. Essa influência garante que a exposição à SH possa ser uma possível razão para o atraso da puberdade e o baixo desempenho reprodutivo em búfalos Nili-Ravi.

Semen parameters in men recovered from COVID-19 / 亚洲男科学杂志(英文版)

The novel coronavirus disease (COVID-19) pandemic is emerging as a global health threat and shows a higher risk for men than women. Thus far, the studies on andrological consequences of COVID-19 are limited. To ascertain the consequences of COVID-19 on sperm parameters after recovery, we recruited 41 reproductive-aged male patients who had recovered from COVID-19, and analyzed their semen parameters and serum sex hormones at a median time of 56 days after hospital discharge. For longitudinal analysis, a second sampling was obtained from 22 of the 41 patients after a median time interval of 29 days from first sampling. Compared with controls who had not suffered from COVID-19, the total sperm count, sperm concentration, and percentages of motile and progressively motile spermatozoa in the patients were significantly lower at first sampling, while sperm vitality and morphology were not affected. The total sperm count, sperm concentration, and number of motile spermatozoa per ejaculate were significantly increased and the percentage of morphologically abnormal sperm was reduced at the second sampling compared with those at first in the 22 patients examined. Though there were higher prolactin and lower progesterone levels in patients at first sampling than those in controls, no significant alterations were detected for any sex hormones examined over time following COVID-19 recovery in the 22 patients. Although it should be interpreted carefully, these findings indicate an adverse but potentially reversible consequence of COVID-19 on sperm quality.

Establishing Reference Intervals for Sex Hormones on the Analytical Platforms Advia Centaur and Immulite 2000XP

Reliable reference intervals for sex hormones are indispensable in evaluations of the hypothalamo-pituitary-gonadal axis. This study established reference intervals for estradiol, progesterone, luteinizing hormone, follicle-stimulating hormone, and prolactin with the immunoassay platforms Advia Centaur and Immulite 2000XP (Siemens Healthcare, Germany). We recruited healthy men (n=220), women in the follicular (n=139) or luteal (n=87) phases of the menstrual cycle, and postmenopausal women (n=103). Data was analyzed according to CLSI EP28-A3c guidelines. Although reference intervals established with both platforms showed good agreement with ranges quoted by the assay manufacturer, two discrepancies were noted. First, intervals for prolactin in women were influenced by hormonal status, and the partition analysis supported their separation into subgroups based on menstrual cycle. Second, the upper limit for estradiol in the follicular phase was nearly a half of that provided by the manufacturer. This discrepancy was attributed to the stringent definition of the follicular phase (consistently set at days 3-5 after menstruation onset). Our findings suggest that reference values for prolactin should both be gender specific and account for menstrual cycle phase. The results also emphasize that clear-cut selection criteria are required when assembling populations for establishing endocrine reference intervals.

Association between sex hormone-binding globulin (SHBG) and metabolic syndrome among men / Associação entre globulina de ligação a hormônio sexual (SHBG) e síndrome metabólica em homens

CONTEXT AND OBJECTIVE: Metabolic syndrome consists of a set of factors that imply increased risk of cardiovascular diseases. The objective here was to evaluate the association between sex hormone-binding globulin (SHBG), sex hormones and metabolic syndrome among men. DESIGN AND SETTING: Retrospective analysis on data from the study "Endogenous oestradiol but not testosterone is related to coronary artery disease in men", conducted in a hospital in São Paulo. METHODS: Men (aged 40-70) who underwent coronary angiography were selected. The age, weight, height, waist circumference, body mass index and prevalence of dyslipidemia, hypertension and diabetes of each patient were registered. Metabolic syndrome was defined in accordance with the criteria of the Third Report of the National Cholesterol Education Program Expert Panel on Detection, Evaluation and Treatment of High Blood Cholesterol in Adults (NCEP-ATPIII). Serum samples were collected to assess the levels of glucose, total cholesterol, HDL-cholesterol (high density lipoprotein), triglycerides, albumin, SHBG, estradiol and total testosterone (TT). The levels of LDL-cholesterol (low density lipoprotein) were calculated using Friedewald's formula and free testosterone (FT) and bioavailable testosterone (BT) using Vermeulen's formula. RESULTS: 141 patients were enrolled in the study. The prevalence of metabolic syndrome was significantly higher in the first SHBG tercile than in the second and third terciles. A statistically significant positive association between the SHBG and TT values was observed, but no such association was seen between SHBG, BT and FT. CONCLUSION: Low serum levels of SHBG are associated with higher prevalence of metabolic syndrome among male patients, but further studies are required to confirm this association. .

CONTEXTO E OBJETIVO: A síndrome metabólica (SM) consiste em um conjunto de fatores que implicam risco elevado para doenças cardiovasculares. O objetivo foi avaliar a associação entre a globulina ligadora de esteroides sexuais (SHBG), hormônios sexuais e a SM em homens. TIPO DE ESTUDO E LOCAL: Análise retrospectiva de dados do estudo "Estradiol mas não testosterona se correlaciona com doença arterial coronariana em homens", conduzido em um hospital em São Paulo. MÉTODOS: Foram selecionados pacientes do sexo masculino com idade entre 40 e 70 anos, submetidos a angiografia coronária. A idade, a prevalência de dislipidemia, hipertensão e diabetes, o peso, a altura, cintura e o índice de massa corpórea de cada paciente foram coletados. A definição de SM seguiu os critérios do NCEP-ATPIII. Amostras séricas foram coletadas para análises da glicose, colesterol total, colesterol-HDL (high density lipoprotein), triglicerídeos, albumina, SHBG, estradiol e testosterona total (TT). O colesterol-LDL (low density lipoprotein) foi calculado pela fórmula de Friedewald e as testosteronas livre (TL) e biodisponível (TB) pela fórmula de Vermeulen. RESULTADOS: Entraram no estudo 141 pacientes. A prevalência de SM foi significativamente maior no primeiro tercil de SHBG em comparação ao segundo e terceiro tercis. Foi verificada uma associação positiva e significativa ente os valores de SHBG e TT, porém essa associação não foi verificada entre SHBG e TB e TL. CONCLUSÃO: Baixos níveis séricos de SHBG estiveram associados com alta prevalência da SM em pacientes do sexo masculino. Faz-se necessário que estudos avaliem essa associação. .

Change in sex hormone profile due to exposure to nuclides in nuclear detonation crisis: a topic to be discussed in reproductive medicine

Dear Editor, The big public health concern in this year is the nuclear crisis in Japan that causes contamination of nuclides around the world. The effect of the exposure to leaked nuclides from the present nuclear crisis on reproductive health is a topic to be concerned. In my previous publication [1], the evidence on the relationship between nuclear exposure and infertility can be confirmed. However, there are also other adverse effects on the reproductive system of the exposed subjects. An interesting topic is the disturbance of the normal sex hormone system. There are some reports on the effect of exposure on sex hormone profile in exposed subjects. Based on the data from the referencing nuclear crisis, the Chernobly crisis, the change in the level of testosterone in exposed subjects were controversial. Some reports mentioned for low testosterone level [2] while the others noted for rising level [3-5] among exposed subjects. However, more reports points to the increasing level of testosterone. Nevertheless, the observation on the increased testosterone level in adolescent offspring of exposed subjects was also reported [5]. Therefore, the problem of testosterone hormone alteration is a problem in reproductive health of the exposed subjects and this might lead to infertility [1]. Hence, this is an interesting topic to be studied in the present Fukushima crisis. Unlike the report on testosterone, there are few reports on estrogen. The interesting report is on the estrogen related cancers in females exposed to the nuclides in the Chernobyl crisis. The study on breast cancers revealed that "BRCA1 mutations were strongly associated with earlier age at diagnosis, with estrogen receptor [ER] negative tumors [6]." However, there is a report on the change of estrogen and progesterone in animals in the contaminated areas [7]. For FSH and LH, although FSH and LH are not the actual sex hormones from gonad, the change of FSH and LH is another interesting issue. According to the study of Goncharov et al [4], there was a significant lowering of LH level but there was no significant change in FSH. However, in other studies, the increased FSH indicating the infertility was observed [2, 8]. In conclusion, there are evidences on sex hormone change in the subjects exposed to nuclides from nuclear accident crisis. This is an important issue in reproductive medicine that should be the focus in following up of the exposed subjects in the present nuclear crisis

Endocrinal disturbances and systemic inflammation in chronic obstructive pulmonary disease [COPD]

COPD is no longer considered to affect only the lungs and airways but also the rest of the body. The systemic manifestations of COPD include a number of endocrine disorders such as those involving the pituitary, thyroid, gonads, adrenals and pancreas. The aim of this work is to detect the endocrinal and inflammatory changes in COPD patients during stability of the disease and the effect of acute exacerbation on these changes. Twenty acute exacerbated COPD [AECOPD] male patients with acute respiratory failure [ARF] were included in this study as a patient group and a control group which included 10 healthy age-matched males with normal pulmonary functions and without any of the exclusion criteria. For patients enrolled in this study, measurement of serum levels of sex hormones [total testosterone, luteinizing hormone [LH] and follicle-stimulating hormone [FSH]], insulin like growth factor-1 [IGF-1] and C-reactive protein [CRP] were done on admission and 1 month after hospital discharge. For healthy group, the previous measurements were done once only. There were statistically significant decrease in serum testosterone and IGF-1 levels in patients after stabilization than those in the control group with more decrease of their levels during exacerbation and the difference between their levels in patients during exacerbation and after stabilization was statistically highly significant. As regards serum LH and FSH, there were statistically highly significant increase in their levels in COPD patients during exacerbation than those in the control group but there were non-significant differences in these hormones levels between the patients after stabilization and the control group. As regards serum CRP, there was highly significant increase in its serum level in patients in both exacerbation and after stabilization than that in the control group. The level of CRP in patients during exacerbation was higher than that after stabilization and the difference was statistically highly significant. As regards disease severity, there were statistically highly significant decrease in testosterone level in severe to very severe COPD patient group than that in mild to moderate one. There was also statistically significant decrease in serum IGF-1 level in severe to very severe COPD patient group than that in mild to moderate one. There was statistically highly significant increase in serum CRP level in severe to very severe COPD patient group than that in mild to moderate one. On the other hand, there was statistically non-significant increase in serum LH and FSH levels in severe to very severe CPOD patient group than those in mild to moderate one. There were statistically highly significant positive correlations between serum testosterone levels and both FEV[1%] predicted and PaCo[2]. There were also statistically highly significant positive correlations between serum IGF-1 levels and both FEV[1%] predicted and PaCo[2]and also between serum CRP levels and PaCo[2] in patients during exacerbation. Also during exacerbation, there was statistically highly significant negative correlation between serum CRP levels and FEV[1%] predicted. COPD leads to alterations in serum levels of sex hormones [testosterone, LH and FSH], IGF-1 and CRP. There was decrease in testosterone hormone levels of male stable COPD patients and this decrease was more evident, with compensatory increase in LH and FSH hormones levels, during exacerbation period when hypoxemia is more significant. CRP level is increased even in stable COPD and this rise is magnified with increased disease severity. IGF-1 decreased in stable COPD patients with more decrease in its level during acute exacerbation

Brain Activation in Response to Visually Evoked Sexual Arousal in Male-to-Female Transsexuals: 3.0 Tesla Functional Magnetic Resonance Imaging

OBJECTIVE: This study used functional magnetic resonance imaging (fMRI) to contrast the differential brain activation patterns in response to visual stimulation with both male and female erotic nude pictures in male-to-female (MTF) transsexuals who underwent a sex reassignment surgery. MATERIALS AND METHODS: A total of nine healthy MTF transsexuals after a sex reassignment surgery underwent fMRI on a 3.0 Tesla MR Scanner. The brain activation patterns were induced by visual stimulation with both male and female erotic nude pictures. RESULTS: The sex hormone levels of the postoperative MTF transsexuals were in the normal range of healthy heterosexual females. The brain areas, which were activated by viewing male nude pictures when compared with viewing female nude pictures, included predominantly the cerebellum, hippocampus, putamen, anterior cingulate gyrus, head of caudate nucleus, amygdala, midbrain, thalamus, insula, and body of caudate nucleus. On the other hand, brain activation induced by viewing female nude pictures was predominantly observed in the hypothalamus and the septal area. CONCLUSION: Our findings suggest that distinct brain activation patterns associated with visual sexual arousal in postoperative MTF transsexuals reflect their sexual orientation to males.

Influencia de la madurez sexual y la castración sobre la actividad eléctrica cardíaca en conejos machos y hembras / Influence of sexual maturity and gonadectomy on cardiac electrical activity in male and female rabbits

Es bien conocida la existencia de diferencias en la actividad eléctrica cardíaca asociadas al sexo. Si bien estas diferencias habitualmente se relacionan al efecto de la madurez y de las hormonas sexuales gonadales, todavía existen controversias al respecto. El objetivo de este trabajo fue evaluar el efecto que la madurez sexual y la castración producen sobre los distintos parámetros del electrocardiograma de superficie y de la duración de los potenciales de acción (DPA). Se utilizaron conejos jóvenes (menores de un mes de edad) y adultos (mayores de seis meses de edad). Las diferencias obtenidas en las hembras se observan en la repolarización tardía, mientras que en los machos ocurren en la repolarización temprana. Existiría una relación entre las diferencias observadas en la duración desde el pico máximo hasta el fin de la onda T (Tpf) y las observadas en la DPA al 90% de la repolarización (DPA90) en las hembras, mientras que en los machos la relación existe entre la duración desde el punto J hasta el pico máximo de la onda T (JTp) y la DPA al 30 y 50% de la repolarización (DPA30 y DPA50). Si bien existen diferencias que podrían ser debidas a factores hormonales otras serían debidas a factores no hormonales.

Sex-associated differences in cardiac electrical activity have already been documented. Even though these differences are usually associated with the effect of maturity and sex hormones, there are still some controversial points to this respect. The aim of this study was to evaluate the effects of maturity and gonadectomy on the different parameters of surface electrocardiogram and the duration of the action potential in young and adult rabbits. The differences obtained in females were observed in late repolarization, whereas in males took place in early repolarization. There was a relationship between the differences observed in the duration from the peak to the end of the T wave and those observed in the duration of the action potential to 90% of repolarization in females, whereas in males the relationship exists between the duration from the point J to the peak of the T wave and the duration of the action potential at 30 and 50% of repolarization. Differences could be related to hormonal or non-hormonal factors.

Comparative study of anabolic natural products and synthetic steroids on male sex hormones

To compare the effects of synthetic anabolic steroid [nandrolone decanoate] and natural anabolic products [wheat, soy flour, baker's yeast and whey protein either individually or in combination form] on serum sex hormones and histopathology of testes of male albino rats. Biochemistry Department, Faculty of Pharmacy, Zagazig University. Seven groups of male albino rats were used, each group was subdivided into two subgroups and supplied with one of the following compounds for 5 and 10 weeks, respectively; rodent chow, whole wheat [10 g/kg/day], soy flour [1.2 g/kg/day], baker's yeast [0.005 g/kg/day], whey protein [I g/kg/day] and mixture of the aforementioned products. The last group was intramuscularly injected with nandmione decanoate [0.001 g/kg/2 week]. Serum luteinizing hormone [LH], follicle stimulating hormone [FSH], were estimated by immuncradoet assay. Serum testosterone and dehydroepiandrosterone [DHEA] were determined by eIectrochemiluminescence immunoassay. Specimen from testes were taken for histopathological study. Rats received wheat and soy flour elicited significant decrease of serum testosterone after short and long term use, however, yeast displayed significant increase in testosterone. Whey protein revealed a significant degree in testosterone after short term intake but the result was reversed following Jung rera intake. Anabolic natural mixture displayed significant increase in testosterone following both periods, term anabolic steroid injection recorded significant decrease in serum testostene Throughout this work, dietary supplementation with wheat, decreased DHEA level, however yeast:.. puteia and natural mixture significantly elevated its level. Natural mixture induced non-significant change in FSH level but FSH was decreased after injection of anabolic steroid. Short and long intake of wheat significantly decreased LH, but soy, yeast and mixture caused a significant elevation in its level. Meanwhile anabolic steroid displayed a significant elevation after long term use. Groups supplemented with natural products either individually or in a mixture exhibited normal Sertoli cells, complete series of spermatogenesis and seminiferous tubules filled with sperm cells. Anabolic steroid-injected group showed necrosis of some sperm cells in addition to atrophy of some seminiferous tubules and decreased the number of sperm cells in other seminiferous tubules. The use of natural mixture of wheat; soy flour, baker's yeast and whey protein as a dietary supplement increases fertility instead of anabolic steroid which may cause serious damage in the testes and reduce the level of sex hormones

Effect of sex hormones on progression of diabetic renal disease in experimental model of streptozotocin induced diabetic rats

In diabetes there is a state of imbalance in the sex hormone levels However, whether these changes in sex hormone correlate with the decline in renal function associated with diabetes is unclear Was to study the effect of 17 beta estradiole in female and testosterone propionate in male diabetic or gonadectionzed diabetic animals on the progression of diabetic renal disease. This work was carried on 40 female and 40 male wistar rats each was furtherly divided into five groups 8 rats each, normal control, diabetic, gonadectomized diabetic, 17 beta estradiol is given to female and testosterone propionate to male diabetic and gonadectomized diabetic. In all groups 24 hours urine, albumin excretion, blood urea, serum creatinine, creatinine clearance, fasting blood glucose, reduced glutathione, and malonaldelhyde were measured. Histopathological examination of the kidney of all animals studied were done. Evidence of deterioration of kidney function in diabetic compared to normal and this deterioration become worse with evidence of oxidative stress and hyperglycemia in gonadectomized diabetic of both sexes compared to diabetic alone. 17 beta estradiol, given to diabetic female or ovariectomizead diabetic causes improvement of all renal parameters, antioxidant, and hypoglycemic effect. Testosterone propionate given to diabetic or castrated diabetic causes insignificant change in kidney function when compared to diabetic without testosterone. All these results was evidenced with histopathogical changes in the kidney of all groups studied, however castration causes hyperglycemia which is improved by testosterone also there is evidences of oxidative stress in diabetic male rats and insignificant changes in reduced glutathione and malonaldehyde in castrated male and when testosterone is given to diabetic or castrated diabetic. Estradiol, therapy is renoprotective which could be taken as effective regimen to attenuate the onset and progression of diabetic renal disease. Also caution should be taken when testosterone is considered as a treatment in diabetic with renal complication

Sex hormones and prolactin status in patients with rheumatoid arthritis

To assess serum levels of sex hormones and prolactin in RA patients, and their possible correlation with disease activity. This study was conducted on 42 rheumatoid arthritis patients, and 40 age and sex matched volunteers. All patients underwent full history taking, complete general, rheumatologic and dermatological examinations, routine laboratory investigations including complete blood count and rheumatoid factor, and assessment of disease activity score using a 28 joint score [DAS-28]. Assessment of serum levels of dihydrotestosterone [DHT], testosterone, dehydroepiandrosterone sulfate [DHEA-S], estradiol, progesterone and prolactin by enzyme immunoassay technique were also performed. Male and female RA patients showed significantly lower serum levels of DHT, testosterone and DHEA-S and significantly higher prolactin serum levels compared with their corresponding controls. Female patients had significantly lower progesterone serum levels. Male RA patients of moderate disease activity had significantly higher prolactin serum levels versus male RA patients of low disease activity. Female RA patients of moderate disease activity had significantly lower DHEA-S serum levels compared with female RA patients with low disease activity. Sex steroids and prolactin may play a role in the pathogenesis of RA. High prolactin and low DHEA-S serum levels may be related to disease activity in male RA patients. Low serum levels of DHEA-S and progesterone may be related to disease activity in female RA patients. Low serum levels of DHEA-S, dihydrotestosterone and progesterone may be related to extra-articular manifestations of female RA patients. Medications used for the treatment of RA may have an effect on sex hormones and prolactin serum levels

Serum sex steroids, gonadotrophins and sex hormone-binding globulin in prostatic hyperplasia

Benign prostatic hyperplasia [BPH] develops in elderly males when serum androgens are relatively lower than in healthy younger males, but it is not well understood whether and how sex steroids are altered in prostatic hyperplasia. It is also uncertain whether there is any change in sex steroid levels in males older than 40 years of age. The use of androgens in elderly males is often discouraged because of the probable worsening effect of androgens on prostatism. This study aimed to determine the relationship between prostatic hyperplasia and sex steroid levels and whether there is any significant change in these hormones after the age of 40 years. We studied healthy males of age 240 years with [n=92] or without [n=93] clinical prostatic hyperplasia. Serum testosterone, estradiol, gonadotrophins and sex hormone-binding globulin [SHBG] were compared. The hormones and SHBG were also correlated with age. No significant difference was found in any hormone in cases with prostatic hyperplasia as compared with the controls. There was no significant age-related change in any hormone except estradiol where as a negative correlation [P<.003] with age was found. Serum sex steroids and SHBG remained unchanged in symptomatic prostatic hyperplasia and except for estradiol there was no significant age-related change in serum testosterone, gonadotrophins and SHBG in healthy males after the fourth decade. More studies are needed to confirm the age-related decline of estrogens in males

Effects of Permethrin on sexual behaviour and plasma concentrations of pituitary-gonadal hormones in adult male NMRI mice

Pyrethroids are commonly used as insecticides for both household and agricultural purposes, and recently have been shown to have detrimental effects on endocrine system. Permethrin is a type I pyrethroid which is used widely in Iran. In the present study the effects of permethrin on sexual behavior and plasma level of PG [pituitary-gonadal] hormones of adult male mice were investigated. Mice received daily Intra peritoneal injection of permethrin [10, 15, 20 mg/kg] for 5 weeks. Using receptive females, permethrin-treated male mice exhibited reduced sexual behavior [i.e. decrease in the number of sniffing, following, mounting and mating]. The concentrations of plasma testosterone, LH and FSH were measured by means of ELISA method. Serum testosterone levels were reduced significantly [p<0.05] in the experimental group versus control group, whereas FSH and LH values were not altered significantly. The results of this study indicate permethrin can have detrimental effects on plasma testosterone level and sexual behavior. In regard to considerable use of this insecticide in Iran, it's necessary to restrain its use and extent of human contact to prevent hazards of this insecticide on human body tissues

Long-term caffeine-induced inhibition of EAC cell progression in relation to gonadal hormonal status.

Inhibitory action of caffeine (a tri-methylxanthine alkaloid) on progression or pathogenesis of lung, breast and ovarian cancer including Ehrlich ascites carcinoma (EAC) cell development has been reported. This information led the authors to study the effect of long-term administration of caffeine (20 mg/kg/day; po for 22-27 consecutive days) on the development of EAC cells in relation to serum gonadal hormones (LH, FSH, 17-OH-beta-estradiol (E2) and progesterone) in adult Swiss albino female mice. Measurement of gonadal hormones in serum using RIA showed that (a) long-term caffeine treatment significantly increased LH (except for 27 consecutive days) and decreased FSH (except for 24 and 27 consecutive days) and both E2 and progesterone (except for 22 and 24 consecutive days) levels, (b) development of EAC cell for 10-15 days, significantly increased LH but decreased FSH, E2 and progesterone levels and (c) long-term caffeine consumption during the development of EAC cell (i) restored the EAC cell- or caffeine-induced induction of LH and reduction of FSH level to their normal levels and (ii) withdrew/reduced the EAC cell-induced reduction in only E2 but not progesterone level. These results therefore, suggest that prolonged caffeine exposures may inhibit the development of EAC cell through the reduction or restoration of EAC cell-induced disruption of ovarian hormonal status to their normal status via the modulation of Hypothalamic-Pituitary-Gonadal (HPG) axis.

A Relationship of Sex Hormone Levels and Erectile Dysfunction: Which Tests Should Be Done Routinely?

PURPOSE: In this study, the relationship between sex hormone levels and erectile dysfunction (ED), as well as the necessity of routinely measuring sex hormone levels were evaluated. MATERIALS AND METHODS: This study included one hundred patients admitted to a urology clinic for sexual dysfunction. To determine the hormone levels, following the history (included IIEF-5 score) and physical examination, triple blood samples were collected at intervals of 15 minutes between 08:00 and 10:00 am. Total and free testosterone, prolactin, follicle stimulating hormone and luteinizing hormone levels were studied. RESULTS: Mean age was 43 (23-80) years. IIEF-5 score was less than 21 [9.8-4.3 (3-19)] in all study groups. There was a statistically significant correlation between tT and FSH, as well as between LH and FSH in Pearson (r =-0.513, p 0.05). Of the 100 patients, 18 (18%) had low tT, 77 (77%) had normal and 5 (5%) had high tT levels. No statistically significant correlation was found between decreased libido and tT levels (p > 0.05). Twelve (66.6%) of the 18 patients with low tT had normal libido. CONCLUSION: Analyzing the medical history in detail and performing a thorough physical examination can reduce the need for excessive studies and consultations, and enables patients to save time and costs.

Hormonal abnormalities in azoospermic men in Kano, Northern Nigeria.

BACKGROUND & OBJECTIVES: We undertook this study to observe the pattern of hormonal abnormalities and testicular pathology in azoospermic male Africans in Kano, Northern Nigeria. METHODS: Eighty consecutive azoospermic infertile males attending fertility clinic in Aminu Kano Teaching Hospital, Kano, were selected for the study. Their semen were analyzed three times at eight weeks interval, after which serum follicle stimulating hormone (FSH), luteinizing hormone (LH), testosterone and prolactin were assayed in serum samples, and histological examination of testicular biopsies done. RESULTS: Of the 80 subjects studied, 32 (40%) had abnormal hormonal levels, 48 (60%) had normal hormonal values and 36 (45%) had testicular pathology. INTERPRETATION & CONCLUSION: Endocrinopathies are common in azoospermia. Their contribution to male factor infertility cannot be overemphasized. The main reason for the endocrinopathies is not known but environmental factors, endocrine disruptors and genetic polymorphism have been suggested to be contributory.

Sex hormones and oxidant- antioxidant status in post-menopausal women with coronary artery disease

The strikingly lower prevalence of acute coronary syndromes in pre-menopausal women than in men of similar age, then the progressive narrowing of that difference with age after menopause, suggests an important role for sex hormones and probably oxidative stress in the development of coronary artery disease. The aim of this study is to evaluate the sex hormones and oxidant stress [malondialdehyde, which is a metabolite of lipid peroxidation] and anti-oxidants [vitamin C and E] status in postmenopausal women with stable coronary artery disease and in those with acute coronary syndromes. This study was conducted on 40 non-hormone user postmenopausal women with coronary artery disease. They were divided into 3 groups: the 1[st] group [17 patients] who had an acute myocardial infarction, the 2[nd] group [10 patients] had unstable angina and the 3[rd] one [13 patients] had stable angina. This is an addition to 20 apparently healthy postmenopausal women of similar age. All cases and control subjects were subjected to thorough history taking, full clinical examination, routine laboratory investigations, resting echocardiography and special laboratory investigations including detection of serum level of; total and free testosterone, total estradiol, morning and nocturnal serum cortisol, malondialdehyde and plasma levels of alpha-tocopherol and vitamin-C. We found a higher serum level of total and free testosterone in cases than control subjects [P-value 0.016 and 0.031 respectively] and the serum free testosterone was significantly higher in the group of acute myocardial infarction than the group of stable angina [P-value 0.008]. The serum level of total estradiol was significantly lower in cases than in control group [P value 0.0001]. Serum malondialdehyde was significantly higher in cases than control subjects [P<0.0001], and it was significantly higher in cases of acute myocardial infarction in comparison to stable angina cases [P-value 0.005]. Vitamin E [[alpha]-tocopherol] and vitamin C were significantly lower in cases than control group [P 0.0001 and 0.048 respectively]. The serum levels of free testosterone as well as malondi-aldehyde were higher in postmenopausal women with coronary artery disease. However, serum level of estradiol, vitamin E and C were lower in them in comparison to control subjects

Gonadal hormones and gonadotrophins in healthy males beyond forty years

To determine and compare the sex hormones, gonadotrophins and sex hormone binding globulin [SHBG] in healthy males of different age groups. One hundred eighty five consecutive healthy nonobese males of age 40-90 years were studied. Serum samples were assayed for total testosterone, estradiol, LH, FSH and SHBG estimation by radioimmunometric method. The subjects were divided into five age groups and the mean serum concentrations of each parameter were compared among the groups. No significant difference in the mean serum concentrations of total testosterone, SHBG, LH and FSH was found among the different age groups[p> 0.05 by Anova]. Significant age related decrease was found in the serum estradiol concentration [p< 0.05] by both Anova and Pearson's Correlation test. There is no significant age related change in serum total testosterone, gonadotrophin and SHBG concentrations in healthy males beyond forty years. Significant age related decrease in serum estradiol needs further studies

Reference intervals for important serum sex steroid hormones, prostate specific antigen, insulin like growth factor 1 and IGF binding protein 3 concentration in a normal Kuwaiti adult male population

The purpose of this study was to determine the age-specific reference ranges for some important male sex steroid hormones, prostate-specific antigen [PSA], insulin-like growth factor-1 [IGF-1], and IGF binding protein-3 [IGFBP-3], for the Kuwaiti population. Blood samples were taken from 398 consenting, fasting, healthy Kuwaiti males aged 15-80 years between 8.00 a.m. and 12.00 noon. The serum concentrations of total testosterone [TT], dehydro-epiandrosterone sulfate [DHEAS], androstenedione [ADT], sex hormone binding globulin, luteinizing hormone [LH], follicle-stimulating hormone [FSH], prolactin, PSA, IGF-1 and IGFBP-3 were determined. A distribution curve was plotted and age-specific reference levels were determined for each analyte. The reference interval for parameters with a normal distribution [Gaussian] was mean +/- 2 SD, while for the non-normal distribution [non-Gaussian], it was 2.5-97.5 percentile. The reference intervals for the analytes obtained from this study were compared with those suggested by the kit manufacturers and currently used by the Ministry of Health, Kuwait Laboratories [MOHKL]. Serum IGFBP-3 and ADT had normal distribution while other analytes had non-normal distribution. The reference intervals from this study, manufacturers kit and MOHKL were as follows: TT 3-31, 9-60, 8-35 nmol/l; DHEAS 0.9-11, 1.0-7.3, 2.2- 15.2 micro mol/l; ADT 0.5-4.3, 0.8-2.8, 2.0-9.2 nmol/l; LH 1-11, 0.8-7.6, 0.4-5.7 mIU/l; FSH 0.5-11, 0.7-11.1, 1.1-13.5 mIU/l; prolactin 42-397, 53-360, 80-230 nmol/l; IGF-1 41-542, 78-956, 71-261 ng/ml; IGFBP-3 88- 2,090, 900-4,000, 900-4,000 ng/ml, and PSA 0-3.1, 0-4, 0-4 ng/ml, respectively. These data indicate that for Kuwaitis lower reference ranges must be used for serum TT, DHEAS, ADT, IGFBP-3 and PSA. There is no need to change the currently used reference interval for FSH whereas higher values must be used for LH, prolactin, and IGF-1

Consenso sobre el diagnóstico y tratamiento de la pubertad precoz central / A consensus report on the diagnosis and treatment of early puberty

The beginning of puberty is marked by breast growth in girls and testicular enlargement in boys. These occur at the age of 10.5 ñ 2.0 years in females and 11.5 ñ 2.0 years in males. Recent but controversial publications suggest that these events are being observed at younger ages, at least in the USA. There are no studies demonstrating that this is true in Chile. For this reason we still consider that puberty is precocious when it occurs before 8.0 years in girls and before 9.0 years in boys. True or central precocious puberty (CPP) must be distinguished from peripheral or pseudoprecocious puberty (PPP), from premature telarche and from premature adrenarche. We suggest that the workup of a patient with premature development should include an LHRH test to demonstrate if the hypothalamic-pituitary axis is activated, plasma levels of sex steroids, bone age and pelvic ultrasound in girls. All children with CPP should have a CAT scan or MNR of the brain, since a lesion of the central nervous system is observed in 15 percent of the girls and 50 percent of the boys whith CPP. Additional studies are needed in cases of PPP. The aim of treating CPP is to avoid adult short stature that results from premature fusion of the epiphysis and to avoid eventual emotional and psychological stress. Treatment consists of monthly intramuscular injections of a depot preparation of LHRH analogs. Suppression of pituitary and gonadal activity produces regression of secondary sex characteristics and slowing down of growth velocity and bone maturation. The opportunity, duration of treatment and their effect on final stature are discussed