The relationship between serum hormone levels (follicle-stimulating hormone, luteinizing hormone, total testosterone) and semen parameters


Submitted: September 28, 2015
Accepted: September 28, 2015
Published: September 30, 2015
Abstract Views: 1964
PDF: 1034
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Authors

  • Mehmet Zeynel Keskin Tepecik Research and Education Hospital, Clinic of Urology, Izmir, Turkey.
  • Salih Budak Tepecik Research and Education Hospital, Clinic of Urology, Izmir, Turkey.
  • Tuǧba Zeyrek Tepecik Research and Education Hospital, Assisted Reproductive Techniques Department, Clinic of Embryology, Izmir, Turkey.
  • Orçun Çelik Tepecik Research and Education Hospital, Clinic of Urology, Izmir, Turkey.
  • Oguz Mertoglu Tepecik Research and Education Hospital, Clinic of Urology, Izmir, Turkey.
  • Mehmet Yoldas Tepecik Research and Education Hospital, Clinic of Urology, Izmir, Turkey.
  • Yusuf Özlem Ilbey Tepecik Research and Education Hospital, Clinic of Urology, Izmir, Turkey.
Objective: The aim of this study was to investigate the effect of serum gonadotropin and total testosterone levels on semen parameters. Materials and Methods: Three hundred and eighty-two patients that applied to a male infertility polyclinic were included in our study. Serum gonadotropin and total testosterone levels and semen parameters of the patients were analyzed during the first visit to the clinic. The reference FSH value was 1.5-12.4 mIU/mL, that of LH was 1.7-8.6 mIU/mL and the reference value for total testosterone was 249-836 ng/dL. Results: While there was no statistically significant difference between the patients with low gonadotropin levels and the controls regarding any of the semen parameters (p > 0.05), there was a strong statistically significant difference between the patients with high gonadotropin levels and the controls regarding sperm concentration (p = 0.000), total motility (p = 0.000), progressive motility (p = 0.000), and morphology (p = 0.000). There was a strong statistically significant difference between the patients with low testosterone levels and the controls regarding total motility (p = 0.012) and progressive motility (p = 0.010), and a weak statistically significant difference in morphology (p = 0.042). There was no statistically significant difference in semen volume or sperm concentration (p > 0.05). There was no statistically significant difference in any of the semen parameters between the patients with high testosterone levels and the controls (p > 0.05). Conclusions: Our findings especially regarding LH and T levels are not in agreement with previous reports. In this regard, there is a need for larger-scale and randomized trials to resolve this discrepancy.

Keskin, M. Z., Budak, S., Zeyrek, T., Çelik, O., Mertoglu, O., Yoldas, M., & Ilbey, Y. Özlem. (2015). The relationship between serum hormone levels (follicle-stimulating hormone, luteinizing hormone, total testosterone) and semen parameters. Archivio Italiano Di Urologia E Andrologia, 87(3), 194–197. https://doi.org/10.4081/aiua.2015.3.194

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