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Gonadotropin Therapy in Male Infertility

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Treatment of Male Infertility

Abstract

It is well established that the glycoprotein hormones LH and FSH are required for normal testicular function. Classical teaching is that the former stimulates testosterone production by Leydig cells, whereas FSH stimulates the tubules. This concept is supported by the presence of molecules which bind LH with high affinity on the cell membranes of Leydig cells (Catt and Dufau 1973), while FSH binding occurs on the surface of Sertoli cells (Means 1973). Following receptor binding, both gonadotropins work via adenyl cyclase-mediated systems.

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References

  • Anton JP, Guéguen J, Genet P, Patoiseau JY (1968) Etude de 26 cas d’azoospermies et d’oligoasthénospermies traités par les gonadotrophines humaines extraites d’urines de femmes ménopausées (G). Gynecol Obstet 67:509–514

    CAS  Google Scholar 

  • Arimura A, Shino M, De la Cruz KG, Rennels EG, Schally AV (1976) Effect of active and passive immunization with luteinizing hormone-releasing hormone on serum luteinizing hormone and follicle-stimulation hormone levels and the ultrastructure of pituitary gonadotrophs in castrated male rats. Endocrinology 99:291–303

    Article  PubMed  CAS  Google Scholar 

  • Aynsley-Green A, Zachmann M, Illig R, Rampini S, Prader A (1976) Congenital bilateral anorchia in childhood. A clinical endocrine and therapeutic evaluation of twenty-one cases. Clin Endocrinol 5:381–391

    Article  CAS  Google Scholar 

  • Baker HWG, Bremner HG, Burger HG, de Kretser DM, Dulmanis A, Eddie LW, Hudson B, Keogh EJ, Lee VWK, Rennie GC (1976) Testicular control of follicle-stimulating hormone secretion. Recent Prog Horm Res 32:429–469

    PubMed  CAS  Google Scholar 

  • Bergada C, Mancini RE (1973) Effect of gonadotropins in the induction of spermatogenesis in human prepubertal testis. J Clin Endocrinol Metab 37:935–943

    Article  PubMed  CAS  Google Scholar 

  • Bigos ST, Somma M, Rasio E, Eastman RC, Lanthier A, Johnston HH, Hardy J (1980) Cush- ing’s disease: management by transsphenoidal pituitary microsurgery. J Clin Endocrinol Metab 50:348–354

    Article  PubMed  CAS  Google Scholar 

  • Boyar RM, Finkelstein JW, Witkin M, Kapen S, Weitzman E, Hellman L (1973) Studies of endocrine function in “isolated gonadotropin deficiency”. J Clin Endocrinol Metab 36:64–72

    Article  PubMed  CAS  Google Scholar 

  • Boyar RM, Wu RHK, Kapen S, Hellman L, Weitzman ED, Finkelstein JW (1976) Clinical and laboratory heterogeneity in idiopathic hypogonadotropic hypogonadism. J Clin Endocrinol Metab 43:1268–1275

    Article  PubMed  CAS  Google Scholar 

  • Braunstein GD, Kamdar V, Rasor J, Swaminathan N, Wade ME (1979) Widespread distribution of a chorionic gonadotropin-like substance in normal human tissues. J Clin Endocrinol Metab 49:917–925

    Article  PubMed  CAS  Google Scholar 

  • Catt KJ, Dufau ML (1973) Interactions of LH and G with testicular gonadotropin receptors. In: O’Malley BW, Means AR (eds) Receptors for reproductive hormones. Plenum, New York pp 379–418

    Google Scholar 

  • Check JH, Caro JF, Criden L, Meltz R, Brownstein K (1979) Leydig cell responsiveness with germinal cell resistance to gonadotropin therapy in Kallman’s syndrome. Am J Med 67:495–497

    Article  PubMed  CAS  Google Scholar 

  • Chen HC, Hodgen GD, Matsura S, Lin LJ, Gross E, Reichert LE jr, Birken S, Canfield RE, Ross GT (1976) Evidence for a gonadotropin from nonpregnant subjects that has physical, immunological, and biological similarities to human chorionic gonadotropin. Proc Natl Acad Sci 73:2885–2889

    Article  PubMed  CAS  Google Scholar 

  • Cheval MJ, Mehan DJ (1979) Chorionic gonadotropins in the treatment of the sub fertile male. F er til Steril 31:666–668

    Google Scholar 

  • Cigorraga SB, Dufau ML, Catt KJ (1978) Regulation of luteinizing hormone receptors and steroidogenesis in gonadotropin-desensitized Leydig cells. J Biol Chem 253:4297–4304

    PubMed  CAS  Google Scholar 

  • Coble YD jr, Kohler PO, Cargille CM, Ross GT (1969) Production rates and metabolic clearance rates of human follicle-stimulating hormone in premenopausal and postmenopausal women. J Clin Invest 48:359–363

    Article  PubMed  Google Scholar 

  • Danezis JM, Batrinos ML (1967) The effect of human postmenopausal gonadotropins on infertile men with severe oligospermia. Fertil Steril 18:788–800

    Google Scholar 

  • de Kretser DM, Taft HP, Brown JB, Evans JH, Hudson B (1968) Endocrine and histological studies on Oligospermie men treated with human pituitary and chorionic gonadotrophin. J Endocrinol 40:107–115

    Article  PubMed  Google Scholar 

  • de Kretser DM, Burger HG, Fortune D, Hudson B, Long AR, Paulsen CA, Taft HP (1972) Hormonal, histological and chromosomal studies in adult males with testicular disorders. J Clin Endocrinol Metab 35:392–401

    Article  PubMed  Google Scholar 

  • Del Pozo E, Boite E, Very M (1975) Suprasellar disturbance in the syndrome of fertile eunuchoidism: case report. Acta Endocrinol 80:165–170

    PubMed  Google Scholar 

  • Dufau ML, Catt KJ, Tsuruhara T (1971) Gonadotrophin stimulation of testosterone production by the rat testis in vitro. Biochim Biophys Acta 252:574–579

    Article  PubMed  CAS  Google Scholar 

  • Franchimont P, Chari S, Hazee-Hagelstein MT, Debruche ML, Duraiswami S (1977) Evidence for the existence of inhibin. In: Troen P, Nankin HR (eds) The testis in normal and infertile men. Raven, New York, pp 253–270

    Google Scholar 

  • Fraser HM, Gunn A, Jeffcoate SL, Holland DH (1974) Effect of active immunization to luteinizing hormone releasing hormone on serum and pituitary gonadotrophins, testes and accessory sex organs in the male rat. J Endocrinol 63:399–406

    Article  PubMed  CAS  Google Scholar 

  • Futterweit W, Sobrero AJ (1968) Treatment of normogonadotropic oligospermia with large doses of chorionic gonadotropin. Fertil Steril 19:971–976

    PubMed  CAS  Google Scholar 

  • Gemzell C, Kjessler B (1964) Treatment of infertility after partial hypophysectomy with human gonadotrophins. Lancet 1:644

    Article  PubMed  CAS  Google Scholar 

  • Gordon GG, Olivo J, Rafii F, Southren AL (1975) Conversion of androgens to estrogens in cirrhosis of the liver. J Clin Endocrinol Me tab 40:1018–1026

    Article  CAS  Google Scholar 

  • Granville GE (1970) Successful gonadotropin therapy of infertility in a hypopituitary man. Arch Intern Med 125:1041–1044

    Article  PubMed  CAS  Google Scholar 

  • Greep RO, Fevold H (1937) The spermatogenic and secretory function of the gonads of hy- pophysectomized adult rats treated with pituitary FSH and LH. Endocrinology 21:611–618

    Article  CAS  Google Scholar 

  • Hemsell DL, Grodin JM, Brenner PF, Siiteri PK, Maonald PC (1974) Plasma precursors of estrogen. II. Correlation of the extent of conversion of plasma androstenedione to estrone with age. J Clin Endocrinol Metab 38:476–479

    Article  PubMed  CAS  Google Scholar 

  • Homonnai ZT, Peled M, Paz GF (1978) Changes in semen quality and fertility in response to endocrine treatment of subfertile men. Gynecol Obstet Invest 99:244–255

    Article  Google Scholar 

  • Hsu AF, Troen P (1978) An androgen-binding protein in the testicular cytosol of human testis. Comparison with human plasma testosterone-estrogen binding globulin. J Clin Invest 61:1611–1619

    Article  PubMed  CAS  Google Scholar 

  • Hsu AF, Stratico D, Hosaka M, Troen P (1978) Studies of the human testis. X. Properties of human chorionic gonadotropin receptor in adult testis and relation to intratesticular testosterone concentration. J Clin Endocrinol Metab 47:529–536

    Article  PubMed  CAS  Google Scholar 

  • Jacobson RI, Seyler LE, Tamborlane WV jr, Gertner JM, Genel M (1979) Pulsatile subcutaneous nocturnal administration of GH by portable infusion pump in hypogonadotropic hypogonadism: Initiation of gonadotropin responsiveness. J Clin Endocrinol Metab 49:652–654

    Article  PubMed  CAS  Google Scholar 

  • Johnsen SG (1978) Maintenance of spermatogenesis induced by G treatment by means of continuous G treatment in hypogonadotrophic men. Acta Endocrinol 89:763–769

    PubMed  CAS  Google Scholar 

  • Kallmann FJ, Schoenfeld WA, Barrera SE (1944) The genetic aspects of primary eunuchoidism. Am J Ment Defic 68:203–236

    Google Scholar 

  • Kelch RP, Jenner MR, Weinstein RL, Kaplan SL, Grumbach MM (1972) Estradiol and testosterone secretion by human, simian, and canine testes, in males with hypogonadism and in male pseudohermaphrodites with the feminizing testes syndrome. J Clin Invest 51:824–830

    Article  PubMed  CAS  Google Scholar 

  • Knorr DW, Vanha-Perttula T, Lipsett MB (1970) Structure and function of rat testis through pubescence. Endocrinology 86:1298–1304

    Article  PubMed  CAS  Google Scholar 

  • Lee JA, Yoshida KI, Hosaka M, Stratico D, Hsu AF, Winters SJ, Oshima H, Troen P (1980) Studies of the human testis. XV. Androgen-binding protein and function of Leydig cells and tubules in aged men with prostatic carcinoma. J Clin Endocrinol Metab 50:1105–1110

    Article  PubMed  CAS  Google Scholar 

  • Lee VWK, de Kretser DM, Hudson BH, Wang C (1975) Variations in serum FSH, LH and testosterone levels in male rats from birth to sexual maturity. J Reprod Fertil 42:121–126

    Article  PubMed  CAS  Google Scholar 

  • Loriaux DL, Vigersky RA, Marynick SP, Janick JJ, Sherins RJ (1977) Androgen and estrogen effects in the regulation of LH in man. In: Troen P, Nankin HR (eds) The testis in normal and infertile men. Raven, New York, pp 213–225

    Google Scholar 

  • Luboshitzky R, Rosen E, Trestian S, Spitz IM (1979) Hyperprolactinemia and hypogonadism in men: response to exogenous gonadotropins. Clin Endocrinol 11:217–223

    Article  CAS  Google Scholar 

  • Lunenfeld B, Mor A, Mani M (1967) Treatment of male infertility. I. Human gonadotropins. Fertil Steril 18:581–592

    PubMed  CAS  Google Scholar 

  • Luton JP, Thieblot P, Valcke JC, Mahoudeau JA, Bricaire H (1977) Reversible gonadotropin deficiency in male Cushing’s disease. J Clin Endocrinol Metab 45:488–495

    Article  PubMed  CAS  Google Scholar 

  • Lytton B, Mroueh A (1966) Treatment of oligospermia with urinary human menopausal gon-adotrophin: a preliminary report. Fertil Steril 17:696–700

    PubMed  CAS  Google Scholar 

  • MacDonald PC, Edman CD, Hemsell DL, Porter JC, Siiteri PK (1978) Effect of obesity on conversion of plasma androstenedione to estrone in postmenopausal women with and without endometrial cancer. Am J Obstet Gynecol 130:448–455

    PubMed  CAS  Google Scholar 

  • MacDonald PC, Madden JD, Brenner PF, Wilson JD, Siiteri PK (1979) Origin of estrogen in normal men and in women with testicular feminization. J Clin Endocrinol Metab 49:905–916

    Article  PubMed  CAS  Google Scholar 

  • MacLeod J (1970) The effects of urinary gonadotropins following hypophysectomy and in hypogonadotropic eunuchoidism. In: Rosemberg E, Paulsen CA (eds) The human testis. Plenum, New York, pp 577–586

    Google Scholar 

  • MacLeod J, Pazianos A, Ray BS (1964) Restoration of human spermatogenesis by menopausal gonadotrophins. Lancet 1:1196

    Article  PubMed  CAS  Google Scholar 

  • Maddock WO, Nelson WO (1952) The effects of chorionic gonadotropin in adult men: increased estrogen and 17-ketosteroid excretion, gynecomastia, Ley dig cell stimulation and seminiferous tubule damage. J Clin Endocrinol Metab 12:985–1014

    Article  PubMed  CAS  Google Scholar 

  • Mancini RE, Seiguer AC, Lloret AP (1969) Effect of gonadotropins on the recovery of spermatogenesis in hypophysectomized patients. J Clin Endocrinol Metab 29:467–478

    Article  PubMed  CAS  Google Scholar 

  • Maroulis GB, Parlow AF, Marshall JR (1977) Isolated follicle-stimulating hormone deficiency in man. Fertil Steril 28:818–822

    PubMed  CAS  Google Scholar 

  • Means AR (1973) Specific interaction of 3H-FSH with rat testis binding sites. In: O’Malley BW, Means AR (eds) Receptors for reproductive hormones. Plenum, New York, pp 431–448

    Google Scholar 

  • Merriam GR, Beitins IZ, Bode HH (1977) Father-to-son transmission of hypogonadism with anosmia. Am J Dis Child 131:1216–1219

    PubMed  CAS  Google Scholar 

  • Misurale F, Cagnazzo G, Storace A (1969) Asthenospermia and its treatment with G. Fertil Steril 20:650–653

    PubMed  CAS  Google Scholar 

  • Mroueh A, Lytton B, Kase N (1967) Effects of human chorionic gonadotropin and human menopausal gonadotropin (Pergonal) in males with oligospermia. J Clin Endocrinol Metab 27:53–60

    Article  PubMed  CAS  Google Scholar 

  • Nankin HR, Troen P (1971) Repetitive luteinizing hormone elevations in serum of normal men. J Clin Endocrinol Metab 33:558–560

    Article  PubMed  CAS  Google Scholar 

  • Nankin HR, Troen P (1976) Endocrine profiles in idiopathic Oligozoospermie men. In: Hafez ESE (ed) Human semen and fertility regulation in men. Mosby, St. Louis, pp 370–374

    Google Scholar 

  • Nankin HR, Castaneda E, Troen P (1977) Endocrine profiles in Oligospermie men. In: Troen P, Nankin HR (eds) The testis in normal and infertile men. Raven, New York, pp 529–538

    Google Scholar 

  • Nankin HR, Lin T, Murono E, Osterman J, Troen P (1980) Testosterone and 17-OH-pro-gesterone responses in men to 3-hour LH infusions. Acta Endocrinol 95:110–116

    PubMed  CAS  Google Scholar 

  • Odell WD, Swerdloff RS, Jacobs HS, Hescox MA (1973) FSH induction of sensitivity to LH: one cause of sexual maturation in the male rat. Endocrinology 92:160–165

    Article  PubMed  CAS  Google Scholar 

  • Paulsen CA (1965) The effect of human menopausal gonadotropin on spermatogenesis in hypogonadotrophic hypogonadism. In: Proceedings of the Vlth pan-american congress of endocrinology, Mexico City. Excerpta Medica International Congress Series 112:398–407

    Google Scholar 

  • Paulsen CA, Espeland DH, Michals EL (1970) Effects of G, G, H, and H administration on testicular function. In: Rosemberg E, Paulsen CA (eds) The human testis. Plenum, New York, pp 547–562

    Google Scholar 

  • Polishuk WZ, Palti Z, Laufer A (1967) Treatment of defective spermatogenesis with human gonadotropins. Fertil Steril 18:127–134

    PubMed  CAS  Google Scholar 

  • Pont A, Shelton R, Odell WD (1979) Prolactin-secreting tumors in men: Surgical cure. Ann Intern Med 91:211–213

    PubMed  CAS  Google Scholar 

  • Purvis K, Hansson V (1978) Hormonal regulation of Ley dig cell function. Mol Cell Endocrinol 12:123–138

    Article  PubMed  CAS  Google Scholar 

  • Purvis K, Brenner PF, Landgren BM, Cekan Z, Diczfalusy E (1975) Indices of gonadal function in the human male. I. Plasma levels of unconjugated steroids and gonadotropins under normal and pathological conditions. Clin Endocrinol 4:237–246

    Article  CAS  Google Scholar 

  • Rabin D, Spitz I, Berrovici B, Bell J, Laufer A, Benveniste R, Polishuk W (1972) Isolated deficiency of follicle-stimulating hormone. N Engl J Med 287:1313–1317

    Article  PubMed  CAS  Google Scholar 

  • Reiter EO, Kulin HE, Loriaux DL (1972) FSH suppression during short-term G administration: a gonadally mediated process. J Clin Endocrinol Metab 34:1080–1084

    Article  PubMed  CAS  Google Scholar 

  • Ritzen EM, Hagenas L, Hansson V, French FS (1975) In vitro synthesis of testicular androgen binding protein (ABP): stimulation by FSH and androgen. In: French FS, Hansson V, Ritzen EM, Nayfeh SN (eds) Hormonal regulation of spermatogenesis. Plenum, New York, pp 353–366

    Google Scholar 

  • Rosemberg E (1976) Gonadotropin therapy of male infertility. In: Hafez ESE (ed) Human semen and fertility regulation in men. Mosby, St. Louis, pp 464–475

    Google Scholar 

  • Saez JM, Forest MG (1979) Kinetics of human chorionic gonadotropin-induced steroidogenic response of the human testis. I. Plasma testosterone: implications for human chorionic gonadotropin stimulation test. J Clin Endocrinol Metab 49:278–283

    Article  PubMed  CAS  Google Scholar 

  • Santen RJ (1975) Is aromatization of testosterone to estradiol required for inhibition of luteinizing hormone secretion in man? J Clin Invest 56:1555–1563

    Article  PubMed  CAS  Google Scholar 

  • Santen RJ, Paulsen CA (1973) Hypogonadotropic eunuchoidism. II. Gonadal responsiveness to exogenous gonadotropins. J Clin Endocrinol Metab 36:55–63

    Article  PubMed  CAS  Google Scholar 

  • Schill WB (1979) Recent progress in pharmacological therapy of male subfertility: a review. Andrologia 11:77–107

    Article  PubMed  CAS  Google Scholar 

  • Schoysman R (1964) Essais préliminaires de traitement des oligospermies moyennes par la gonadotrophine humaine extraite de l’urine de femmes ménopausées (HMG). Bull Soc R Belge Gynecol Obstet 34:399–407

    PubMed  CAS  Google Scholar 

  • Schroffner WG (1978) Restoration of male fertility five years after total hypophysectomy. Hawaii Med J 37:331–334

    PubMed  CAS  Google Scholar 

  • Schwarzstein L (1974) G in the treatment of Oligospermie patients. In: Mancini RE, Martini L (eds) Male fertility and sterility. Academic Press, London, pp 567–571

    Google Scholar 

  • Sherins RJ (1974) Clinical aspects of treatment of male infertility with gonadotropins: testicular response of some men given hCG with and without Pergonal. In: Mancini RE, Martini L (eds) Male fertility and sterility. Academic Press, London, pp 545–565

    Google Scholar 

  • Sherins RJ, Brightwell D, Sternthal PM (1977) Longitudinal analysis of semen of fertile and infertile men. In: Troen P, Nankin HR (eds) The testis in normal and infertile men. Raven, New York, pp 473–488

    Google Scholar 

  • Sherins RJ, Winters S J, Wachslicht H (1977) Studies of the role of G and low-dose FSH in initiating spermatogenesis in hypogonadotropic men. In: Proceedings of the 59th Annual Meeting of the Endocrine Society (Abstr), p 312

    Google Scholar 

  • Sina D, Haubert HD, Karschnia R (1974) Humanmenopausen — Gonadotropin bei der Behandlung infertiler Männer. Dtsch Med Wochenschr 99:2639–2643

    Article  PubMed  CAS  Google Scholar 

  • Smith KD, Steinberger E (1977) What is oligospermia? In: Troen P, Nankin HR (eds) The testis in normal and infertile men. Raven, New York, pp 489–503

    Google Scholar 

  • Southren AL, Olive J, Gordon GG, Vittek J, Brener J, Rafii F (1974) The conversion of androgens to estrogens in hyperthyroidism. J Clin Endocrinol Metab 38:207–214

    Article  PubMed  CAS  Google Scholar 

  • Spitz IM, Steiner J, Segal S, Schumert Z, Rosen E, Slonim A, Rabinowitz D (1978) Induction of spermatogenesis in hypogonadotropic hypogonadism. Postgrad Med J 54:694–697

    Article  PubMed  CAS  Google Scholar 

  • Steinberger E (1971) Hormonal control of mammalian spermatogenesis. Physiol Rev 51:1–22

    CAS  Google Scholar 

  • Steinberger A, Walther J, Heindel J J, Sanborn BM, Tsai YH, Steinberger E (1979) Hormone interactions in the Sertoli cells. In Vitro 15:23–31

    Article  CAS  Google Scholar 

  • Stewart-Bentley M, Odell WD, Horton R (1974) The feedback control of luteinizing hormone secretion in normal adult men. J Clin Endocrinol Metab 38:545–653

    Article  PubMed  CAS  Google Scholar 

  • Tcholakian RK, Steinberger A (1978) Progesterone metabolism by cultured Sertoli cells. Endocrinology 103:1335–1343

    Article  PubMed  CAS  Google Scholar 

  • Troen P, Yanaihara T, Nankin H, Tominaga T, Lever H (1970) Assessment of gonadotropin therapy in infertile males. The human testis. Adv Exp Biol Med 10:591–602

    Google Scholar 

  • Wildt L, Marshall G, Knobil E (1980) Experimental induction of puberty in the infantile female rhesus monkey. Science 207:1373–1375

    PubMed  CAS  Google Scholar 

  • Winters S J, Mecklenburg RS, Sherins RJ (1978) Hypothalamic function in men with hypogonadotrophic hypogonadism. Clin Endocrinol 8:417–426

    Article  CAS  Google Scholar 

  • Winters S J, Janick JJ, Loriaux DL, Sherins RJ (1979) Studies on the role of sex steroids in the feedback control of gonadotropin concentrations in men. II. Use of the estrogen antagonist clomiphene citrate. J Clin Endocrinol Metab 48:222–227

    Article  PubMed  CAS  Google Scholar 

  • Wong TW, Straus F, Warner NE (1974) Testicular biopsy in the study of male infertility. III. Pretesticular causes of infertility. Arch Pathol 98:1–8

    PubMed  CAS  Google Scholar 

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Winters, S.J., Troen, P. (1982). Gonadotropin Therapy in Male Infertility. In: Bain, J., Schill, WB., Schwarzstein, L. (eds) Treatment of Male Infertility. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-68223-0_7

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  • DOI: https://doi.org/10.1007/978-3-642-68223-0_7

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