Skip to main content

Male contraception with LHRH agonists

  • Chapter
  • 68 Accesses

Abstract

Stimulated by the unexplained lack of success of LHRH and its agonists in the treatment of infertility in men1, we investigated in detail the effect of acute and chronic administration of these peptides on testicular functions in experimental animals. We then made the observation that short-term administration of an LHRH agonist to adult male rats leads to a loss of testicular LH and prolactin receptors, as well as to decreased serum testosterone levels accompanied by inhibition of ventral prostate, seminal vesicle and testis weight2–5. It is of great interest that, among the species so far studied, man is the most sensitive to the inhibitory effect of treatment with LHRH agonists on testicular steroidogenesis5,6. In fact, while, in the rat, treatment with LHRH agonists increases 5α-reductase activity and formation of 3α-androstanediol as well as 5α-dihydrotestosterone, which can partially counteract the inhibitory effect on testosterone production5,7, no such effect is seen in man, where androgen biosynthesis can be completely inhibited and medical castration is thus achieved relatively easily with no secondary effect other than those related to low circulating androgen levels5,8,9.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Krabbe, S. and Shakkeback, N.E. (1977). Gonadotropin-releasing hormone (LHRH) and human chorionic gonadotropin in the treatment of two boys with hypogonadotrophic hypogonadism. Acta Paediatr. Scand., 66, 361

    Article  PubMed  CAS  Google Scholar 

  2. Auclair, C., Kelly, P.A., Labrie, F., Coy, D.H. and Schally, A.V. (1977). Inhibition of testicular luteinizing hormone receptor levels by treatment with a potent luteinizing hormone-releasing hormone agonist or human chorionic gonadotropin. Biochem. Biophys. Res. Commun., 76, 855

    Article  PubMed  CAS  Google Scholar 

  3. Auclair, C., Kelly, P.A., Coy, D.H., Schally, A.V. and Labrie, F. (1977). Potent inhibitory activity of [D-Leu6, des-Gly-NH210] LHRH ethylamide on LH/hCG and PRL testicular receptor levels in the rat. Endocrinology, 101, 1890

    Article  PubMed  CAS  Google Scholar 

  4. Labrie, F., Auclair, C., Cusan, L., Kelly, P.A., Pelletier, G. and Ferland, L. (1978). Inhibitory effects of LHRH and its agonists on testicular gonadotropin receptors and spermatogenesis in the rat. In Hansson, V. (ed.) Endocrine Approach to Male Contraception, pp. 303–308. (Int. J. Androl., Suppl. 2 )

    Google Scholar 

  5. Labrie, F., Bélanger, A., Cusan, L., Seguin, C., Pelletier, G., Kelly, P. A., Lefebvre, F.A., Lemay, A. and Raynaud, J. P. (1980). Antifertility effects of LHRH agonists in the male. J. Androl., 1, 209

    CAS  Google Scholar 

  6. Bélanger, A., Labrie, F., Lemay, A., Caron, S. and Raynaud, J.P. (1980). Inhibitory effects of a single intranasal administration of [D-Ser(TBU)6, des-Gly-NH210]LHRH agonist on serum steroid levels in normal adult men. J. Steroid Biochem., 13, 123

    Article  PubMed  Google Scholar 

  7. Bélanger, A., Cusan, L., Auclair, C., Séguin, C., Caron, S. and Labrie, F. (1980). Effect of an LHRH agonist and hCG on testicular steroidogenesis in the adult rat. Biol. Reprod., 22, 1094

    PubMed  Google Scholar 

  8. Labrie, F., Dupont, A., Bélanger, A., Cusan, L., Lacoursière, Y., Monfette, G., Laberge, J.G., Emond, J.P., Fazekas, A.T.A., Raynaud, J.P. and Husson, J.M. (1982). New hormonal therapy in prostatic carcinoma: combined treatment with an LHRH agonist and an antiandrogen. J. Clin. Invest. Med., 5, 267

    CAS  Google Scholar 

  9. Labrie, F., Dupont, A., Belanger, A., Lacoursiere, Y., Raynaud, J.P., Husson, J.M., Gareau, J., Fazekas, A.T.A., Sandow, J., Monfette, G., Girard, J.G., Emond, J. and Houle, J.G. (1983). New approach in the treatment of prostate cancer: complete instead of only partial withdrawal of androgens. Prostate, 4, 579

    Article  PubMed  CAS  Google Scholar 

  10. Labrie, F., Dupont, A., Bélanger, A., Lefebvre, F.A., Cusan, L., Raynaud, J.P., Husson, J.M. and Fazekas, A.T.A. (1983). New hormonal therapy in prostate cancer: combined use of a pure antiandrogen and an LHRH agonist. Horm. Res., 18, 18

    Article  PubMed  CAS  Google Scholar 

  11. Labrie, F., Dupont, A., Belanger, A., Lefebvre, F.A., Cusan, L., Monfette, G., Laberge, J.G., Emond, J.P., Raynaud, J.P., Husson, J.M. and Fazekas, A.T.A. (1983). New hormonal treatment in cancer of the prostate: combined administration of an LHRH agonist and an antiandrogen. J. Steroid Biochem., 19, 999

    Article  PubMed  CAS  Google Scholar 

  12. Linde, R., Doelle, G., Alexander, N., Kirchner, F., Vale, W., Rivier, J. and Rabin, D. (1981). Reversible inhibition of testicular steroidogenesis and spermatogenesis by a potent gonadotropin-releasing hormone agonist in normal men. N. Engl. J. Med., 305, 663

    Article  PubMed  CAS  Google Scholar 

  13. Labrie, F., Bélanger, A., Carmichael, R., Séguin, C., Lefebvre, F. A., Faure, N. and Dupont, A. (1983). Inhibition of the testicular steroidogenic pathway in experimental animals and men. In D’Agata, R., Lipsett, M.B. and Van der Molen, H.J. (eds.) Recent Advances in Male Reproduction: Molecular Basis and Clinical Implications, pp. 239–248. ( New York: Raven Press )

    Google Scholar 

  14. Labrie, F., Dupont, A., Bélanger, A., Labrie, C., Lacoursière, Y., Raynaud, J.P., Husson, J.M., Emond, J., Houle, J.G., Girard, J.G., Monfette, G., Paquet, J.P., Vallières, A., Bossé, C. and Delisle, R. (1985). Combined antihormonal treatment in prostate cancer, a new approach using an LHRH agonist or castration and an antiandrogen. In Hormones and Cancer. (New York: Raven Press) (In press)

    Google Scholar 

  15. Labrie, F., Dupont, A., Bélanger, A., Labrie, C., Lacoursière, Y., Emond, J., Monfette, G., Houle, J.G., Girard, J.G., Vallieres, G., Bossé, C. and Delisle, R. (1985). Dramatic response of prostate cancer to complete antihormonal treatment. Acta Med. (In press)

    Google Scholar 

  16. Labrie, F., Dupont, A., Bélanger, A., Emond, J. and Monfette, G. (1984). Pure antiandrogens permit to take advantage of the well-tolerated LHRH agonists for the treatment of prostate cancer. Proc. Natl. Acad. Sci. USA, 81, 3861

    Article  PubMed  CAS  Google Scholar 

  17. Faure, N., Labrie, F., Lemay, A., Bélanger, A., Gourdeau, Y., Laroche, B. and Robert, G. (1982). Inhibition of serum androgen levels by chronic intranasal and subcutaneous administration of a potent luteinizing hormone-releasing hormone (LHRH) agonist in adult men. Fertil. Steril., 37, 416

    PubMed  CAS  Google Scholar 

  18. Crowley, W.F. Jr., Comite, F., Vale, W., Rivier, J., Loriaux, D.L. and Cutler, G.B. Jr. (1981). Therapeutic use of pituitary desensitization with a long-acting LHRH agonist: a potent new treatment for idiopathic precocious puberty. J. Clin. Endocrinol., 52, 370

    Article  Google Scholar 

  19. Walker, K.J., Turkes, A.O., Nicholson, R.I., Turkes, A. and Kriffiths, K. (1983). Therapeutic potential of the LHRH agonist, ICI 118630, in the treatment of advanced prostatic carcinoma. Lancet, 413

    Google Scholar 

  20. Warner, B., Worgul, T.J., Drago, J., Demers, L., Dufau, M., Max, D., Santen, R.J. and members of the Abbott Study Group (1973). Effect of very high dose D-Leucine6- gonadotropin-releasing hormone proethylamide on the hypothalamic-pituitary testicular axis in patients with prostatic cancer. J. Clin. Invest., 71, 1842

    Google Scholar 

  21. Ahmed, S.R., Shamet, S.M., Brooman, P.J.C., Howell, A. and Blacklock, N.J. (1983). Treatment of advanced prostatic cancer with LHRH analogue ICI 118630: clinical response and hormonal mechanisms. Lancet, 415

    Google Scholar 

  22. Bélanger, A., Auclair, C., Séguin, C., Kelly, P. A. and Labrie, F. (1979). Down-regulation of testicular androgen biosynthesis and LH receptor levels by an LHRH agonist: role of prolactin. Mol. Cell. Endocrinol., 13, 47

    Article  PubMed  Google Scholar 

  23. Bélanger, A., Auclair, C., Ferland, L. and Labrie, F. (1980). Time-course of the effects of treatment with a potent LHRH agonist on testicular steroidogenesis and gonadotropin receptor levels in the adult rat. J. Steroid. Biochem., 13, 191

    Article  PubMed  Google Scholar 

  24. Resko, J., Bélanger, A. and Labrie, F. (1982). Effects of chronic treatment with a potent LHRH agonist on serum LH and steroid levels in the male rhesus monkey. Biol. Reprod., 26, 378

    Article  PubMed  CAS  Google Scholar 

  25. Kelly, S., Labrie, F. and Dupont, A. (1983). Loss of LH bioactivity in men treated with an LHRH agonist and an antiandrogen. In Proceedings of the 65th Annual Meeting of the Endocrine Society, p. 81

    Google Scholar 

  26. Pelletier, G., Cusan, L., Auclair, C., Kelly, P. A., Désy, L. and Labrie, F. (1978). Inhibition of spermatogenesis in the rat by treatment with [D-Ala6, des-Gly-NH210]LHRH ethylamide. Endocrinology, 103, 641

    Article  PubMed  CAS  Google Scholar 

  27. Carmichael, R., Bélanger, A., Cusan, L., Séguin, C., Caron, S. and Labrie, F. (1980). Increased testicular 5α-androstane-3α,17β-diol formation induced by treatment with [D- Ser(TBU)6,des-Gly-NH210]LHRH ethylamide in the rat. Steroids, 36, 383

    Article  PubMed  CAS  Google Scholar 

  28. Vickery, B.H., McRae, G.I. and Bonash, H. (1981). Effect of prolonged systemic administration of an LHRH agonist upon prostatic size and function in geriatric dogs. J. Androl., 2, 30

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1985 MTP Press Limited

About this chapter

Cite this chapter

Belanger, A., Labrie, F., Tremblay, Y., Dupont, A., St-Arnaud, R. (1985). Male contraception with LHRH agonists. In: Runnebaum, B., Rabe, T., Kiesel, L. (eds) Future Aspects in Contraception. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-4910-2_6

Download citation

  • DOI: https://doi.org/10.1007/978-94-009-4910-2_6

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-8675-2

  • Online ISBN: 978-94-009-4910-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics