Ovesen P, Møller J, Jørgensen J O, Møller N, Christiansen J S
Department of Gynaecology and Obstetrics Y, Aarhus Kommunehospital, Denmark.
Hum Reprod. 1993 Nov;8(11):1869-72. doi: 10.1093/oxfordjournals.humrep.a137951.
A new area of growth hormone (GH) therapy in adults is the treatment of infertility. The aim of this study was to evaluate the effects of pharmacological GH administration on the secretion of pituitary and gonadal hormones in normal men. Eight healthy men, 23-32 years of age (mean 28.1 years), with a normal body mass index were studied in a double-blind, placebo-controlled crossover design. All participants had a normal semen analysis before entering the study. Each participant was treated with placebo and GH (12/IU/day, Norditropin; Novo Nordisk, Denmark) during two different 14-day periods, separated by a 6 week washout period. Administration of GH for 14 days resulted in a significant increase in serum insulin-like growth factor I (IGF-I; P < 0.01) but no changes occurred in IGF-I values during placebo treatment. The concentrations of follicle stimulating hormone and luteinizing hormone displayed no change during the two periods and did not differ between the GH treatment period and the placebo period. The concentration of testosterone was unchanged during the placebo/GH periods and there was no difference between the GH treatment period and the placebo period. We conclude that GH treatment for 14 days in normal healthy men does not affect gonadotrophin or testosterone patterns.
成人生长激素(GH)治疗的一个新领域是不孕症的治疗。本研究的目的是评估给予药理剂量的GH对正常男性垂体和性腺激素分泌的影响。采用双盲、安慰剂对照交叉设计,对8名年龄在23 - 32岁(平均28.1岁)、体重指数正常的健康男性进行了研究。所有参与者在进入研究前精液分析均正常。每位参与者在两个不同的14天期间分别接受安慰剂和GH(12IU/天,诺和龙;丹麦诺和诺德公司)治疗,中间间隔6周的洗脱期。给予GH 14天导致血清胰岛素样生长因子I(IGF - I)显著升高(P < 0.01),但在安慰剂治疗期间IGF - I值无变化。在两个时期内,促卵泡激素和促黄体生成素的浓度均无变化,且GH治疗期和安慰剂期之间也无差异。在安慰剂/ GH治疗期间,睾酮浓度没有变化,GH治疗期和安慰剂期之间也没有差异。我们得出结论,正常健康男性接受14天的GH治疗不会影响促性腺激素或睾酮水平。