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[氯米芬和绒促性素对长期接受抗雌激素治疗的少精子症男性的测试结果]

[Results of tests with clomiphene and choriogonadotropin in men with oligozoospermia treated with longterm antiestrogens].

作者信息

Medraś M, Terpiłowski L, Kiełkiewicz D, Winowski J, Ziotas G

机构信息

Katedry i Kliniki Endokrynologii Akademii Medycznej we Wrocławiu.

出版信息

Pol Tyg Lek. 1996 Feb;51(6-9):73-4.

PMID:8756734
Abstract

The evaluation was made of the response to testosterone and oestradiol in the test (50 mg twice daily for 10 days) and HCG test (6000 units of Biogonadyl through 2 days) performed on 21 normospermic (fertile) males and on patients with normogonadotropic, idiopathic oligozoospermia, positively (12 patients) or negatively (24 males) reacting to the longterm Clostilbegyt treatment (50 mg daily for 240 days). It was shown that patients with oligozoospermia who do not react with an increase of spermatozoa during the longterm antioestrogen treatment had higher response of oestradiol in the dynamic test (+ 118.9%) than the normospermic males (+ 60.8%) or the oligozoospermic who showed positive semenologic response to the treatment (+ 58.8%). The similar reaction of oestradiol was shown in the HCG stimulation. In the hiperoestrogenism phenomenon the authors noticed the cause of lack of positive semenologic effects of the longterm antioestrogen treatment.

摘要

对21名精子正常(可育)男性以及对促性腺激素正常、特发性少精子症患者进行了睾酮和雌二醇测试(每日两次,每次50毫克,共10天)以及人绒毛膜促性腺激素(HCG)测试(两天内注射6000单位的比奥戈纳迪),这些少精子症患者对长期服用克罗米芬治疗(每日50毫克,共240天)有阳性反应(12例患者)或阴性反应(24名男性)。结果显示,在长期抗雌激素治疗期间精子数量未增加的少精子症患者,其雌二醇在动态测试中的反应(+118.9%)高于精子正常的男性(+60.8%)或精液学反应呈阳性的少精子症患者(+58.8%)。在HCG刺激下也显示出类似的雌二醇反应。在高雌激素血症现象中,作者发现了长期抗雌激素治疗缺乏精液学阳性效果的原因。

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