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

Mehmet Zeynel Keskin, Salih Budak, Tuǧba Zeyrek, Orçun Çelik, Oguz Mertoglu, Mehmet Yoldas, Yusuf Özlem Ilbey
  • Mehmet Zeynel Keskin
    Tepecik Research and Education Hospital, Clinic of Urology, Izmir, Turkey | zeynel_akd@hotmail.com
  • 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

Abstract

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.

Keywords

Gonadotropin; Semen; Testosterone

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Submitted: 2015-09-28 15:54:35
Published: 2015-09-30 11:12:48
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Copyright (c) 2015 Mehmet Zeynel Keskin, Salih Budak, Tuǧba Zeyrek, Orçun Çelik, Oguz Mertoglu, Mehmet Yoldas, Yusuf Özlem Ilbey

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