Correlation of pituitary and testicular responses to stimulation tests in cryptorchid children

Acta Endocrinol (Copenh). 1977 Nov;86(3):641-50. doi: 10.1530/acta.0.0860641.

Abstract

LH-RH test and HCG stimulation test were performed in 154 cryptorchid boys aged 1 month to 15 years (64 unilateral and 90 bilateral). Basal plasma LH levels and LH response to LH-RH were significantly lower from infancy to early puberty in cryptorchids compared with controls. Basal FSH levels and FSH response to LH-RH were normal. The post-HCG rise of plasma testosterone was reduced until mid-puberty. A significant positive correlation was found between post-HCG testosterone levels and pre- and post-LH-RH levels of LH. This correlation suggests that testicular maldescent and the decreased ability of Leydig cells to respond to a short course of HCG may result from an early defect or a delay of pituitary LH secretion.

MeSH terms

  • Adolescent
  • Child
  • Child, Preschool
  • Chorionic Gonadotropin
  • Cryptorchidism / blood
  • Cryptorchidism / physiopathology*
  • Follicle Stimulating Hormone / blood
  • Follicle Stimulating Hormone / metabolism*
  • Gonadotropin-Releasing Hormone
  • Humans
  • Infant
  • Infant, Newborn
  • Luteinizing Hormone / blood
  • Luteinizing Hormone / metabolism*
  • Male
  • Pituitary Gland, Anterior / physiopathology*
  • Testis / physiopathology*
  • Testosterone / blood
  • Testosterone / metabolism*

Substances

  • Chorionic Gonadotropin
  • Gonadotropin-Releasing Hormone
  • Testosterone
  • Luteinizing Hormone
  • Follicle Stimulating Hormone