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Time-related increase in urinary testosterone levels and stable semen analysis parameters after bariatric surgery in men.
Authors
Legro-RS; Kunselman-AR; Meadows-JW; Kesner-JS; Krieg-EF; Rogers-AM; Cooney-RN
Source
Reprod Biomed Online 2015 Feb; 30(2):150-156
NIOSHTIC No.
20045644
Abstract
The aim of this prospective cohort study was to determine the time-course in androgen and semen parameters in men after weight loss associated with bariatric surgery. Six men aged 18-40 years, meeting National Institutes of Health bariatric surgery guidelines, were followed between 2005 and 2008. Study visits took place at baseline, then 1, 3, 6 and 12 months after surgery. All men underwent Roux-en-y gastric bypass (RYGB). At each visit, biometric, questionnaire, serum, and urinary specimens and seman analysis were collected. Urinary integrated total testosterone levels increased significantly (P < 0.0001) by 3 months after surgery, and remained elevated throughout the study. Circulating testosterone levels were also higher at 1 and 6 months after surgery, compared with baseline. Serum sex hormone-binding globulin levels were significantly elevated at all time points after surgery (P < 0.01 to P = 0.02). After RYGB surgery, no significant changes occurred in urinary oestrogen metabolites (oestrone 3-glucuronide), serum oestradiol levels, serial semen parameters or male sexual function by questionnaire. A threshold of weight loss is necessary to improve male reproductive function by reversing male hypogonadism, manifested as increased testosterone levels. Further serial semen analyses showed normal ranges for most parameters despite massive weight loss.
Keywords
Humans; Men; Age-groups; Weight-factors; Sexual-reproduction; Reproductive-effects; Author Keywords: androgens; hypogonadism; obesity; semen; sexual dysfunction; weight loss
Contact
Dr Richard S. Legro, Obstetrics and Gynecology, Pennsylvania State University College of Medicine, Hershey, PA 17033, USA
CODEN
RBOEA6
Publication Date
20150201
Document Type
Journal Article
Email Address
rsl1@psu.edu
Fiscal Year
2015
NTIS Accession No.
NTIS Price
Issue of Publication
2
ISSN
1472-6483
NIOSH Division
DART
Priority Area
Manufacturing; Agriculture, Forestry and Fishing; Mining;
Source Name
Reproductive Biomedicine Online
State
PA; OH; NY
Page 56 of 253
Page last reviewed: December 9, 2020
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