不育男子的性激素水平和雄激素抵抗

Sex hormone levels and androgen resistance in infertile males

  • 摘要: 目的:探讨不育男子致病原因为雄激素抵抗的可能性。方法:207例染色体核型正常的不育男子,按精子计数的高低分为四组:1组(n=56)精子计数<10×106/ml,2组(n=52)精子计数(10~20)×106/ml,3组(n=48)精子计数(>20~40)×106/ml,4组(n=51)精子计数>40×106/ml。每例患者均测定血清LH和T基础水平,计算LH×T乘积(雄激素抵抗指数)。结果:各组的血清LH和T基础水平随精子水平的减低而增高,除1组和2组的LH水平差异不显著外,其余各组LH和T水平以及雄激素抵抗指数的组间比较均有显著差异(P均<0.01)。结论:雄激素抵抗是少精子症,特别是严重少精子症或无精子症的致病原因之一。

     

    Abstract: Objective: To investigate the possibility of androgen resistance as a cause of male infertility.Methods: Two hundred and seven infertile males with normal karyotype were assigned to 4 groups according to their sperm count. Group 1 (n=56): Sperm count was less than 10×106/ml, Group 2 (n=52): Sperm count(10~20)×106/ml, Group 3 (n=48): Sperm count (>20~40)×106/ml, and Group 4 (n=51), Sperm count>40×106/ml. Every patient had a meassurement of basic serum levels of luteinizing hormone (LH) and testosterone (T), and a calculation of LH×T product (index of androgen resistance, IAR). Results: The basic levels of LH and T were elevated with the decrease of sperm count. Except that there was no statistical difference of LH concentration between Group 1 and 2, significant differences were shown of LH, Tand IAR among 4 groups (allP<0.01).Conclusion: Androgen resistance is one of the important cause for male infertility of oligospermia, particularly severe oligospermia or azoospermia.

     

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