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High serum FSH is not a risk factor for low bone mineral density in infertile men

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@article{4794c2303d7e486a8902135b1a634a39,
title = "High serum FSH is not a risk factor for low bone mineral density in infertile men",
abstract = "BACKGROUND: Male infertility is associated with a higher long-term morbidity and mortality risk. However, it is not clear which diseases are contributing to this risk. Osteoporosis is a possible factor, as it is a frequent disease and sex steroids regulate both fertility and bone health. Furthermore, there are data indicating that high FSH levels in women are related to low bone mineral density (BMD), independent of estradiol levels. As infertile men often have increased FSH, already from a young age, this could be a risk factor for impaired bone health in later life.METHODS: One hundred and thirty-seven men with a history of male factor infertility due to spermatogenic failure (SgF men) as well as a control group of 70 men from couples treated with IVF for female factor infertility (non-SgF men) were included in a long-term follow-up study. Men with explained infertility, including testosterone deficiency, were not included. Data from baseline fertility investigations were retrieved from the patient files of the SgF men. At follow-up hormonal and semen analysis were performed and axial, femoral and total body BMD was measured by dual X-ray absorptiometry in all men. Multiple linear regression was used to assess differences between SgF and non-SgF men and to study associations between FSH levels and BMD.RESULTS: Median follow-up time was 14.8 years (5th-95th percentile 11.3-18.2) after fertility assessment for SgF men and 15.6 years (12.1-18.5) for non-SgF men (p = 0.033). When comparing the two groups, no significant differences in total T, free T or E2 levels were apparent at follow-up. As expected, LH and FSH were higher in SgF men ((median (5th-95th percentile)) for LH (IU/L): 4.3 (2.2-13.6) for SgF men and 3.0 (1.4-5.8) for non-SgF men (p < 0.001); FSH (IU/L): 9.8 (2.8-35.5) versus 3.7 (1.6-8.7); p < 0.001), and inhibin B and semen parameters were lower in SgF men. There were no differences in BMD between the two groups at follow-up. Furthermore, both groups had median Z-scores close to zero at all sites, indicating that BMD is not different when compared to age-matched healthy men. In SgF men, neither baseline FSH, nor FSH at follow-up, was associated with BMD at the different sites at follow-up.CONCLUSION: Men with spermatogenic failure are not at increased risk for impaired bone health when middle aged. Furthermore, infertile men with high FSH levels do not have lower BMD.",
keywords = "Bone mineral density, FSH, Male infertility",
author = "Leen Antonio and L{\ae}rke Priskorn and Olesen, {Inge A} and Petersen, {J{\o}rgen H} and Dirk Vanderschueren and Niels J{\o}rgensen",
note = "Copyright {\circledC} 2020 Elsevier Inc. All rights reserved.",
year = "2020",
month = "7",
doi = "10.1016/j.bone.2020.115366",
language = "English",
volume = "136",
pages = "115366",
journal = "The Bone",
issn = "0914-7047",
publisher = "Medikaru Rebyusha",

}

RIS

TY - JOUR

T1 - High serum FSH is not a risk factor for low bone mineral density in infertile men

AU - Antonio, Leen

AU - Priskorn, Lærke

AU - Olesen, Inge A

AU - Petersen, Jørgen H

AU - Vanderschueren, Dirk

AU - Jørgensen, Niels

N1 - Copyright © 2020 Elsevier Inc. All rights reserved.

PY - 2020/7

Y1 - 2020/7

N2 - BACKGROUND: Male infertility is associated with a higher long-term morbidity and mortality risk. However, it is not clear which diseases are contributing to this risk. Osteoporosis is a possible factor, as it is a frequent disease and sex steroids regulate both fertility and bone health. Furthermore, there are data indicating that high FSH levels in women are related to low bone mineral density (BMD), independent of estradiol levels. As infertile men often have increased FSH, already from a young age, this could be a risk factor for impaired bone health in later life.METHODS: One hundred and thirty-seven men with a history of male factor infertility due to spermatogenic failure (SgF men) as well as a control group of 70 men from couples treated with IVF for female factor infertility (non-SgF men) were included in a long-term follow-up study. Men with explained infertility, including testosterone deficiency, were not included. Data from baseline fertility investigations were retrieved from the patient files of the SgF men. At follow-up hormonal and semen analysis were performed and axial, femoral and total body BMD was measured by dual X-ray absorptiometry in all men. Multiple linear regression was used to assess differences between SgF and non-SgF men and to study associations between FSH levels and BMD.RESULTS: Median follow-up time was 14.8 years (5th-95th percentile 11.3-18.2) after fertility assessment for SgF men and 15.6 years (12.1-18.5) for non-SgF men (p = 0.033). When comparing the two groups, no significant differences in total T, free T or E2 levels were apparent at follow-up. As expected, LH and FSH were higher in SgF men ((median (5th-95th percentile)) for LH (IU/L): 4.3 (2.2-13.6) for SgF men and 3.0 (1.4-5.8) for non-SgF men (p < 0.001); FSH (IU/L): 9.8 (2.8-35.5) versus 3.7 (1.6-8.7); p < 0.001), and inhibin B and semen parameters were lower in SgF men. There were no differences in BMD between the two groups at follow-up. Furthermore, both groups had median Z-scores close to zero at all sites, indicating that BMD is not different when compared to age-matched healthy men. In SgF men, neither baseline FSH, nor FSH at follow-up, was associated with BMD at the different sites at follow-up.CONCLUSION: Men with spermatogenic failure are not at increased risk for impaired bone health when middle aged. Furthermore, infertile men with high FSH levels do not have lower BMD.

AB - BACKGROUND: Male infertility is associated with a higher long-term morbidity and mortality risk. However, it is not clear which diseases are contributing to this risk. Osteoporosis is a possible factor, as it is a frequent disease and sex steroids regulate both fertility and bone health. Furthermore, there are data indicating that high FSH levels in women are related to low bone mineral density (BMD), independent of estradiol levels. As infertile men often have increased FSH, already from a young age, this could be a risk factor for impaired bone health in later life.METHODS: One hundred and thirty-seven men with a history of male factor infertility due to spermatogenic failure (SgF men) as well as a control group of 70 men from couples treated with IVF for female factor infertility (non-SgF men) were included in a long-term follow-up study. Men with explained infertility, including testosterone deficiency, were not included. Data from baseline fertility investigations were retrieved from the patient files of the SgF men. At follow-up hormonal and semen analysis were performed and axial, femoral and total body BMD was measured by dual X-ray absorptiometry in all men. Multiple linear regression was used to assess differences between SgF and non-SgF men and to study associations between FSH levels and BMD.RESULTS: Median follow-up time was 14.8 years (5th-95th percentile 11.3-18.2) after fertility assessment for SgF men and 15.6 years (12.1-18.5) for non-SgF men (p = 0.033). When comparing the two groups, no significant differences in total T, free T or E2 levels were apparent at follow-up. As expected, LH and FSH were higher in SgF men ((median (5th-95th percentile)) for LH (IU/L): 4.3 (2.2-13.6) for SgF men and 3.0 (1.4-5.8) for non-SgF men (p < 0.001); FSH (IU/L): 9.8 (2.8-35.5) versus 3.7 (1.6-8.7); p < 0.001), and inhibin B and semen parameters were lower in SgF men. There were no differences in BMD between the two groups at follow-up. Furthermore, both groups had median Z-scores close to zero at all sites, indicating that BMD is not different when compared to age-matched healthy men. In SgF men, neither baseline FSH, nor FSH at follow-up, was associated with BMD at the different sites at follow-up.CONCLUSION: Men with spermatogenic failure are not at increased risk for impaired bone health when middle aged. Furthermore, infertile men with high FSH levels do not have lower BMD.

KW - Bone mineral density

KW - FSH

KW - Male infertility

U2 - 10.1016/j.bone.2020.115366

DO - 10.1016/j.bone.2020.115366

M3 - Journal article

VL - 136

SP - 115366

JO - The Bone

JF - The Bone

SN - 0914-7047

ER -

ID: 59885809