INFLUENCE OF HYPOTHYROIDISM ON THE DYNAMICS OF METABOLIC AND HORMONAL STATUS IN MEN

Authors

  • N. V. Pasechko I. Horbachevsky Ternopil National Medical University
  • L. V. Naumova I. Horbachevsky Ternopil National Medical University
  • T. I. Krytskyy I. Horbachevsky Ternopil National Medical University
  • N. I. Yarema I. Horbachevsky Ternopil National Medical University
  • I. P. Savchenko I. Horbachevsky Ternopil National Medical University
  • A. O. Bob I. Horbachevsky Ternopil National Medical University
  • I. V. Smachylo I. Horbachevsky Ternopil National Medical University
  • L. V. Radetska I. Horbachevsky Ternopil National Medical University
  • M. Y. Havryliuk I. Horbachevsky Ternopil National Medical University
  • A. I. Khomitska I. Horbachevsky Ternopil National Medical University
  • O. O. Chukur I. Horbachevsky Ternopil National Medical University

DOI:

https://doi.org/10.11603/1811-2471.2019.v0.i2.10384

Keywords:

hypothyroidism, reproductive hormones, testosterone, metabolic status, follicle stimulating hormone, luteinizing hormone

Abstract

Violations in the endocrine system of men with hypothyroidism contribute to the development of hypogonadism and the weakening of fertility due to the apparent linkage of reproductive hormones and spermatogenesis.

The aim of this study was to assess the hormonal status, metabolic and anthropometric indexes in men of active reproductive age with primary hypothyroidism.

Material and Methods. A comparative analysis of hormonal, anthropometric and metabolic parameters in 60 men with hypothyroidism and 25 men without hypothyroidism (control group) was conducted.

Results. It was found that for the group of men with hypothyroidism, in comparison with the control group, more common were increase in total cholesterol and low density lipoprotein, as well as a decrease in testosterone levels and an increase in follicle-stimulating hormone, while other reproductive hormones such as estradiol and luteinizing hormones were not changed. It is believed that in men suffering from hypothyroidism, lowering the testosterone level and increasing the follicle stimulating hormone is the primary index which indicates the development of functional hypogonadism, which ultimately leads to a decrease in libido, erectile dysfunction and subfertility.

Conclusions. Men with hypothyroidism were shown to lower testosterone levels and increase the level of follicle stimulating hormone in the blood, which is 63 % higher than in the control group. In 97 % of men with hypothyroidism, there was an increase in blood levels of total cholesterol and cholesterol of low density lipoproteins.

References

Wagner, M.S., Wajner, S.M., & Maia, A.L. (2008). The role of thyroid hormone in testicular development and function. J. Endocrinol., 199, 351-365. doi: 10.1677/JOE-08-0218. DOI: https://doi.org/10.1677/JOE-08-0218

Krassas, G.E., Poppe, K., & Glinoer, D. (2010). Thyroid function and human reproductive health. Endocr Rev., 31, 702-755. doi: 10.1210/er.2009-0041. DOI: https://doi.org/10.1210/er.2009-0041

Voloshyna, L., Doholich, О., & Sithinska, I. (2017). Hypothyroidism – a special comorbidity factor in patients with osteoarthrosis: clinical, pathophysiological and prognostic aspects. Georgian Med. News, (272), 53-59.

Verma, I., Sood, R., Juneja, S., & Kaur, S. (2012). Prevalence of hypothyroidism in infertile women and evaluation of response of treatment for hypothyroidism on infertility. International Journal of Applied and Basic Medical Research, 2 (1), 17-19. doi: 10.4103/2229-516x.96795. DOI: https://doi.org/10.4103/2229-516X.96795

Krajewska-Kulak, E., & Sengupta, P. (2013). Thyroid function in male infertility. Front Endocrinol. (Lausanne), 4, 174. doi:10.3389/fendo.2013.00174. DOI: https://doi.org/10.3389/fendo.2013.00174

Krassas, G.E., Papadopoulou, F., Tziomalos, K., Zeginiadou, T., & Pontikides, N. (2008). Hypothyroidism has an adverse effect on human spermatogenesis: A prospective, controlled study. Thyroid, 18, 1255-1259. doi: 10.1089/thy.2008.0257. DOI: https://doi.org/10.1089/thy.2008.0257

Singh, R., Hamadaa, A.J., & Agarwal, A. (2011). Thyroid hormones in male reproduction and fertility. Open Reprod. Sci. J., 3, 98-104. doi:10.2174/1874255601103010098. DOI: https://doi.org/10.2174/1874255601103010098

Ajayi, A.F., Akhigbe, R.E., & Ajayi, L.O. (2013). Hypothalamic-pituitary-ovarian axis in thyroid dysfunction. West Indian Med. J., 62, 835-838. doi: 10.7727/wimj.2013.038. DOI: https://doi.org/10.7727/wimj.2013.038

Aggerholm, A.S., Thulstrup, A.M., Toft, G., Ramlau-Hansen, C.H., & Bonde, J.P. (2008). Is overweight a risk factor for reduced semen quality and altered serum sex hormone profile? Fertil. Steril., 90, 619-626. DOI: https://doi.org/10.1016/j.fertnstert.2007.07.1292

Rambhatla, A., Mills, J.N., & Rajfer, J. (2016). The role of estrogen modulators in male hypogonadism and infertility. Rev. Urol., 18 (2), 66-72. doi: 10.3909/riu0711.

Jensen, T.K., Andersson, A.M., Jørgensen, N., Andersen, A.G., Carlsen, E., Petersen, J.H., & Skakkebaek, N.E. (2004). Body mass index in relation to semen quality and reproductive hormones among 1,558 Danish men. Fertil. Steril., 82, 863-870. DOI: https://doi.org/10.1016/j.fertnstert.2004.03.056

Livingston, M., Kalansooriya, A., Hartland, A.J., Ramachandran, S., & Heald, A. (2017). Serum testosterone levels in male hypogonadism: Why and when to check – A review. Int. J. Clin. Pract., 71 (11), e12995. doi: 10.1111/ijcp.12995. DOI: https://doi.org/10.1111/ijcp.12995

Nieschlag, E., Simoni, M., Gromoll, J., & Weinbauer, G.F. (1999). Role of FSH in the regulation of spermatogenesis: clinical aspects. Clin. Endocrinol., 51, 139-146. DOI: https://doi.org/10.1046/j.1365-2265.1999.00846.x

British Society of Sexual Medicine. (2010). Guidelines of the management of sexual problems in men: the role of androgens, 1-12. Retrieved from: https://www.endocrinology.org/media/1454/10-12-01_uk-guidelines-androgens-male.pdf.

Pye, S.R., Huhtaniemi, J.D., Finn, D.M., Lee, D.M., O'Neill, T.W., Tajar, A., … & Wu, F.C. (2014). EMAS Study Group. Late-onset hypogonadism and mortality in aging men. J. Clin. Endocrinol. Metabol., 99, 1357-1366. DOI: https://doi.org/10.1210/jc.2013-2052

Published

2019-08-22

How to Cite

Pasechko, N. V., Naumova, L. V., Krytskyy, T. I., Yarema, N. I., Savchenko, I. P., Bob, A. O., … Chukur, O. O. (2019). INFLUENCE OF HYPOTHYROIDISM ON THE DYNAMICS OF METABOLIC AND HORMONAL STATUS IN MEN. Achievements of Clinical and Experimental Medicine, (2), 149–153. https://doi.org/10.11603/1811-2471.2019.v0.i2.10384

Issue

Section

Оригінальні дослідження