Aromatase inhibitors in infertile patients: effects on seminal parameters, serum and seminal plasma testosterone levels, and estradiol levels during short-term follow-up
dc.contributor.author | Basar, M. Murad | |
dc.contributor.author | Tuglu, Devrim | |
dc.date.accessioned | 2020-06-25T17:48:20Z | |
dc.date.available | 2020-06-25T17:48:20Z | |
dc.date.issued | 2009 | |
dc.department | Kırıkkale Üniversitesi | |
dc.description.abstract | Aim: To evaluate the effects of an aromatase inhibitor (anastrozole) on seminal parameters, and on serum and seminal plasma testosterone/estradiol ratios in infertile patients, as well as to clarify its place among empirical infertility treatment modalities. Patients and Methods: The study included 32 patients with spermatozoa numbering > 5 million/mL in ejaculate and a serum testosterone/estradiol ratio < 0.14. Anastrozole, an aromatase-inhibiting agent, was given (1 mg b.i.d.) and patients were re-evaluated 2 months later based on semen analysis, and measurements of serum and seminal plasma testosterone and estradiol levels. Results: Semen analysis parameters before and after treatment, respectively, were as follows: number of spermatozoa: 12.4 +/- 4.1 million/mL and 22.3 +/- 5.7 million/mL; motility: 33.4 +/- 4.2% and 47.6 +/- 7.4%; normal morphology: 5.4 +/- 1.3% and 8.9 +/- 2.7%. Differences between the values before and after treatment were statistically significant (P < 0.05). Serum testosterone level was 4.1 +/- 1.2 ng/mL, estradiol level was 52.1 +/- 9.4 pg/mL, and testosterone/estradiol ratio was 0.13 +/- 0.03 at the beginning of treatment. These values were 3.2 +/- 0.6 ng/mL, 68.4 +/- 7.3 pg/mL, and 0.05 +/- 0.001, respectively, in seminal plasma. Following 2 months of anastrozole treatment, testosterone and estradiol levels, and the testosterone/estradiol ratio showed statistically significant changes in serum and seminal plasma. While testosterone levels significantly increased, estradiol levels decreased (serum P-T = 0.001, P-E2 = 0.001; seminal plasma P-T = 0.001, P-E2 = 0.001). Conclusion: Aromatase inhibitors are a potential treatment method for infertile male patients with increased plasma estradiol levels and decreased plasma testosterone/estradiol ratios. | en_US |
dc.identifier.citation | Başar, M. M., Tuğlu, D. (2009). Aromatase inhibitors in infertile patients: effects on seminal parameters, serum and seminal plasma testosterone levels, and estradiol levels during short-term follow-up. Turkish Journal of Medical Sciences, 39(4), 519 - 524. | en_US |
dc.identifier.doi | 10.3906/sag-0802-10 | |
dc.identifier.endpage | 524 | en_US |
dc.identifier.issn | 1300-0144 | |
dc.identifier.issn | 1303-6165 | |
dc.identifier.issue | 4 | en_US |
dc.identifier.scopus | 2-s2.0-69249133355 | |
dc.identifier.scopusquality | Q1 | |
dc.identifier.startpage | 519 | en_US |
dc.identifier.trdizinid | 93755 | |
dc.identifier.uri | https://doi.org/10.3906/sag-0802-10 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12587/4413 | |
dc.identifier.volume | 39 | en_US |
dc.identifier.wos | WOS:000271094700004 | |
dc.identifier.wosquality | Q4 | |
dc.indekslendigikaynak | Web of Science | |
dc.indekslendigikaynak | Scopus | |
dc.indekslendigikaynak | TR-Dizin | |
dc.language.iso | en | |
dc.publisher | Tubitak Scientific & Technical Research Council Turkey | en_US |
dc.relation.ispartof | Turkish Journal Of Medical Sciences | |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.subject | Male infertility | en_US |
dc.subject | estradiol | en_US |
dc.subject | testosterone | en_US |
dc.subject | aromatase inhibitors | en_US |
dc.title | Aromatase inhibitors in infertile patients: effects on seminal parameters, serum and seminal plasma testosterone levels, and estradiol levels during short-term follow-up | en_US |
dc.type | Article |
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