Effect of gonadotropin-releasing hormone hypogonadism on insulin action as assessed by hyperglycemic clamp studies in men

Fertil Steril. 2004 Apr;81(4):1092-8. doi: 10.1016/j.fertnstert.2003.08.052.

Abstract

Objective: To investigate the effects of decreasing androgen levels on insulin action, in view of the relationship between hyperandrogenism and impaired insulin action in women with polycystic ovary syndrome.

Design: Prospective, clinical study.

Setting: University hospital.

Patient(s): Ten normal healthy men.

Intervention(s): Gonadotropin-releasing hormone (GnRH) agonist, 3.75 mg, administered monthly for 3 months.

Main outcome measure(s): Insulin action (M/I ratio).

Result(s): The M/I ratio decreased from 0.24 +/- 0.04 to 0.17 +/- 0.04 after GnRH agonist therapy.

Conclusion(s): In normal men, administration of a GnRH analogue was associated with a decrease in both testosterone levels and insulin action.

Publication types

  • Clinical Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Glucose Clamp Technique
  • Gonadotropin-Releasing Hormone / agonists*
  • Humans
  • Insulin / metabolism*
  • Insulin Antagonists / pharmacology*
  • Leuprolide / pharmacology*
  • Male
  • Reference Values
  • Testosterone / antagonists & inhibitors

Substances

  • Insulin
  • Insulin Antagonists
  • Gonadotropin-Releasing Hormone
  • Testosterone
  • Leuprolide