Volume 53, Issue 5 e14013
ORIGINAL ARTICLE

Association of hypogonadism symptoms and serum hormones in aging males

Guoqing Liang

Guoqing Liang

Department of Urology, Tianjin Medical University General Hospital, Tianjin, China

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Yuxuan Song

Yuxuan Song

Department of Urology, Tianjin Medical University General Hospital, Tianjin, China

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Li Liu

Li Liu

Department of Urology, Tianjin Medical University General Hospital, Tianjin, China

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Kechong Zhou

Kechong Zhou

Department of Urology, Tianjin Medical University General Hospital, Tianjin, China

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Jia Tian

Jia Tian

Department of Urology, Tianjin Medical University General Hospital, Tianjin, China

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Jianhui Li

Jianhui Li

Department of Reproductive Epidemiology and Social Science, NHC Key Lab of Reproduction Regulation (Shanghai Institute of Planned Parenthood Research), Fudan University, Shanghai, China

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Huijuan Shi

Huijuan Shi

Department of Reproductive Epidemiology and Social Science, NHC Key Lab of Reproduction Regulation (Shanghai Institute of Planned Parenthood Research), Fudan University, Shanghai, China

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Qianxi Zhu

Qianxi Zhu

Department of Reproductive Epidemiology and Social Science, NHC Key Lab of Reproduction Regulation (Shanghai Institute of Planned Parenthood Research), Fudan University, Shanghai, China

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Jun Wang

Jun Wang

Department of Urology, The First People’s Hospital of Jiashan, Zhejiang, China

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Junbiao Zheng

Junbiao Zheng

Department of Urology, The First People’s Hospital of Jiashan, Zhejiang, China

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Xiaohua Yu

Xiaohua Yu

Department of Urology, The First People’s Hospital of Jiashan, Zhejiang, China

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Shucheng Zhang

Shucheng Zhang

Department of Cell Biology, National Research Institute of Family Planning, Beijing, China

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Zheng Li

Zheng Li

Department of Andrology, Shanghai general Hospital, Shanghai Jiaotong University, Shanghai, China

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Xiaoqiang Liu

Corresponding Author

Xiaoqiang Liu

Department of Urology, Tianjin Medical University General Hospital, Tianjin, China

Correspondence

Xiaoqiang Liu, Department of Urology, Tianjin Medical University General Hospital, 154 Anshan Road, Heping District, Tianjin 300052, China.

Email: [email protected]

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First published: 18 February 2021
Citations: 5

Guoqing Liang, Yuxuan Song, Li Liu and Kechong Zhou contributed equally to this work

Abstract

The association between hypogonadism symptoms and the levels of serum hormones are still in debate. To investigate the relationship between hypogonadism symptoms and serum hormones in middle-aged and elderly Chinese men, this community-based cross-sectional study was conducted based on a total of 965 ageing men. The ageing males’ symptom (AMS) scale, International Index of Erectile Function-5 (IIEF-5), International Prostate Symptom Score (IPSS) questionnaires and related variables were assessed. Blood tests for total testosterone (TT), sex hormone-binding globulin (SHBG) and luteinising hormone (LH) were performed. Serum level of free testosterone (FT) and bioavailable testosterone (Bio-T) was calculated. The mean age was 56.34 ± 8.85 years. Total AMS score was significantly associated with all five serum hormones (LH: p < 0.001; SHBG: p < 0.001; TT: p =.043; FT: p = 0.007; Bio-T: p < 0.001). We identified sexual and somatic symptoms were obviously related to five serum hormones, while psychological symptoms seemed to have no association with serum hormones. After adjusting for age and BMI, multiple linear regression analysis indicated that LH had positive correlations with total AMS score, somatic and sexual symptom score (p < 0.05). In conclusion, LH and SHBG had the strongest correlation hypogonadism and might be used as early predictors for symptomatic hypogonadism in the near future.

DATA AVAILABILITY STATEMENT

Data available on request from the authors.

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