Document Detail


The impact of testosterone administration to female-to-male transsexuals on insulin resistance and lipid parameters compared with women with polycystic ovary syndrome.
MedLine Citation:
PMID:  20451188     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the impact of testosterone (T) administration to female-to-male transsexuals (FtMs) on insulin resistance and lipid parameters and to compare the effects with women with polycystic ovary syndrome (PCOS).
DESIGN: Cohort analysis.
SETTING: University hospital.
PATIENT(S): Twenty-nine FtMs and 240 women with PCOS.
INTERVENTION(S): Screening panel, ultrasound of the ovaries, hormone, lipid, and glucose and insulin measurements.
MAIN OUTCOME MEASURE(S): Endocrine, metabolic parameters, and insulin resistance.
RESULT(S): The PCOS women had significantly higher fasting, 1-h, and 2-h insulin levels and a significantly lower insulin sensitivity index compared with FtMs before and after their T treatment. There were higher triglyceride levels and lower high-density lipoprotein cholesterol levels upon T treatment in FtMs compared with the PCOS women. Women with PCOS had higher body mass index (BMI) values. Positive correlations between insulin resistance indices and BMI were found only in women with PCOS.
CONCLUSION(S): Testosterone administration by itself showed little detrimental influence on insulin resistance indices, but it had significant effects on lipid profiles. Compared with T, BMI had a greater impact on insulin resistance in women with PCOS.
Authors:
Susanne Cupisti; Erik J Giltay; Louis J Gooren; Desiree Kronawitter; Patricia G Oppelt; Matthias W Beckmann; Ralf Dittrich; Andreas Mueller
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2010-05-07
Journal Detail:
Title:  Fertility and sterility     Volume:  94     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-26     Completed Date:  2011-01-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2647-53     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Obstetrics and Gynecology, Erlangen University Hospital, Erlangen, Germany.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Case-Control Studies
Female
Hirsutism / blood,  metabolism
Humans
Insulin Resistance* / physiology
Lipid Metabolism / drug effects*
Lipids / blood
Male
Polycystic Ovary Syndrome / blood,  complications,  metabolism*
Testosterone / administration & dosage*,  pharmacology
Transsexualism / blood,  drug therapy*,  metabolism*
Young Adult
Chemical
Reg. No./Substance:
0/Lipids; 58-22-0/Testosterone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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