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Acute Effects of Testosterone Infusion on the Serum Luteinizing Hormone Profile in Eumenorrheic and Polycystic Ovary Syndrome Adolescents

División de Endocrinología (M.G.R., M.E.E.), Centro de Investigaciones Endocrinológicas (M.C.G.R., M.B.), Hospital de Niños "Dr. Ricardo Gutiérrez"; Hospital General de Agudos "Juan A. Fernández" (S.V.B.); and Departamento de Matemática Facultad de Farmacia y Bioquímica, Universidad de Buenos Aires (M.L.C.), Buenos Aires, Argentina; and Endocrine Research Unit (J.D.V.), Mayo Medical and Graduate Schools of Medicine, Clinical-Translational Research Center, Mayo Clinic, Rochester, Minnesota 55905

Address all correspondence and requests for reprints to: Maria Gabriela Ropelato, División de Endocrinología, Centro de Investigaciones Endocrinológicas, Hospital de Niños "Dr. Ricardo Gutiérrez," Buenos Aires C1425EFD, Argentina. E-mail: gropelato{at}cedie.org.ar.

Context: Little is known about the neuroendocrine effects of androgens on the GnRH-LH unit in females.

Objective: Our objective was to evaluate androgen negative feedback on the GnRH-LH axis in eumenorrheic and polycystic ovary syndrome (PCOS) adolescents.

Design and Setting: We conducted a prospective, longitudinal, randomized, double-blind study at a pediatric endocrinology clinical research center.

Participants: Seven nonobese PCOS adolescents and seven matched controls (C) were studied in the early follicular phase of three consecutive menstrual cycles or in three consecutive months.

Intervention: Pulsatile LH release was determined during saline [baseline (B)] and constant testosterone (T) infusions: low dose (T-LD) 0.75 and high dose (T-HD) 2.5 mg/12 h iv. Blood samples were drawn every 20 min overnight.

Main Outcome Measures: LH (immunofluorometric assay) and T (electrochemiluminescence immunoassay) were determined at B, and during both T-LD and T-HD. LH profiles were analyzed by deconvolution and approximate entropy analyses.

Results: On T-LD, C and PCOS serum T levels increased 2- to 3-fold vs. B. On T-HD, T values doubled in both groups vs. T-LD. Controls on T-LD had greater 12-h pulsatile LH secretion rate (P < 0.05 vs. B) and on T-HD had lower mean, pulsatile, basal LH release and LH approximate entropy (vs. B, P < 0.05). PCOS did not respond to T-LD. High-dose T did not alter mean LH in PCOS but increased pulsatile and reduced basal LH secretion.

Conclusions: PCOS adolescents have impaired suppression of pulsatile LH secretion rate consistent with reduced androgen negative feedback. Attenuation of T feedback in nonobese adolescents with PCOS extends the pathophysiology of this syndrome.