Progressive Improvement of T-Scores in Men with Osteoporosis and Subnormal Serum Testosterone Levels upon Treatment with Testosterone over Six Years

Testosterone deficiency leads to bone loss and testosterone treatment has a beneficial effect. This study investigated the effects of normalizing serum testosterone on bone mineral density in 45 men with osteoporosis, diagnosed with testosterone deficiency (serum testosterone levels <12.1 nmol/L,...

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Main Authors: Ahmad Haider, Ulrich Meergans, Abdulmaged Traish, Farid Saad, Gheorghe Doros, Paul Lips, Louis Gooren
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2014/496948
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author Ahmad Haider
Ulrich Meergans
Abdulmaged Traish
Farid Saad
Gheorghe Doros
Paul Lips
Louis Gooren
author_facet Ahmad Haider
Ulrich Meergans
Abdulmaged Traish
Farid Saad
Gheorghe Doros
Paul Lips
Louis Gooren
author_sort Ahmad Haider
collection DOAJ
description Testosterone deficiency leads to bone loss and testosterone treatment has a beneficial effect. This study investigated the effects of normalizing serum testosterone on bone mineral density in 45 men with osteoporosis, diagnosed with testosterone deficiency (serum testosterone levels <12.1 nmol/L, T-scores: (mean ± SD) −3.12 ± 0.45, minimum: −4.10, and maximum: −2.60). In a cumulative, prospective, registry study of hypogonadal men (mean age: 53 ± 7 years) they received parenteral testosterone undecanoate of 1000 mg/12 weeks for up to six years. After one year 44 men were included in the registry, after two years 36 men, after three years 32 men, after four years 25 men, after five years 10 men and after six years 4 men. The declining numbers do not reflect drop-out rates but are a result of the registry design. Over the 6 year period there was a significant and progressive improvement of the T-scores in these men. Normalizing of serum testosterone leads to an improvement of bone mineral density and this improvement was progressive with the time period of testosterone administration. In this study of 6-years many men with testosterone deficiency suffered from classical diagnoses (Klinefelter’s syndrome and testicular pathology) hitherto undiagnosed.
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institution Kabale University
issn 1687-8337
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language English
publishDate 2014-01-01
publisher Wiley
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series International Journal of Endocrinology
spelling doaj-art-17b988f05fd649dd8a1854db157992a52025-02-03T06:44:34ZengWileyInternational Journal of Endocrinology1687-83371687-83452014-01-01201410.1155/2014/496948496948Progressive Improvement of T-Scores in Men with Osteoporosis and Subnormal Serum Testosterone Levels upon Treatment with Testosterone over Six YearsAhmad Haider0Ulrich Meergans1Abdulmaged Traish2Farid Saad3Gheorghe Doros4Paul Lips5Louis Gooren6Private Urology Practice, 27570 Bremerhaven, GermanyDepartment of Orthopedics, Wesermuende Hospital, 27607 Langen, GermanyDepartments of Biochemistry and of Urology, Boston University School of Medicine, Boston, MA 02118, USABayer Pharma, Global Medical Affairs Andrology, 13353 Berlin, GermanyDepartment of Biostatistics, Boston University School of Public Health, Boston, MA 02118, USAEndocrine Section, Department of Internal Medicine, VU University Medical Center, 1081 HV Amsterdam, The NetherlandsEndocrine Section, Department of Internal Medicine, VU University Medical Center, 1081 HV Amsterdam, The NetherlandsTestosterone deficiency leads to bone loss and testosterone treatment has a beneficial effect. This study investigated the effects of normalizing serum testosterone on bone mineral density in 45 men with osteoporosis, diagnosed with testosterone deficiency (serum testosterone levels <12.1 nmol/L, T-scores: (mean ± SD) −3.12 ± 0.45, minimum: −4.10, and maximum: −2.60). In a cumulative, prospective, registry study of hypogonadal men (mean age: 53 ± 7 years) they received parenteral testosterone undecanoate of 1000 mg/12 weeks for up to six years. After one year 44 men were included in the registry, after two years 36 men, after three years 32 men, after four years 25 men, after five years 10 men and after six years 4 men. The declining numbers do not reflect drop-out rates but are a result of the registry design. Over the 6 year period there was a significant and progressive improvement of the T-scores in these men. Normalizing of serum testosterone leads to an improvement of bone mineral density and this improvement was progressive with the time period of testosterone administration. In this study of 6-years many men with testosterone deficiency suffered from classical diagnoses (Klinefelter’s syndrome and testicular pathology) hitherto undiagnosed.http://dx.doi.org/10.1155/2014/496948
spellingShingle Ahmad Haider
Ulrich Meergans
Abdulmaged Traish
Farid Saad
Gheorghe Doros
Paul Lips
Louis Gooren
Progressive Improvement of T-Scores in Men with Osteoporosis and Subnormal Serum Testosterone Levels upon Treatment with Testosterone over Six Years
International Journal of Endocrinology
title Progressive Improvement of T-Scores in Men with Osteoporosis and Subnormal Serum Testosterone Levels upon Treatment with Testosterone over Six Years
title_full Progressive Improvement of T-Scores in Men with Osteoporosis and Subnormal Serum Testosterone Levels upon Treatment with Testosterone over Six Years
title_fullStr Progressive Improvement of T-Scores in Men with Osteoporosis and Subnormal Serum Testosterone Levels upon Treatment with Testosterone over Six Years
title_full_unstemmed Progressive Improvement of T-Scores in Men with Osteoporosis and Subnormal Serum Testosterone Levels upon Treatment with Testosterone over Six Years
title_short Progressive Improvement of T-Scores in Men with Osteoporosis and Subnormal Serum Testosterone Levels upon Treatment with Testosterone over Six Years
title_sort progressive improvement of t scores in men with osteoporosis and subnormal serum testosterone levels upon treatment with testosterone over six years
url http://dx.doi.org/10.1155/2014/496948
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