Characteristics of secondary, primary, and compensated hypogonadism in aging men: Evidence from the European male ageing study

Abdelouahid Tajar, Gianni Forti, Terence W. O'Neill, David M. Lee, Alan J. Silman, Joseph D. Finn, György Bartfai, Steven Boonen, Felipe F. Casanueva, Aleksander Giwercman, Thang S. Han, Krzysztof Kula, Fernand Labrie, Michael E J Lean, Neil Pendleton, Margus Punab, Dirk Vanderschueren, Ilpo T. Huhtaniemi, Frederick C W Wu, Luisa PetroneGiovanni Corona, Herman Borghs, Jolanta Slowikowska-Hilczer, Renata Walczak-Jedrzejowska, Philip Steer, Stephen Pye, Mary Lage, Imre Földesi, Imre Fejes, Paul Korrovitz, Ming Jiang

Research output: Contribution to journalArticlepeer-review

Abstract

Context: The diagnosis of late-onset hypogonadism (LOH) in older men with age-related declines in testosterone (T) is currently not well characterized. Objective: Our objective was to investigate whether different forms of hypogonadism can be distinguished among aging men. Design: The study was a cross-sectional survey on 3369 community-dwelling men aged 40-79 yr in eight European centers. Methods: Four groups of subjects were defined: eugonadal (normal T and normal LH), secondary (low T and low/normal LH), primary (low T and elevated LH), and compensated (normal T and elevated LH) hypogonadism. Relationships between the defined gonadal status with potential risk factors and clinical symptoms were investigated by multilevel regression models. Results: Among the men, 11.8, 2.0, and 9.5% were classified into the secondary, primary, and compensated hypogonadism categories, respectively. Older men were more likely to have primary [relative risk ratio (RRR) = 3.04; P
Original languageEnglish
Pages (from-to)1810-1818
Number of pages8
JournalJournal of Clinical Endocrinology and Metabolism
Volume95
Issue number4
DOIs
Publication statusPublished - Apr 2010

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