Testicular and plasma testosterone (T) and plasma LH levels were determined in 6 normal men. Two of these men received 50 mg testosterone propionate (TP) daily for 10 and 25 weeks, respectively. Testicular and plasma T and plasma LH assays were again performed during TP administration. The mean T concentration for 5 control testicular biopsies was 553 ng/g ± 90 SD, which was approximately 100 times higher than average normal plasma T concentrations (assuming 1 ml plasma s 1 g tissue). Administration of TP resulted in the following: 1) LH was rapidly reduced to undetectable levels; 2) testicular T decreased by about 95%; 3) plasma T increased nearly 2-fold; and 4) sperm concentration dropped sharply.Since a high concentration of testicular T is known to be required for normal spermatogenesis, we conclude that the cause of the depression of spermatogenesis in men given TP is the striking reduction in testicular T. (/ Clin Endocrinol Metab 37: 882, 1973) T HE administration of testosterone (T) to normal men causes a large reduction in sperm concentration (1,2,3), and in plasma LH, but only a slight or moderate (maximum of 50%) change in plasma FSH (4-8).In a previous publication (5) we suggested that the inhibition of spermatogenesis by androgen administration to normal men might occur as a result of a markedly reduced testicular T concentration rather than a lack of plasma FSH. If the normal testicular T concentration is far higher than the normal plasma T level, because of local secretion by Leydig cells, then administration of testosterone propionate (TP) could decrease testicular T while simultaneously increasing plasma T.To test this hypothesis, it was decided to examine T concentrations in testicular biopsies and plasma of normal men before, during and after administration of TP.
Materials and Methods
Subjects and administrationSix healthy volunteers ranging in age from 24 to 47 yr served as subjects. Their average sperm concentration ranged from 62 to 140 million/ml