The reproductive endocrine system in cystic fibrosis. I. Basal gonadotropin and sex steroid levels
E. O. Reiter, R. C. Stern and A. W. Root
Serum gonadotropin and sex steroid levels were measured in 106 patients
with cystic fibrosis (CF), 46 males and 60 females, aged 8 to 24 years. The
finding of delayed pubertal increments of serum gonadotropin and sex
steroid levels in CF patients suggests late maturation of the reproductive
endocrine system. Although pubertal changes in reproductive endocrine
hormones in patients with CF appear to be temporally delayed, generally
appropriate levels of these hormones are finally attained in most patients
by the late teenage years. Delayed maturation of the reproductive endocrine
system probably is secondary to hypothalamic-pituitary dysfunction, the
result of chronic inanition.