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The Onset of Sperm Production in Pubertal BoysRelationship to Gonadotropin Excretion
Howard E. Kuhn, MD;
Miguel A. Frontera, MD;
Laurence M. Demers, PhD;
Mary J. Bartholomew, MS;
Thomas A. Lloyd, PhD
Am J Dis Child. 1989;143(2):190-193.
Abstract
To determine the relationship of gonadotropin excretion to spermarche, 26 boys ranging in age from 10.3 to 17.5 years each provided ten overnight urine samples. Microscopic observation of sperm was found in 33 (13%) of the 260 samples, with 50% of the boys exhibiting sperm in at least one specimen. No further cumulative gain in detecting spermaturia occurred after the seventh urine collection. The median age of spermarche was computed by logistic regression analysis to be 14 years. Three urine collections from each boy were assessed for gonadotropin levels. At age 14 years mean follicule-stimulating hormone and luteinizing hormone excretion were, respectively, 857 and 503 mlU/h, into the reported adult daytime range. Spermarche is a midpubertal event associated with age-appropriate gonadotropin production.
(AJDC 1989;143:190-193)
Author Affiliations
From the Department of Pediatrics, Division of Pediatric Endocrinology (Drs Kulin and Frontera), Department of Pathology, Core Endocrine Laboratory (Dr Demers), the Center for Biostatistics and Epidemiology (Ms Bartholomew), and the Department of Obstetrics/Gynecology, Division of Reproductive Endocrinology (Dr Lloyd), Milton S. Hershey Medical Center, The Pennsylvania State University, Hershey.
Footnotes
Accepted for publication Nov 9, 1988.
Reprint requests to Department of Pediatrics, Division of Endocrinology, Milton S. Hershey Medical Center, PO Box 850, Hershey, PA 17033 (Dr Kulin).
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