Gonadal Function in Men with Cushing Syndrome

    November 2013
    F. Chentli, S. Azzoug, D. Meskine, Fetta-Amel Yaker, F. Chabour, H. Boudina
    TLDR Men with low testosterone or breast growth should be checked for Cushing syndrome.
    In a study of 37 males with Cushing syndrome (CS), researchers found that 65% experienced hypogonadism, characterized by decreased libido and erectile dysfunction, with 67.5% having low testosterone levels (<3 ng/ml). Gynecomastia was observed in 18.9% of participants. The study indicated that glucocorticoid excess in CS likely affected the hypothalamic-pituitary level, as suggested by hormonal assessments, although increased testosterone degradation or inhibition of testis receptors could not be excluded. The findings suggested that men with hypogonadism and/or gynecomastia should be evaluated for CS.
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