Serum Testosterone Levels in 3-Month-Old Boys Predict Their Semen Quality as Young Adults

Author:

Scheutz Henriksen Louise12ORCID,Holm Petersen Jørgen123,Skakkebæk Niels E124,Jørgensen Niels12ORCID,Virtanen Helena E56,Priskorn Lærke12ORCID,Juul Anders124ORCID,Toppari Jorma567,Main Katharina M124

Affiliation:

1. Department of Growth and Reproduction, Copenhagen University Hospital – Rigshospitalet , DK-2100 Copenhagen , Denmark

2. International Centre for Research & Training in Endocrine Disruption of Male Reproduction & Child Health (EDMaRC), Copenhagen University Hospital – Rigshospitalet , DK-2100 Copenhagen , Denmark

3. Section of Biostatistics, Department of Public Health, University of Copenhagen , DK-1353 Copenhagen , Denmark

4. Department of Clinical Medicine, Faculty of Health Sciences, University of Copenhagen , DK-2200 Copenhagen , Denmark

5. Research Centre for Integrative Physiology and Pharmacology, Institute of Biomedicine, University of Turku , 20520 Turku , Finland

6. Centre for Population Health Research, University of Turku and Turku University Hospital , 20520 Turku , Finland

7. Department of Pediatrics, Turku University Hospital , 20520 Turku , Finland

Abstract

Abstract Context It remains unknown how the postnatal activation of the hypothalamic-pituitary-gonadal axis in infancy, also known as “minipuberty”, relates to adult testis function. Objective To investigate how markers of reproductive function in 3-month-old boys correlate with adult reproductive health parameters. Methods This population-based birth cohort study (the Copenhagen Mother-Child cohort), conducted at Copenhagen University Hospital, Denmark, included 259 boys examined once around 3 months of age and again at 18 to 20 years. Reproductive hormones, penile length, testis volume, and semen quality were analyzed. Minipubertal markers of testis function (by tertiles, T1–T3) were explored as predictors of adult semen quality using linear regression models. Associations between reproductive outcomes in infancy and young adulthood were estimated by intraclass correlation coefficients (ICCs), describing how well measurements in infancy correlate with those in adulthood. Results Serum testosterone concentration in infancy was positively associated with adult total sperm count. Median (IQR) total sperm count was 84 (54-138) million spermatozoa for boys in T1, 141 (81-286) million spermatozoa in T2, and 193 (56-287) million spermatozoa in T3. We found the highest ICC for FSH (0.41; 95% CI, 0.26–0.57), while ICCs for inhibin B, SHBG, penile length, and testis volume ranged between 0.24 and 0.27. ICCs for LH and for total and free testosterone were lower and statistically nonsignificant. Conclusion Serum testosterone in infancy was a predictor of adult total sperm count. Other reproductive hormones and genital measures showed good correlation between infancy and adulthood, suggesting that an individual’s reproductive setpoint starts shortly after birth in boys and persists until adulthood.

Funder

Innovation Fund Denmark

Centre on Endocrine Disruptors

Danish Environmental Protection Agency

Oda og Hans Svenningsens Fond

Fabrikant Vilhelm Pedersen og Hustrus Legat

Fonden til Lægevidenskabens Fremme

Publisher

The Endocrine Society

Subject

Biochemistry (medical),Clinical Biochemistry,Endocrinology,Biochemistry,Endocrinology, Diabetes and Metabolism

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