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Effects of SARS-CoV-2 infection on male sex-related hormones in recovering patients

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单位: [1]Huazhong Univ Sci & Technol,Hlth Management Ctr,Tongji Med Coll,Tongji Hosp,Wuhan,Peoples R China [2]Huazhong Univ Sci & Technol,Dept Urol,Tongji Med Coll,Tongji Hosp,Wuhan,Peoples R China [3]Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Basic Med, Dept Pathogen Biol, Wuhan, Peoples R China [4]Huazhong Univ Sci & Technol, Union Hosp, Tongji Med Coll, Dept Urol, Wuhan, Peoples R China [5]Huazhong Univ Sci & Technol,Tongji Med Coll,Tongji Hosp,Dept Geriatr,Wuhan,Peoples R China
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关键词: COVID-19 SARS-CoV-2 sex-related hormones convalescent testis injury

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Background A novel coronavirus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which causing the pandemic of coronavirus disease 2019 (COVID-19), may attack testes by angiotensin-converting enzyme 2. Objective To assess whether SARS-CoV-2 infection can affect sex-related hormones and testicular function in recovering patients. Materials and methods The patients were separately classified according to the duration of viral shedding (long-term positive vs normal-term group, with the former cases having a duration > 50 days) and disease severity (moderate vs severe group). Differences in sex-related hormone levels were compared between groups and linear regression analysis was used to compare the associations of testosterone (T) and estradiol with various clinical and laboratory factors. Results A total of 39 COVID-19-infected patients were included in this study. The mean T level was in the normal reference range while the mean estradiol level was above the normal limit. There were no significant differences between the long-term positive and normal-term groups in T (P = .964), follicle-stimulating hormone (FSH; P = .694), luteinizing hormone (LH; P = .171), prolactin (PRL; P = .836), or T/LH (P = .512). However, estradiol was higher in the normal-term group than the long-term positive group (P < .001). Moreover, there were also no significant differences between the moderate and severe groups in sex-related hormones, duration of viral shedding, or serum biochemical or inflammation indicators. Additionally, regression analyses showed that there were no associations between the T level and the clinical and laboratory factors, while estradiol was negatively associated with the duration of viral shedding. Conclusion In males infected with SARS-CoV-2, most sex-related hormones (T, FSH and LH levels) remain within the normal reference ranges after recovery from COVID-19, and no significant associations were observed between T level and disease duration or severity. At present, there is insufficient evidence to show that SARS-CoV-2 causes hypogonadism and sterility, but the potential risk should not be ignored.

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大类 | 3 区 医学
小类 | 1 区 男科学
最新[2025]版:
大类 | 3 区 医学
小类 | 1 区 男科学
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Q1 ANDROLOGY
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Q1 ANDROLOGY

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第一作者单位: [1]Huazhong Univ Sci & Technol,Hlth Management Ctr,Tongji Med Coll,Tongji Hosp,Wuhan,Peoples R China
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