Gonadotrophin-releasing hormone and human chorionic gonadotrophin tests reveal that both hypothalamic and testicular endocrine functions are suppressed during acute prolonged physical exercise

Clin Endocrinol (Oxf). 1990 Aug;33(2):219-25. doi: 10.1111/j.1365-2265.1990.tb00486.x.

Abstract

The mechanism of suppression of gonadotrophins and testosterone during prolonged exercise was studied. Fourteen healthy males were injected immediately before an exhaustive bicycle run for 4 h, and before a control period without exercise, with one of the following substances: (1) 1 ml of saline, (2) 100 micrograms of a GnRH agonist (buserelin), and (3) 50 IU/kg of hCG. Each test was repeated for each subject 2 weeks apart, in a randomized single-blind fashion. Blood samples were taken before the injections (sample A), 6 h after the injections (sample B), and the following morning (sample C). During placebo treatment testosterone concentration decreased from A samples to B samples more in the exercise trial than in rest trial (31 vs 8%, P = 0.02). This exercise-associated decrease was reversed by both the GnRH agonist and hCG treatments. Serum gonadotrophin concentrations responded identically to GnRH agonist injections during exercise and rest trials. hCG resulted in a greater increase of serum testosterone from A to C samples at rest than during the exercise trial (52 vs 33%, P = 0.04). In conclusion, the exercise-induced suppression of serum testosterone is associated with two effects: suppressed endogenous GnRH stimulation of gonadotrophin release during exercise, and decreased testicular capacity to secrete testosterone during recovery period.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Buserelin
  • Chorionic Gonadotropin
  • Exercise / physiology*
  • Follicle Stimulating Hormone / blood
  • Gonadotropins / blood*
  • Humans
  • Hypothalamus / physiology*
  • Luteinizing Hormone / blood
  • Male
  • Single-Blind Method
  • Testis / physiology*
  • Testosterone / blood*

Substances

  • Chorionic Gonadotropin
  • Gonadotropins
  • Testosterone
  • Luteinizing Hormone
  • Follicle Stimulating Hormone
  • Buserelin