Effect of testosterone administration on upper airway collapsibility during sleep

Am J Respir Crit Care Med. 1994 Feb;149(2 Pt 1):530-2. doi: 10.1164/ajrccm.149.2.8306057.


Testosterone is thought to play a role in the pathogenesis of obstructive sleep apnea (OSA), but the mechanism is unclear. We present a case in which testosterone administration induced or exacerbated OSA in a 13-year-old male. We demonstrated that exacerbation of OSA by testosterone was associated with an increase in upper airway collapsibility during sleep, and that this improved after cessation of hormone administration. Our data strongly suggest that the mechanism by which testosterone administration may induce or exacerbate OSA is through an influence on neuromuscular control of upper airway patency during sleep.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Humans
  • Male
  • Marfan Syndrome / drug therapy*
  • Marfan Syndrome / physiopathology
  • Polysomnography
  • Positive-Pressure Respiration
  • Sleep Apnea Syndromes / chemically induced*
  • Sleep Apnea Syndromes / diagnosis
  • Sleep Apnea Syndromes / therapy
  • Testosterone / adverse effects*
  • Testosterone / therapeutic use
  • Time Factors


  • Testosterone