Testosterone Implants Research Articles

Dynamics of House Sparrow Biparental Care: What Contexts Trigger Partial Compensation?

AbstractNest attendance during incubation is characterized by an inequitable division of labor in house sparrows, Passer domesticus, with females spending more time at the nest than males. Previous research has shown that if male contributions are reduced experimentally via testosterone (T) implants, females compensate partially for those reductions, consistent with predictions from most models of negotiated biparental care. In this study, we attempted to identify the cues and contexts generating partial compensation, using data from both unmanipulated parents and pairs with T‐males. Both males and females of this species sometimes leave the nest before their mate returns to relieve them, and we found that these unrelieved departures by unmanipulated individuals occur when partners are on lengthy recesses. Females compensated partially for long male recesses by marginally extending their bouts; most females also slightly reduced their next recess. By contrast, when males left before their mate returned, they left earlier than when they waited for the female. Neither males nor females adjusted their recess lengths after returning to the nest and discovering that their partner was absent. More pronounced changes in nest attendance of unmanipulated parents occurred in the context of ‘visits’, when individuals returned to the nest but then left without relieving their mate. Such visits effectively prolonged the bout of the on‐duty partner and extended the visitor’s recess. Analyses of behavior of T‐males and their mates revealed that T‐males had significantly longer recesses than control males, and that their mates, in turn, had elevated rates of unrelieved departures. T‐males also visited their on‐duty mates more often than control males, whereas female visits to T‐males were rare. Collectively, the predicted changes in female nest attendance associated with lengthy male recesses and male and female visits account reasonably well for the compensatory response of females paired to T‐males. The majority of female compensation was attributable to changes in visit behavior, however, suggesting that much of the negotiation over nest attendance in this species occurs during direct interactions between mates.

The Awareness of Female Sexuality in the 20th Century

After the hypocrisy and tyranny directed at female sexuality in the 19th Century the change of attitude occurred slowly. Literature became more permissive with authors like D. H. Laurence, Henry Miller and Anais Nin being influential. Theatre and cinema remain conservative. In the real world Marie Stopes’Married Love was greatly influential, listed by Bragg as one of “the 12 books that changed the world”, stressed the emotional importance of sexual intercourse within marriage. She did not discuss contraception, masturbation or sex outside of marriage in the earlier editions. Kinsey and colleagues in 1953 broke the scientific silence by publishing details of the sexual behaviour in the human female. Seymour Fisher devoted a whole book to the female orgasm and Shere Hite in her extensive use of questionnaires from women described six basic types of masturbation in women. Masters and Johnson's work on the physiology was a landmark in understanding normal sexual response. Greenblatt pioneered the use of testosterone for loss of libido and subsequently the female androgen deficiency syndrome (FADS) has been recognised. There are now good control studies indicating the value of testosterone implants, tablets and patches by Davis and her colleagues to improve the problems of hypoactive sexual desire disorder (HSDD).

Histopathological evidence for an association of inflammation with ductal pin‐like lesions but not with ductal adenocarcinoma in the prostate of the noble rat

Chronic inflammation may contribute to the development of prostate cancer. The goal of this study was to determine the possible association of prostatic inflammation, prostatic intraepithelial neoplasia (PIN)-like lesion, and prostate cancer, and to assess the androgen and estrogen dependency of the early steps of carcinogenesis. Noble rats were treated with testosterone and estradiol implants for 13, 18, or 26 weeks. Hormone dependency of the lesions was studied in a subset of animals by removing hormone implants for 3 weeks after 15 weeks treatment time. After treatment for 13 weeks, acute and chronic inflammation was found in the dorsolateral prostate lobes and both inflammation and PIN-like lesions were present in the periurethal area of the prostate in all animals (n = 8). Following hormone exposure for 18 and 26 weeks, inflammation in the prostate remained, and adenocarcinomas in the periurethal prostate area with no adjacent inflammation were observed in all 18 animals studied. When both hormone implants were removed after 15 weeks, PIN-like lesions progressed further to adenocarcinoma only in two of seven animals. When only the estradiol implants were removed, three of five animals developed adenocarcinomas. Even though adenocarcinomas were not morphologically associated with inflammation, PIN-like lesions preceding adenocarcinoma were found in close association with inflammation, pointing towards a possible initiator role of inflammation in the early steps of prostatic carcinogenesis. Further, these results indicate that both androgens and estrogens together play a significant role in the induction of inflammation and prostatic cancer in this model.

Exogenous testosterone increases female aggression in the European starling (Sturnus vulgaris)

In the European starling, Sturnus vulgaris, optimal mating systems differ between males and females. Males gain from polygyny, whereas monogamy increases female fitness. The cost of polygyny to females lead to intense female–female competition, and it has previously been shown that the intensity of female aggression during the pre-breeding period can predict the realised mating system. The physiological regulation of such female aggression in starlings is not yet known. This study examines the role of testosterone in mediating aggressive behaviours involved in intra-specific reproductive competition in female starlings. Testosterone levels were experimentally elevated with testosterone implants in females during the pre-laying period. To simulate a situation in which an additional female tried to mate with the focal female’s mate, a caged female was presented close to a nest-site to which the male could attract a secondary female. Testosterone was significantly related to several behaviours involved in female–female interactions. Females with testosterone implants spent significantly more time close to the caged female and produced more song bouts than control females. In contrast, male behaviour was unrelated to the experimental status of the mate. Females mated to males that attracted a secondary female were less aggressive towards the caged female than those that remained monogamously mated. The effect of exogenous testosterone in this study indicates that androgens may mediate social behaviours in female starlings during the breeding season.

Effect of Caponization and Testosterone Implantation on Hepatic Lipids and Lipogenic Enzymes in Male Chickens

This study was conducted to determine the role and effects of testosterone in lipogenesis by measuring and analyzing the lipid composition and lipogenic enzyme activity of livers from capons treated with various doses of exogenous testosterone implant. Healthy and uniform male Single Comb White Leghorn chickens were caponized at 12 wk of age. Sixteen-week-old capons were randomly selected for a 10-wk experiment. Fifteen intact males and 15 capons were used for trial 1. In trial 2, 10 sham-operated males and 40 capons were used. The capons were randomly divided into 4 independent treatments with sialistic implants of cholesterol (1.62 mm i.d., 3.6 mm o.d., 9.24 +/- 0.36 mg; CHOL), low testosterone (1 mm i.d., 3 mm o.d., 5.88 +/- 0.23 mg), medium testosterone (1.62 mm i.d., 3.16 mm o.d., 9.81 +/- 0.17 mg), or high testosterone (2 mm i.d., 4 mm o.d., 16.7 +/- 0.24 mg). In trial 1, the results showed that caponization increased total hepatic lipid and triacylglycerol contents and decreased the nonesterified fatty acid content (P < 0.05) compared with the intact male. Meanwhile, caponization increased nicotinamide adenine dinucleotide phosphate -malic dehydrogenase (MDH) activity and MDH mRNA content (P = 0.09) simultaneously. In trial 2, comparing treatments with the various implantation doses of testosterone, the liver triacylglycerol content of capons the medium-dose implantation was decreased as compared with those receiving CHOL (P < 0.05). The total lipid and phospholipid contents of liver were decreased in capons receiving the high-dose implantation (P < 0.05), whereas the relative weight and nonesterified fatty acid content were increased (P < 0.05) and reached the same level as those in the sham treatment (P > 0.05). With an increased implantation dose, MDH activity of capons receiving the medium dose or higher was not different from those receiving the CHOL and sham treatments (P > 0.05). The increase in MDH activity at the transcriptional and translational levels suggests that caponization may positively regulate hepatic lipogenesis. In contract, implantation of testosterone up to the threshold concentration depressed hepatic lipogensis and lipid accumulation.

Endocrine correlates of reproductive development in the male tree-shrew ( Tupaia belangeri) and the effects of infantile exposure to exogenous androgens

The developmental life-history of tree-shrews conforms with the general primate pattern. Consequently, elucidation of the tree-shrew’s neuroendocrine reproductive axis could shed light on the mechanisms that underlie human pubertal development. In the present study, we examined plasma gonadotropin concentrations in male tree-shrews from birth to sexual maturity, and related them to changes in the androgenic and gametogenic status of the testis. A hypogonadotropic infantile phase, during which a stable population of primordial cells is established, extended from birth to approximately Day 30. Following a short juvenile phase (Days 30–40), a pubertal phase of accelerated reproductive development was initiated between Days 40–55. At this time, FSH and LH levels rose and testosterone concentrations reached peak levels coincident with the descent of the testes, accelerated growth in the reproductive tract and the onset of spermatogenesis. To test whether this developmental peak in testosterone secretion is an important determinant in the normal onset of puberty, we exposed male tree-shrews prematurely to high circulating androgen levels for various periods and then examined the impact on key components of the developing reproductive axis. The testosterone implants failed to initiate spermatogenesis and the testes remained in an infantile state for the duration of the treatment, whereas implant removal led to the development of full spermatogenic activity. In both normal and experimental situations, low levels of FSH were associated with a lack of spermatogenic activity while the progression of germ cell development was precisely correlated with rising FSH levels. Taken together, these data establish a comprehensive picture of reproductive development in the male tree-shrew, and also provide support for the hypothesis that FSH plays a primary role in the initiation of spermatogenesis.

Urodynamic changes in a noble rat model for nonbacterial prostatic inflammation

Chronic nonbacterial prostatitis (CP) associated with voiding dysfunction is a poorly understood clinical phenomenon. The goal of the present study was to induce prostatic inflammation with estrogen and androgen treatment and to record associated urodynamic changes in Noble rats. Rats were treated with estradiol and testosterone implants to increase estradiol concentration in serum while testosterone concentration was maintained at or slightly above the control level. The urodynamical recordings were performed under anesthesia after the hormone treatments for 3 and 6 weeks. The dorsolateral lobes of the prostates were removed for histopathological analysis after recordings. After the 3-week treatment, lymphocytes, mainly T-cells, were located around the capillaries. During the following 3 weeks lymphocytes migrated into stroma and acini. Cytotoxic T-cells were seen intraepithelially, and neutrophiles inside the acini. Removal of estrogen implant or treatment with anti-estrogen diminished inflammation. No changes in voiding pattern were seen after the 3-week treatment. Three weeks later, bladder weight and capacity were increased, and the micturition time was prolonged. Elevated estrogen concentration was essential for the gradual development of prostatic inflammation. The profile and location of inflammatory cells suggest that prostatic vasculature is one of the sites of estrogen action. Urodynamic changes which developed in association with glandular inflammation indicated abnormal bladder function, reflecting an incipient obstruction.

Signaling Pathways for Germ Cell Death in Adult Cynomolgus Monkeys (Macaca fascicularis) Induced by Mild Testicular Hyperthermia and Exogenous Testosterone Treatment1

Male contraception has focused, to a great extent, on approaches that induce azoospermia or severe oligospermia through accelerated germ cell apoptosis. Understanding the specific steps in the germ cell apoptotic pathways that are affected by male contraceptives will allow more specific targeting in future contraceptive development. In this study, we have used a nonhuman primate model to characterize the key apoptotic pathway(s) in germ cell death after mild testicular hyperthermia, hormonal deprivation, or combined interventions. Groups of 8 adult (7- to 10-year-old) cynomolgus monkeys (Macaca fascicularis) received one of the following treatments: 1) two empty silastic implants; 2) two 5.5-cm testosterone (T) implants; 3) daily exposure of testes to heat (43 degrees C for 30 min) for 2 consecutive days; and 4) two T implants plus testicular heat exposure for two consecutive days. Testicular biopsies were performed before and at Days 3, 8, and 28 of treatment. Treatment with T, heat, or both led to sustained activation of both mitogen-activated protein kinase (MAPK) 1/3 and MAPK14. Activation of MAPK1/3 and MAPK14 were accompanied by an increase in B-cell leukemia/lymphoma (BCL) 2 levels in both cytosolic and mitochondrial fractions of testicular lysates (BAX levels remained unaffected) and cytochrome c and DIABLO release from mitochondria. These treatments also resulted in inactivation of BCL2 through phosphorylation at serine 70, thereby favoring the death pathway. We conclude that the serine phosphorylation of BCL2 and activation of the MAPK14-mediated mitochondria-dependent pathway are critical for male germ cell death in monkeys.

Effects of Caponization and Testosterone on Bone and Blood Parameters of SCWL Male Chickens

This study was to investigate the caponization effects on bone characteristics in male chickens, and the optimum testosterone implantation dosage on bone characteristics improvement. Healthy Single Comb White Leghorn cockerels were caponized at 12-wk-old and selected at 16-wk-old for a 10-wk feeding experiment. Fifteen intact male and caponized male chickens (capon) respectively were assigned to trial 1. Ten sham-operated chickens and 40 capons (randomly allocated into four treatments) were implanted with cholesterol (1.62 mm i.d., 3.16 mm o.d., 9.24±0.36 mg), low (1 mm i.d., 3 mm o.d., 5.88±0.23 mg), medium (1.62 mm i.d., 3.16 mm o.d., 9.81±0.17 mg) or high dose (2 mm i.d., 4 mm o.d., 16.7±0.24 mg) of testosterone in trial 2. The results from trial 1 showed that the tibia length, relative tibia weight, breaking strength, bending moment and stress in intact males were higher than capons (p<0.05). The blood phosphorus concentration in capons was higher than the intact male chickens (p<0.05). Caponization also resulted in more antrums and osteoclasts within periosteum and cortical bone from histological observation. In trial 2, the adverse impact of caponization on the bone breaking strength, bending moment and stress could be alleviated through medium dose testosterone implantation. It appears that caponization reduced androgen secretion hence influenced the biomechanical characteristics of bone (tibia) and these adverse effects could be alleviated through appropriate dose of testosterone implantation.

Endocrine control of sexual behavior in sneaker males of the peacock blenny Salaria pavo: Effects of castration, aromatase inhibition, testosterone and estradiol

The effects of castration and sex steroid manipulations on the expression of sexual behavior were investigated in a small fish, the peacock blenny, Salaria pavo. In this species, large males defend nests and attract females while small “sneaker” males reproduce by imitating the female morphology and courtship behavior in order to approach nests during spawning events and parasitically fertilize eggs. Sneakers switch into nest holders in their second breeding season, thus displaying both male and female-like sexual behavior during their lifetime. We tested the effects of castration and of an aromatase inhibitor (Fadrozole, F), testosterone (T) or 17β-estradiol (E 2) implants on the expression of male and female-like behavior in sneakers. Sneakers were either sham-operated, castrated or castrated and implanted with vehicle, F, T + F or E 2 + F. Seven days after the treatment, sneakers were placed in a tank with a nesting male, two ripe females and an available nest. Castrated fish had lower levels of circulating T and increased the time spent displaying female typical nuptial coloration. T implants had the opposite effect, inhibiting the expression of female-like behavior and coloration. E 2 implants had no significant effect on the display of sexual behavior but the frequency of aggressive displays decreased. The results agree with previous findings in sneakers of S. pavo that demonstrated an inhibition of female-like behavior by 11-ketotestosterone (11-KT). The reported increase in T and 11-KT production when sneakers change into nest holders may thus contribute to behaviorally defeminize sneakers. Contrarily, both T and E 2 failed to promote male-like behavior, suggesting that behavioral masculization during tactic switching depends on other neuroendocrine mechanisms or that the time length of the experiment was insufficient to induce male-like behavioral changes in sneakers.

Effects of subdermal implants of estradiol and testosterone on the endometrium of postmenopausal women

A retrospective review of the medical records of 258 postmenopausal patients using estradiol and testosterone implants as combined hormone therapy was carried out to evaluate the effects of testosterone on the endometrium after two years of continuous use. Endometrial thickness was measured by ultrasonography. Histology was performed on samples of thickened endometria obtained during hysteroscopy with biopsy. In the 44 patients in whom endometrial thickening was >5 mm at the end of the second year of implant use, the most frequent finding at hysteroscopy was polypoid lesion in 61.3% of cases, followed by normal uterine cavity in 31.8% of cases and submucous myoma in 6.8%. Histology of the endometrial samples confirmed endometrial polyp in 38.6% of cases, a histologically normal endometrium in 31.8% of cases, simple endometrial hyperplasia in 20.4% of cases, and myoma and atrophic endometrium in 4.5%. It is possible that testosterone may exert its antiproliferative effects on the endometrium but not on polyps in an action similar to that exerted by combined estrogen/progestin therapies. A greater incidence of simple, low-grade endometrial hyperplasia was found in our study compared with studies using continuous estrogen/progestin regimens. The use of progestins as the ideal endometrial protection should therefore be reconsidered.

Color Signals in the Black Grouse (Tetrao tetrix): Signal Properties and Their Condition Dependency

Recent progress in techniques of quantifying between‐individual differences of color‐based ornaments has revealed undiscovered possibilities for research in sexual selection. We present how the color spectra data can be comprehensively used for studying the importance of sexual ornaments in the black grouse and how these ornaments are related to a male condition. For this, we used both correlative field and experimental data. Field data indicated that older males had more chromatic coloration than yearlings. Blue chroma of males was correlated with male mating success. We experimentally manipulated yearling birds with testosterone implants and found that testosterone‐implanted males had impaired expression of several sexual ornaments: 10 months after the implantation, both structural‐based blue and carotenoid‐based red eye comb coloration were diminished, as well as lyre (tail) length. However, the manipulation did not affect vital traits under natural selection (wing length or body mass). Our data indicate that structural color is an important trait in sexual selection in this lekking species. Importantly, the data also indicate that male sexual ornaments are more susceptible to environmental conditions than the other male traits, thus showing their heightened condition dependency compared with the other traits mediating the honesty of signaling.

Color Signals in the Black Grouse (Tetrao tetrix): Signal Properties and Their Condition Dependency

Recent progress in techniques of quantifying between-individual differences of color-based ornaments has revealed undiscovered possibilities for research in sexual selection. We present how the color spectra data can be comprehensively used for studying the importance of sexual ornaments in the black grouse and how these ornaments are related to a male condition. For this, we used both correlative field and experimental data. Field data indicated that older males had more chromatic coloration than yearlings. Blue chroma of males was correlated with male mating success. We experimentally manipulated yearling birds with testosterone implants and found that testosterone-implanted males had impaired expression of several sexual ornaments: 10 months after the implantation, both structural-based blue and carotenoid-based red eye comb coloration were diminished, as well as lyre (tail) length. However, the manipulation did not affect vital traits under natural selection (wing length or body mass). Our data indicate that structural color is an important trait in sexual selection in this lekking species. Importantly, the data also indicate that male sexual ornaments are more susceptible to environmental conditions than the other male traits, thus showing their heightened condition dependency compared with the other traits mediating the honesty of signaling.

PROSTATE CANCER FOLLOWING TESTOSTERONE REPLACEMENT IN KLINEFELTER SYNDROME

Klinefelter syndrome is a common cause of hypogonadism. Testosterone replacement therapy has beneficial effects on bone, muscle and psychosexual function. However, it may remove the relative protection from adenocarcinoma of prostate, which is otherwise rare in uncomplicated Klinefelter syndrome. We report the case of a 55-year-old man with Klinefelter syndrome who developed prostate cancer after only 7 years of androgen supplementation. Androgen deprivation therapy was complicated by the presence of testosterone implants. The patient was treated with androgen blockade followed by radiation therapy. We recommend that serum prostate specific antigen (PSA) and digital rectal examinations be carried out during, as well as before androgen replacement.

Testosterone treatment of female Superb Fairy‐wrens Malurus cyaneus induces a male‐like prenuptial moult, but no coloured plumage

When selection strongly favours a testosterone‐dependent trait in males, and this trait is not beneficial to females, a correlated response to selection in females, which also circulate some testosterone, could slow the rate of evolution in males. Here I investigate whether experimental testosterone treatment in female Superb Fairy‐wrens Malurus cyaneus can induce the testosterone‐dependent sexually selected moult into nuptial plumage, as it does in males. Silastic testosterone implants in females rapidly induced a moult akin to the male prenuptial moult, involving all body areas that are colourful in nuptial males (head, upper back, ear tufts, breast). Moreover, the newly moulted feathers had a similar glistening appearance and morphology as male nuptial feathers. However, the treatment failed to induce production of the blue and black structural colours, and the breast and ear tufts were lighter than the normal grey‐brown feathers of females and males in eclipse plumage. Microscopic and ultrastructural analyses of these unusual feathers could further our understanding of structural colour production.

A complex containing α6β1-integrin and phosphorylated focal adhesion kinase between Sertoli cells and elongated spermatids during spermatid release from the seminiferous epithelium

Spermiation is the final step of spermatogenesis and culminates in the disengagement (release) of elongated spermatids from Sertoli cells into the seminiferous tubule lumen. Spermiation failure, wherein spermatids are retained by Sertoli cells instead of releasing, occurs after hormone suppression. The mechanisms involved in spermatid disengagement and retention are not well understood. We previously showed that beta(1)-integrin is associated with spermatids until the point of disengagement, but the ectoplasmic specialisation junction (ES) is not. The aims of this paper are to further characterise the complex that is present immediately prior to spermatid disengagement by identifying the alpha-integrin form dimerised with beta(1)-integrin, localising focal adhesion kinase (FAK) and determining if microtubules are involved. Adult Sprague-Dawley rats received testosterone and oestradiol implants and an FSH antibody for 7 days to suppress testicular testosterone and FSH and induce spermiation failure. Control rats were treated with saline. Immunohistochemical analysis showed that alpha(6)-integrin and a phosphorylated form of FAK (FAK-Tyr(397)) are present between late spermatids and Sertoli cells after ES removal, until the point of disengagement, and both proteins remain associated with retained spermatids after spermiation failure induced by hormone suppression. Using dual-label immunofluorescence, tubulins (and thus microtubules) were observed to co-localise with ES, but were neither associated with elongated spermatids just prior to release nor with retained spermatids following hormone suppression. These results suggest that microtubules are not involved in the final release of spermatids from Sertoli cells. We conclude that spermatid release during spermiation is mediated by a 'disengagement complex' containing alpha(6)beta(1)-integrin and phospho-FAK, the function of which can be affected by gonadotrophin suppression.

The effects of autumn testosterone on survival and productivity in red grouse, Lagopus lagopus scoticus

There are costs and benefits to individuals of having high levels of circulating testosterone, and the costs can be particularly apparent outside the breeding season. Unlike many birds, red grouse have high testosterone levels in autumn and in this study we explored the consequences of variation in autumn testosterone levels, in terms of survival and breeding success. We caught 123 male grouse in September, from six sites in Scotland and England, U.K. Grouse were given either testosterone or control implants, then fitted with radiotransmitters and released. Control males tended to survive better, but the difference was not statistically significant. During the first 3 months, cause of mortality varied with treatment, with birds of prey killing only testosterone-implanted birds. In spring, females paired with testosterone-implanted males had larger combs (sexual ornaments) than those with controls, suggesting that they might have been better-quality individuals. Testosterone-implanted birds were more likely to be paired and to be bigamous, and each bird alive in spring produced on average 2.5 more offspring than control birds. The benefits of investing in elevated levels of testosterone are clearly high for those males that survive the winter. However, these benefits are reduced by overwinter mortality and the reproductive success of all males alive at the start of the experiment did not vary statistically with treatment. We discuss the longer-term consequences of high testosterone levels, which are likely to be very different to short-term ones.

Behavioral and physiological responses to experimentally elevated testosterone in female dark-eyed juncos (Junco hyemalis carolinensis)

Testosterone mediates the expression of many fitness-related traits in male vertebrates and is thought to account for numerous sex differences in trait expression. Testosterone is also secreted by females; however, far less is known regarding its effects on female physiology and behavior. Using a bird species in which the effects of testosterone on males are well characterized, the dark-eyed junco (Junco hyemalis), we tested whether an increase in exogenous testosterone in females would alter the phenotypic expression of a suite of behavioral and physiological traits. We found that increased testosterone levels in female dark-eyed juncos led to decreased cell-mediated immune function and increased intrasexual aggression, hypothalamo-pituitary–adrenal (HPA) axis responsiveness, baseline corticosterone and corticosterone-binding globulin (CBG) levels. Furthermore, immunosuppression following testosterone implantation was negatively correlated with total and free testosterone but did not appear to be related to either total or free corticosterone. These results demonstrate that the phenotypic impact of elevated testosterone is not confined to males in dark-eyed juncos, and that the impact in adults can be similar in males and females. We discuss these results in the context of potential endocrine–immune interactions and the evolution of sexual dimorphism.

Refractoriness to Short Day Lengths Augments Tonic and Gonadotrophin‐Releasing Hormone‐Stimulated Lutenising Hormone Secretion

Siberian hamsters (Phodopus sungorus) undergo reproductive involution following exposure to short winter day lengths. Following approximately 20 weeks of exposure to short day (SD) lengths, hamsters become refractory to the inhibitory effects of SD, and reproductive competence is restored in anticipation of spring. The extent to which changes in gonadal steroid-dependent and -independent regulation of gonadotrophin secretion participate in this vernal reactivation of the gonads is not known. This experiment tested whether tonic and gonadotrophin-releasing hormone (GnRH)-stimulated regulation of lutenising hormone (LH) secretion differs between photoresponsive and photorefractory Siberian hamsters. Male hamsters born into long day (LD) lengths were castrated or subjected to a sham-castration surgery at 17 days of age, implanted s.c. with blank or testosterone-filled capsules, and housed in LD or SD thereafter. Baseline LH and LH responses to GnRH (200 ng/kg, s.c) were measured at 14 (photoresponsive) and 40 (photorefractory) weeks of age. Despite lower circulating testosterone concentrations in gonadally regressed SD hamsters on week 14, tonic LH concentrations were comparable among all groups of gonad-intact hamsters on weeks 14 and 40; however, week 14 SD hamsters exhibited significantly higher GnRH-stimulated LH responses. Tonic LH concentrations were indistinguishable among all groups of castrated hamsters bearing empty implants on week 14, but prolonged exposure to LD led to a decrease in resting LH, whereas prolonged exposure to SD resulted in an increase in LH. In castrated hamsters bearing testosterone implants, baseline LH concentrations were comparable in all groups, but GnRH treatment resulted in significantly higher LH concentrations in photorefractory (week 40, SD) hamsters relative to all other groups. The data suggest that the development of photorefractoriness in Siberian hamsters is characterised by enhanced gonadal hormone-independent stimulation of LH secretion, and diminished sensitivity to inhibitory negative-feedback effects of testosterone on LH secretion. Decreases in responsiveness of gonadotrophin secretion to gonadal hormone negative feedback may contribute to the process of photorefractoriness and assist in maintaining the growth of reproductive organs during the process of gonadal recrudescence.

A study of women on long-term hormone replacement therapy and their attitude to suggested cessation

Objective The study was undertaken to determine the effect of advice to discontinue hormone replacement therapy (HRT) on 100 women who were well established on treatment without side-effects.Method The study was retrospective from November 2003 to April 2004, in a single gynecological practice in London, UK. One hundred consecutive long-term estrogen and testosterone hormone implant users were assessed as to their knowledge of recent studies regarding risks of long-term HRT and whether they wished to discontinue hormones.Results All women receiving estrogen and testosterone implants, for a mean duration of 17.65 years (range 10–28 years), felt well informed concerning the Women's Health Initiative Study and the Million Women Study but only three women were happy to discontinue. The reasons given for the continuation of therapy were that they felt well and their quality of life had greatly improved. The mean estradiol and testosterone levels were 921 pmol/l and 1.91 nmol/l, respectively.Conclusions The high rate of continuation of hormone treatment indicates that, despite the recent adverse publicity, these women feel well informed and were not willing to discontinue with their hormone therapy if they felt well. A regular discussion of the risks and benefits of HRT remains mandatory.