Abstract.
The aim of the present study was to determine the effects of exogenous GnRH pulsatile infusions on the diurnal variations of LH and testosterone secretion which occur in late pre-puberty and early puberty. GnRH infusions were administered to 12 short stature males in pre-puberty or early puberty, over 6-day periods. In 6 patients, GnRH doses of 2.5, 7.5 and 15 μg/pulse were used and 24-h profiles of serum LH and testosterone were measured before and at the end of the infusions. In the remaining 6 patients GnRH was administered at a dose of 7.5 μg/pulse and profiles between 21.00 and 06.00 h the following day were determined. Pre-infusion profiles demonstrated nocturnal LH and testosterone rises in all patients. Median pre-infusion serum LH prior to midnight was 2.2 U/l (range 1.0–5.4) rising to 3.7 U/l (range 1.9–10.7) during GnRH administration (p < 0.005). After midnight, median pre-treatment serum LH concentration was 4.3 U/l (range 2.7–7.5) which remained unaltered by GnRH administration (median 4.8 U/l, range 2.9–7.9, p > 0.05). Median pre-therapy serum testosterone before midnight was 0.8 nmol/l (range 0.1−7.1) rising significantly (p < 0.05) to 4.1 nmol/l (range 0.2–8.0). Following therapy, post-midnight median serum testosterone rose from 4.8 (range 0.4–9.4) to 7.0 nmol/l (range 0.5–13.9, p > 0.05). Diurnal variation in LH and testosterone secretion, therefore, is maintained during exogenous GnRH administration to pre-pubertal and pubertal boys. Response to exogenous GnRH pulses may be significantly influenced by endogenous GnRH.