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Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: OBJECTIVE, METHODS, METHODS, METHODS, RESULTS. Meshes: Adult, Androgens, Androstenedione, Cross-Over Studies, Dehydroepiandrosterone Sulfate, Dihydrotestosterone, Double-Blind Method, Drug Administration Schedule, Growth Hormone, Hair, Human Growth Hormone, Humans, Insulin-Like Growth Factor I, Male, Sex Hormone-Binding Globulin, Skin, Testosterone.
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Does growth hormone substitution in adult growth hormone-deficient men augment androgen effects on the skin? Context: To assess whether growth hormone (GH) administration to adult GH-deficient men leads to increased sexual hair. The sexual hair scores are subnormal in these patients, even in the presence of normal serum androgen levels. Forty-six adult men with childhood-onset of GH deficiency of whom 25 were androgen deficient and received replacement. Double-blind and placebo-controlled. Of the 46 patients, 33 started immediately with GH administration; the remaining 13 received placebo for the first 6 months followed by GH for the next 6 months. Sixty-one age-matched healthy men with normal height and serum concentrations of IGF-I served as a comparison group. Hair scores at 13 defined body regions were assessed before, and after 6 and 12 months of the intervention. At the same time levels of IGF-I, dehydroepiandrosterone sulphate, androstenedione, dihydrotestosterone (DHT), testosterone and sex hormone binding globulin (SHBG) were measured. From the latter two, the free androgen index (FAI) was calculated. Before GH administration, hair scores in the GH deficient patients were lower than in the comparison group. In the 33 men treated with GH from the beginning, there was an increase in hair scores after 6 months. The increase in hair scores was not seen during 6 months of placebo treatment. When the placebo group switched to GH administration, their hair scores had also significantly increased after 6 months of GH substitution therapy. Upon GH administration both levels of SHBG and testosterone/DHT declined while the FAI remained unchanged.
assistant
GH substitution therapy to GH deficient men has an auxiliary effect on androgen action in the skin without an increase of the FAI. Final Decision: yes