Veena Singh
PGIMS ROHTAK, India
Title: Assessment of reproductive hormones and gynaecomastia in male CML patients with imatinib therapy
Biography
Biography: Veena Singh
Abstract
It has been observed that decreased testosterone production and gynaecomastia may appear as adverse effects of imatinib therapy but vary sparse work is available in literature. In this study, we prospectively studied testosterone, LH and FSH levels at baseline and at 6 months of imatinib treatment in 34 newly diagnosed male BCR-ABL positive CML patients. While none of the patients had gynaecomastia at 6 months, the proportion of patients with low testosterone levels increased significantly from 11.8% at baseline to 58.8% (p<0.001) and those with high LH and FSH increased significantly from 26.4% and 23.5% to 82.4% and 76.4%, respectively (p<0.001 and p<0.001). Serum testosterone levels decreased significantly (p=0.002) and serum LH and FSH levels increased significantly at 6 months of imatinib therapy (p=0.001 and p=0.003) in comparison to baseline levels. The findings suggest that there may be decreasing effect of imatinib on testosterone levels in adult CML patients but there is need of further supporting studies.
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