title: Correlation between parathormone and sexual hormones in patients on haemodialysis.
abstract: BACKGROUND
  Chronic renal failure is associated with endocrine abnormalities, which in some cases cause polyendocrinopathy responsible for the symptoms and complications. The consequence of secondary hyperparathyroidism is not only bone disease but may be cardiovascular disorders, peripheral nerve damage and impact on the level of sex hormones.
  
  
  OBJECTIVE
  To evaluate the interactions between parathyroid hormone and sexual hormones and the effect of elevated levels of parathyroid hormone secretion on various sexual hormones. The study included 72 patients who were undergoing chronic hemodialysis program 3 times a week at the clinic for hemodialysis. Patients were divided into two groups according to parathyroid hormone values and child-bearing age. The study is a retrospective-prospective and lasted for 1 year. At the beginning, after 6 months, and at the end of the study were determined the PTH, FSH, LH, progesterone, testosterone, beta-estradiol, prolactin.
  
  
  RESULTS
  During the study period followed are the values of sexual hormones and PTH in 72 patients of which 41 men and 31 women. Of these 33.3% (24) men were in the reproductive age, and 23.6% (17) were women in the reproductive age. The mean age of patients was 53.2 +/- 12.16, and the average duration of hemodialysis was 7.57 +/- 4.0. PTH showed a slight tendency to increase 274.45 +/- 220.74 pg/dL at baseline, at the end of study 383 +/- 313.2 also increased during the study was recorded and the values progesterone. Statistically significant effect of PTH showed the FSH p < 0.01 LH p < 0.05 and prolactin p < 0.01. On average, patients who have elevated PTH levels have lower values of FSH and LH, but higher prolactin values. Parathormone also shows the effect on beta estradiol at level p < 0.01, patients with higher PTH values have lower levels of beta estradiol.
  
  
  CONCLUSIONS
  The increase in the number of younger people with terminal renal insufficiency treated by repeated hemodialysis, often have endocrine disorders and elevated PTH. Normalization of PTH levels affects the normalization of sexual hormone levels and improves quality of life of patients on hemodialysis.
authors: Clinic for hemodialysis, Clinical center of University of Sarajevo, Bosnia and Herzegovina. sanelasahovic@gmail.com
authors: Vahidin
authors: V
authors: Sahovic
authors: Sanela
authors: S
authors: Sahovic
authors: Emir
authors: E
authors: Grosa
authors: Emir
authors: E
authors: Avdic
authors: Dzana
authors: D
authors: Helac-Cvijetic
authors: Nihad
authors: N
authors: Kukavica
mesh_terms: D005260:Female; D012739:Gonadal Steroid Hormones / Q000097:blood*; D006065:Gonadotropins, Pituitary / Q000097:blood*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000097:blood / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010281:Parathyroid Hormone / Q000097:blood*; D006435:Renal Dialysis / Q000009:adverse effects
chemical_list: D012739:Gonadal Steroid Hormones; D006065:Gonadotropins, Pituitary; D010281:Parathyroid Hormone