THE EFFECTS OF CLOMIPHENE ON ENDOCRINE FUNCTION IN MALE PATIENTS WITH ADRENOCORTICAL INSUFFICIENCY AND FOLLOWING CASTRATION
ABSTRACT The effect of clomiphene administration on steroid and gonadotrophin output has been studied in three male patients with adrenocortical insufficiency and in three castrate men. In the patients with adrenocortical insufficiency the main effect of clomiphene was to produce a marked increase in the output of urinary testosterone and of its metabolites, androsterone and aetiocholanolone. It is concluded that this effect results from testicular stimulation. In the castrate males clomiphene caused a less marked rise in the excretion of dehydroepiandrosterone (DHA), androsterone and aetiocholanolone, presumably indicating adrenocortical stimulation. Testosterone levels may have fallen slightly during the administration of the compound. Little or no effect on the output of »total gonadotrophic activity« or of follicle-stimulating hormone (FSH) was produced by clomiphene.