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Updated: Jan 6, 2026

Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse POP Quantification System
Published on: September 20, 2018
Does anogenital distance change with age?
1Department of Urology, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Turkey.
Anogenital distance (AGD), a marker of prenatal hormone exposure, may decrease with age in men. This study explored AGD stability in fathers and sons, finding potential age-related changes warranting further research.
Area of Science:
- Human biology
- Endocrinology
- Anthropometry
Background:
- Anogenital distance (AGD) is a recognized indicator of the prenatal androgen environment in animals.
- The stability of AGD as a lifelong phenotype in humans remains largely uncharacterized.
- Understanding AGD stability is crucial for interpreting its role as a biomarker in human development and health.
Purpose of the Study:
- To investigate the stability of anogenital distance (AGD) in adult males.
- To compare AGD between different age groups (fathers and sons) to assess potential age-related changes.
- To explore the relationship between AGD, anthropometric characteristics, and testosterone levels.
Main Methods:
- A cross-sectional study involving 130 males, divided into two groups: fathers (Group 1) and their sons (Group 2).
- Anogenital distance (AGD), defined as the distance from the anus to the posterior base of the scrotum, was measured using digital calipers.
- Anogenital index (AGI) was calculated by dividing AGD by Body Mass Index (BMI) to account for variations in height and weight.
Main Results:
- No significant differences in height and weight were observed between the father and son groups.
- Mean AGD scores showed a trend towards decrease with age, though not statistically significant (p=0.09).
- Mean total testosterone levels were significantly lower in the older father group compared to the younger son group (p=0.00).
Conclusions:
- Anogenital distance (AGD) may exhibit a decrease with advancing age in males.
- While this study suggests a potential age-related decline in AGD, further longitudinal research is necessary to confirm these findings.
- The study highlights the need for considering age as a factor when evaluating AGD in human populations.
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