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Seasonal Variation in Serum Testosterone Levels: Evidence from 2 Large Institutional Databases
David Miller1, Aaron Gurayah2, Alexander Weber2
1Department of Urology, UPMC, Pennsylvania, USA.
Urology Research & Practice
|October 25, 2023
Summary
This study found no significant seasonal variations in testosterone levels in men across different climates. Testosterone testing can be done any time of year without seasonal adjustment.
Area of Science:
- Endocrinology
- Men's Health
- Clinical Chemistry
Background:
- Previous studies on seasonal variations in testosterone levels have yielded inconsistent results.
- Understanding potential seasonal influences on testosterone is crucial for accurate clinical interpretation.
Purpose of the Study:
- To investigate the existence of clinically relevant seasonal variability in testosterone levels.
- To compare testosterone levels in men from distinct climatic regions (seasonal vs. non-seasonal).
Main Methods:
- Analysis of a large cohort of men (ages 18-99) from Pittsburgh (seasonal) and Miami (non-seasonal) between 2010-2021.
- Utilized liquid chromatography with tandem mass spectrometry for testosterone level measurements.
- Excluded patients on testosterone-altering medications to prevent confounding.
Main Results:
- No statistically significant seasonal variation in total testosterone levels was observed in either Pittsburgh or Miami cohorts.
- Stratification by age group also revealed no significant seasonal variability in testosterone levels.
- A difference in overall testosterone levels was noted between the two climates, but not seasonally.
Conclusions:
- Findings suggest that seasonal changes do not significantly impact testosterone levels in men.
- Testosterone levels can be reliably checked and interpreted regardless of the season.
- This eliminates the need to consider the time of year when scheduling or interpreting testosterone tests.
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