Gonad Disease Summit Forum: Hormonal therapy is to last a lifetime!

2019-12-22

  On August 31, the "3rd Peking Union Hypothalamus-Pituitary-Gonad Disease Summit Forum" was successfully held in Yichang, sponsored by the Endocrine Division of Peking Union Medical College Hospital and co-organized by Yichang First People's Hospital.

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  "Hormones will accompany a person's life, and the treatment of gonadal disease should also last a lifetime." Professor Wu Xuezhen, chairman of the conference, introduced.

  The gonadal team of the Endocrinology Department of Peking Union Medical College Hospital led by Professor Wu Xueyi has been working on the research of low gonadotropin hypogonadism and pituitary stem interruption syndrome for many years. The gonad team has found through a large number of clinical studies that patients with hypogonadism and gonadal hormone hypothyroidism use hormone replacement therapy to reconstruct the function of the hypothalamus-pituitary-target gland, allowing the patient to achieve a leap from growth to development to fertility.

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  The conference also invited Pan Longfei, the founder of the Old K House, as a patient representative to tell the doctors the story of the patient and the patient's organization. The patient's organization plays a "bridge" function between the patient and the doctor, just like the hypothalamus and pituitary. It is closely related to life extension, reproductive health and growth and development.

  Pan Longfei speaks video

  At the opening of the conference, Professor Wu explained the new research progress, diagnosis and treatment of Kalman's syndrome, pituitary stalk obstruction syndrome, Turner syndrome and PWS in a simple and understandable way. Kalman and low-promoting patients need to carefully choose treatment options based on age, physical condition and different needs, and multiple treatment options can be switched between each other. Men should insist on life-long treatment; women should continue treatment until the menopause of normal women.

  Professor Liu Jiaen described that Turner syndrome uses genetic testing to discover the cause of infertility, choose symptomatic treatment options, and prevent the birth of babies with genetic defects.

  Dr. Wang Xi told the case of male aromatase deficiency that excessive male estrogen can cause breast development, testosterone secretion is suppressed, and epiphyseal closure is early; too little estrogen, bone mass is reduced, osteoporosis, and delayed epiphyseal closure, Unbalanced height.

  Dr. Zhaozhao Liu compares the data of hundreds of cases with the latest research progress to compare the low-promoting patients with HCG / HMG spermatogenesis. The results show that gonadotropins can effectively promote sperm production in patients, and half of patients with cryptorchidism can still successfully produce sperm after gonadotropin treatment.

  Dr. Ma Wanlu explained with the data of hundreds of Peking Union Medical College Hospitals that hypogonadotropin hypogonadism (HH) can be divided into organic and functional. Idiopathic (IHH) is organic and has Kallmann syndrome ( KS), normal olfactory IHH (nIHH), etc. The results showed that the success rate of spermatogenesis in HH treatment once per week was 82%, and the median spermatogenesis in HH treatment once per week required 24 months. Compared with months, similar effects can be obtained and treatment compliance can be improved.

  Professor Mao Jiangfeng, Dr. Hao Ming and Dr. Junjie Zheng combined more than 100 cases of GnRH pumps and double boosters to treat fertility in HH patients. The results showed that some HH patients had higher spermatogenesis rate, shorter spermatogenesis time, higher sperm concentration, and a higher probability of reversal than Kallmann patients. GnRH pump can improve patient compliance and spermatogenesis is faster than double boost, but testosterone concentration in double boost is higher than that of GnRH pump. Therefore, GnRH pump and dual-promoting treatment can be switched between the two methods.

  Master Huang Qibin shared three cases that showed that sex hormones play an important role in bone maturation and bone density maintenance. Sex hormone treatment can also improve bone density and systemic inflammation.

  Dr. Wang Xi described that adult men with low testosterone may have clinical manifestations such as decreased libido, obesity, depression, and sleep disturbances. Related studies have shown that there is a certain causal relationship between diabetes and low testosterone. It is suggested that patients with low-fat and Krebs syndrome should keep testosterone at normal values in the body, strengthen exercise, and lose weight reasonably.

  Former Chinese basketball player, Sun Mingming, who is 2.35 meters tall, brought about the sharing of "Concord and My Height".

  Lin Xiaojing, the founder of "Little Fat Homeland", shared the "Sound of Little Fat Willie: Light of Life".

  Pan Longfei, the founder of "Old K House", shared the "Kalman Voice: Smell Youth with Love".

  Yuan Nana, the founder of the "Pocket Man's House", shared the "Pocket Man's House: Changing Destiny with Positive Energy".

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  Associate Professor Mao Jiangfeng from Peking Union Medical College Hospital made a closing speech. Over 200 participants registered for the conference and 38 lectures were given. The topics covered included growth and development, hypothalamus-pituitary, reproductive endocrine, stem cell transplantation, intestinal flora, and anti-aging In many fields, time spans the life from infants to seniors, and the content is colorful. I would like to express my sincere thanks to the experts and colleagues from all over the country for their participation and support.

  In this hypothalamic-pituitary-gonadal disease summit forum, the old K's house also conducted 3 live broadcasts. Friends who need to watch the replay can follow the old K's sponsor, the old one's "live" account, ID: 46952041, there will be more exciting content of the conference, I look forward to your different discoveries ~



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