Clinician practices assessing hypothalamic–pituitary–gonadal axis suppression in adolescents with an eating disorder

Objective Although extensive literature exists on hypothalamic–pituitary–gonadal (HPG) axis suppression in females with an eating disorder, there are few studies in males. Our study aimed to determine clinician practices for the assessment of HPG axis suppression and to identify differences in pract...

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Bibliographic Details
Published in:The International journal of eating disorders 2021-12, Vol.54 (12), p.2218-2222
Main Authors: Nelson, Lance R., Halpern‐Felsher, Bonnie L., Nagata, Jason M., Carlson, Jennifer L.
Format: Article
Language:English
Subjects:
Adolescent
clinician comfort
clinician practices
Eating disorders
Estradiol
Feeding and Eating Disorders - diagnosis
Female
Humans
hypothalamic–pituitary–gonadal axis
Hypothalamo-Hypophyseal System
Luteinizing Hormone
Male
Males
Patients
Pituitary gland
screening
sex differences
Teenagers
Testosterone
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Summary:Objective Although extensive literature exists on hypothalamic–pituitary–gonadal (HPG) axis suppression in females with an eating disorder, there are few studies in males. Our study aimed to determine clinician practices for the assessment of HPG axis suppression and to identify differences in practice based on the sex of the patient. Method Our 31‐item survey queried clinicians about confidence level and practices for assessing HPG suppression in male compared to female patients. Results Findings showed that clinicians (n = 104) were less likely to evaluate HPG suppression in males compared to females, including assessment of sexual maturity rating (p 
ISSN:0276-3478
1098-108X
1098-108X
DOI:10.1002/eat.23625