A study of sex and age related heterogeneity in thyroid-gonadal axis interactions in a multi-center cohort of individuals with normal thyroid function - Scorecard - MDSpire

A study of sex and age related heterogeneity in thyroid-gonadal axis interactions in a multi-center cohort of individuals with normal thyroid function

  • By

  • Lina Yang

  • Haoran Hu

  • Qunhao Li

  • Jianjun Yang

  • Huxiao Liu

  • Mengya Chen

  • May 29, 2026

  • 0 min

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Clinical Scorecard: Investigation of Age and Sex Variability in Thyroid-Gonadal Axis Interactions Among a Multi-Center Cohort of Individuals with Normal Thyroid Function

At a Glance

CategoryDetail
ConditionThyroid-Gonadal Axis Interaction
Key MechanismsInteraction between the hypothalamic-pituitary-thyroid (HPT) axis and the hypothalamic-pituitary-gonadal (HPG) axis.
Target PopulationHealthy individuals with normal thyroid function, stratified by age and gender.
Care SettingMulti-center clinical cohort study.

Key Highlights

  • FT4 positively correlated with testosterone in men.
  • Negative correlation between thyroid hormones and gonadotropins in individuals under 18.
  • Positive correlation between FT4 and FSH in the 18-40 age group.
  • Association between FT4 and FSH confirmed in women of childbearing age.

Guideline-Based Recommendations

Diagnosis

  • Systematic assessment of thyroid and sex hormone levels in individuals with normal thyroid function.

Management

  • Consider age and gender when evaluating thyroid-gonadal axis interactions.

Monitoring & Follow-up

  • Monitor thyroid hormone levels in relation to reproductive endocrine markers.

Risks

  • Potential underestimation of associations due to population heterogeneity.

Patient & Prescribing Data

Individuals with normal thyroid function, stratified by age and gender.

Normal fluctuations in thyroid hormone levels may influence reproductive endocrinology.

Clinical Best Practices

  • Conduct gender-stratified analyses to identify differential patterns of association.
  • Evaluate thyroid hormone levels in conjunction with sex hormone testing.

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