Go Back   Student Doctor Network Forums > Medical Student Forums > Allopathic

Notices

Allopathic MD student topics. For current medical students. Feed Icon



Reply
 
Thread Tools Display Modes
Old 09-24-2007, 11:28 AM   #1
super302
New Member
 
Status: Post-Doc
Join Date: Jul 2006
Posts: 42

Default Why do boys that are castrated before puberty have greater average height


SDN Members don't see this ad.
Can't figure this out, thanks for the help

Book says that Eunuchs, especially boys who were castrated before puberty, end up taller than non-eunuchs
super302 is offline   Reply With Quote
Old 09-24-2007, 12:14 PM   #2
BusterDO
Senior Member
 
BusterDO's Avatar
 
Join Date: Jul 2006
Location: VA
Posts: 166
SDN 2+ Year Member
Default

When a boy is castrated there will be a lower level of testosterone in the body. The presence of testosterone assists in the fusing of the epiphyseal plates in the long bones, therefore if a boy is castrated and lacks a normal level of testosterone his epiphyseal plates will take longer to fuse making him taller. A similar syndrome that this is seen in is Klinefelter's syndrome - XXY - the boys are taller with longer extremities due to testicular atrophy.
BusterDO is offline   Reply With Quote
Old 09-24-2007, 03:01 PM   #3
super302
New Member
 
Status: Post-Doc
Join Date: Jul 2006
Posts: 42

Default

thanks for the response
super302 is offline   Reply With Quote
Old 09-24-2007, 03:11 PM   #4
cbass1350
Graduated
 
cbass1350's Avatar
 
Join Date: Mar 2007
Location: California
Posts: 194
SDN 2+ Year Member
Default

Boys who are castrated become democratic senators later in life. True story.
__________________

cbass1350 is offline   Reply With Quote
Old 09-24-2007, 05:48 PM   #5
TheProwler
10K+ Member
 
TheProwler's Avatar
 
Join Date: Jun 2004
Posts: 12,367
SDN 5+ Year Member
Default

Quote:
Originally Posted by BusterDO View Post
When a boy is castrated there will be a lower level of testosterone in the body. The presence of testosterone assists in the fusing of the epiphyseal plates in the long bones, therefore if a boy is castrated and lacks a normal level of testosterone his epiphyseal plates will take longer to fuse making him taller.
This is what I came in here to say. I concur.
TheProwler is offline   Reply With Quote
Old 09-24-2007, 08:02 PM   #6
exi
Taking a ride
 
exi's Avatar
 
Join Date: Nov 2006
Posts: 2,586
SDN 2+ Year Member
Default

Quote:
Originally Posted by cbass1350 View Post
Boys who are castrated become democratic senators later in life. True story.
exi is offline   Reply With Quote
Old 09-24-2007, 08:06 PM   #7
Blue Dog
Caffeinated
 
Blue Dog's Avatar
 
Status: Attending
Join Date: Jan 2006
Location: South of disorder.
Posts: 6,421
SDN Advisor SDN Bronze Donor SDN 2+ Year Member
Default

Quote:
Originally Posted by super302 View Post
Can't figure this out, thanks for the help

Book says that Eunuchs, especially boys who were castrated before puberty, end up taller than non-eunuchs
Please do not use SDN for personal medical advice.
__________________
Dr. Cox: "I don't know if they taught you this in the land of fairies and puppy dog tails where you obviously, if not grew up, then at least spent most of your summers, but you're in the real world now! N'kay?"
Blue Dog is offline   Reply With Quote
Old 09-24-2007, 10:59 PM   #8
bubbachuck
Fear denies faith
 
bubbachuck's Avatar
 
Join Date: Jul 2005
Location: PA
Posts: 234
SDN 2+ Year Member
Default

Quote:
Originally Posted by cbass1350 View Post
Boys who are castrated become democratic senators later in life. True story.
which ones?
__________________
Canon Rock LIVE (with me)
Angle 2
bubbachuck is offline   Reply With Quote
Old 09-29-2007, 08:12 PM   #9
Tired
Wouldn't do it over again
 
Tired's Avatar
 
Status: Resident
Join Date: Dec 2006
Posts: 6,993
SDN 2+ Year Member
Default

The real answer: Gravity

I would have been like 7'6" if it weren't for these damn bowling balls weighing me down.
Tired is offline   Reply With Quote
Old 09-29-2007, 09:12 PM   #10
Shinken
Family Medicine PGY-2
 
Status: Resident
Join Date: Jul 2003
Location: Cleveland, OH
Posts: 1,171
SDN 5+ Year Member
Default

OK, now answer this one: Why isn't the average woman taller than the average man? (since women have low testosterone levels)

By the way KentW...that was a cheap shot (funny, though).
Shinken is offline   Reply With Quote
Old 09-29-2007, 09:51 PM   #11
MSKalltheway
I got the magic stick
 
MSKalltheway's Avatar
 
Join Date: Jan 2007
Location: Murralind
Posts: 762
SDN 2+ Year Member
Default

Quote:
Originally Posted by Shinken View Post
OK, now answer this one: Why isn't the average woman taller than the average man? (since women have low testosterone levels).
If I remember my endocrine phys correctly, its because estrogen closes the plates.
__________________
University of Maryland School of Medicine 2010
MSKalltheway is offline   Reply With Quote
Old 09-29-2007, 09:53 PM   #12
CampUnity
Member
 
Join Date: Apr 2007
Posts: 33

Default

Now what good would your height be if you don't have the balls? Literally and figuretively LOL
CampUnity is offline   Reply With Quote
Old 09-30-2007, 08:12 AM   #13
medicomel
Purveyor of short posts.
 
medicomel's Avatar
 
Join Date: Feb 2004
Location: a stone's throw away from reality
Posts: 1,501
SDN 5+ Year Member
Default

Quote:
Originally Posted by BusterDO View Post
When a boy is castrated there will be a lower level of testosterone in the body. The presence of testosterone assists in the fusing of the epiphyseal plates in the long bones, therefore if a boy is castrated and lacks a normal level of testosterone his epiphyseal plates will take longer to fuse making him taller. A similar syndrome that this is seen in is Klinefelter's syndrome - XXY - the boys are taller with longer extremities due to testicular atrophy.
wow, i learned something. thanks!
medicomel is offline   Reply With Quote
Old 09-30-2007, 12:10 PM   #14
cfdavid
cfdavid
 
cfdavid's Avatar
 
Join Date: Oct 2004
Posts: 2,570
SDN 5+ Year Member
Default

Quote:
Originally Posted by cbass1350 View Post
Boys who are castrated become democratic senators later in life. True story.
Yeah, I believe this to be a true statement.
__________________
Medical Student
cfdavid is offline   Reply With Quote
Old 09-30-2007, 12:40 PM   #15
soonereng
Double Trouble
 
soonereng's Avatar
 
Join Date: Oct 2006
Location: In the OR
Posts: 1,245
SDN 2+ Year Member
Default

Quote:
Originally Posted by Tired View Post
The real answer: Gravity

I would have been like 7'6" if it weren't for these damn bowling balls weighing me down.
Beat me to it....
__________________
Disclaimer: Past results do not guarantee future performance. All forward looking statements contain elements of risk that are outside the scope of soonereng's responsibility. User assumes all liability.

[X] Step 1 June 22 [X] IM [ ] Surg [ ] EM [ ] Psych [ ] OB/Gyn [ ] Elective [ ] Neuro [ ] Peds [ ] Elective [ ] FM
soonereng is offline   Reply With Quote
Old 09-30-2007, 02:21 PM   #16
caribstudent07
Junior Member
 
Join Date: Aug 2007
Posts: 15

Default

Just to add one more thing, if you have early onset puberty (precocious puberty), where hormone levels are elevated early, you will get the opposite, the epiphyseal plates will close early, leading to a reduction in height.
caribstudent07 is offline   Reply With Quote
Old 09-30-2007, 05:10 PM   #17
ginger60
Senior Member
 
ginger60's Avatar
 
Status: Resident
Join Date: Jan 2007
Posts: 163
SDN 2+ Year Member
Default

Quote:
Originally Posted by MSKalltheway View Post
If I remember my endocrine phys correctly, its because estrogen closes the plates.
True. Some girls, such as those who were considered "too tall" or (more recently) the pillow angel girl, have been given high dose estrogen to close their growth plates.
ginger60 is offline   Reply With Quote
Old 09-30-2007, 05:21 PM   #18
BusterDO
Senior Member
 
BusterDO's Avatar
 
Join Date: Jul 2006
Location: VA
Posts: 166
SDN 2+ Year Member
Default

The above replies are correct. I guess I should have really answered that androgens assist in plate closings.

anymore brain busters?
BusterDO is offline   Reply With Quote
Old 09-30-2007, 05:56 PM   #19
BlackNDecker
Paid da cost 2 be da bo$$
 
BlackNDecker's Avatar
 
Join Date: Jun 2005
Location: Pole Position
Posts: 624
SDN 2+ Year Member
Default

Quote:
Originally Posted by BusterDO View Post
The above replies are correct. I guess I should have really answered that androgens assist in plate closings.

anymore brain busters?
This is an oversimplified explanation and probably in reality is not so cut & dry. Adolescent males achieve a greater height following puberty than adolescent females...obviously androgens are responsible for long bone growth. What is likely responsible for epiphyseal plate closure is the rate of sex hormone production, the absolute androgen:estrogen ratio, and your genetic potential.

Classically, estrogens are consisdered responsible for epiphyseal plate closure, but if you look at female gymnasts (whose menstrual cycles are suppressed by the strenuous physical exertion and low body fat) they are shorter than the average female. With suppression of their menstrual cycles (lack of ovarian estrogen) and low fat mass (lack of androgen conversion) you would expect their low total estrogen to result in greater long bone growth.

The interplay b/w estrogens and androgens is much more complex b/c the E:A ratio is constantly balanced by production in the gonads/adrenal glands and peripheral conversion in fat cells.

Also interesting (and highly unlikely that you'll find a sound explanation) is the fact that the growth of the genitals has been found to correlate inversely with the growth of the extremities (arms, legs). According to this theory, androgens produced by rapidly growing [testes] cause the epiphyseal plates in the arms and legs to fuse early.
__________________
"Now my grandma-ma ain't the only girl calling me baby"
BlackNDecker is offline   Reply With Quote
Old 10-01-2007, 01:05 AM   #20
DrBubbles
Senior Member
 
Join Date: Nov 2006
Posts: 284
SDN 2+ Year Member
Default

This is really interesting. I was under the impression that as children enter into puberty, their androgen and/or estrogen levels stimulate bone growth. And then at certain threshold levels of the hormones (e.g. later puberty), these high hormone levels stimulate epiphyseal plate closure. I was also under the impression that men are generally taller than women because they start puberty later; that women's high estrogen levels at an earlier age cause epiphyseal plate closure sooner. Will you please elaborate on the E:A ratio bit? Thanks!
DrBubbles is offline   Reply With Quote
Old 10-01-2007, 03:26 AM   #21
Cirrus83
M0D7T4x3PFK
 
Cirrus83's Avatar
 
Join Date: May 2006
Posts: 1,682
SDN 2+ Year Member
Default

Wait...so I'm not super tall because I didn't have delayed testerone during puberty? DAMMIT!!!

Presumably getting testerone later would still allow you to develop all your secondary (and primary I guess) sex characteristics, so does this mean that if you block testosterone for a few extra years you'd be super tall and be able to get a sweet NBA contract?

Heh.
__________________
Step 1: Cut a hole in the box
Cirrus83 is offline   Reply With Quote
Old 10-01-2007, 09:36 AM   #22
tacrum43
Behold the mighty echidna
 
tacrum43's Avatar
 
MDApps: Profile 3430
Join Date: Oct 2004
Location: Arlington, VA
Posts: 3,094
SDN Bronze Donor SDN 5+ Year Member
Default

Quote:
Originally Posted by Cirrus83 View Post
Wait...so I'm not super tall because I didn't have delayed testerone during puberty? DAMMIT!!!

Presumably getting testerone later would still allow you to develop all your secondary (and primary I guess) sex characteristics, so does this mean that if you block testosterone for a few extra years you'd be super tall and be able to get a sweet NBA contract?

Heh.
Perhaps. But it would probably make for some awkwardness in the lockeroom.
__________________
"And now faith, hope and love abide, these three; and the greatest of these is love." 1 Corinthians 13.13

In case you wanted to know

...and the saga continues...and happily concludes!!!

GW Class of 2010
tacrum43 is offline   Reply With Quote
Old 10-01-2007, 10:14 AM   #23
eternalrage
Even Kal has bad days...
 
eternalrage's Avatar
 
Join Date: Jun 2005
Location: Long Island, NY
Posts: 3,602
SDN 2+ Year Member
Default

Quote:
Originally Posted by super302 View Post
Book says that Eunuchs, especially boys who were castrated before puberty, end up taller than non-eunuchs

"Aww crap."
__________________
"I'm telling you that the cure is the disease. The main source of illness in this world is the doctor's own illness: his compulsion to try to cure and his fraudulent belief that he can."
eternalrage is offline   Reply With Quote
Old 10-01-2007, 02:10 PM   #24
BlackNDecker
Paid da cost 2 be da bo$$
 
BlackNDecker's Avatar
 
Join Date: Jun 2005
Location: Pole Position
Posts: 624
SDN 2+ Year Member
Default

Quote:
Originally Posted by DrBubbles View Post
This is really interesting. I was under the impression that as children enter into puberty, their androgen and/or estrogen levels stimulate bone growth. And then at certain threshold levels of the hormones (e.g. later puberty), these high hormone levels stimulate epiphyseal plate closure. I was also under the impression that men are generally taller than women because they start puberty later; that women's high estrogen levels at an earlier age cause epiphyseal plate closure sooner. Will you please elaborate on the E:A ratio bit? Thanks!
The point I was trying to make is that the science is complex and our understanding is incomplete. All of the factors mentioned so far come into play. But, do not forget the critical role of hGH (growth hormone) and IGF-1 in long bone growth.


The most effective way to increase linear growth is by using hGH prior to epiphyseal plate closure. As I stated previously, testosterone is not the primary cause of epiphyseal closure...rather, it is the interplay between all hormones and growth factors. The hormonal milieu is in a constant state of flux and small differences in carrier proteins (which effect free hormone concentrations), receptors (polymorphisms), 2nd messengers, and subsequent gene expression play a big role in the final height of an individual.

You could give 2 prepubescent individuals equal concentrations of hormones (androgens, estrogens, hGH) at identical points in growth and development, and you'd still see striking differences in final adult height between the 2 individuals.

Quote:
Originally Posted by Cirrus83
so does this mean that if you block testosterone for a few extra years you'd be super tall and be able to get a sweet NBA contract?
No. But, google "androgen receptor insensitivity." These "women" are XY but fail to express male primary and secondary sex characteristics due to mutations in the androgen receptor causing it to be nonfunctional. They have no ovaries, uterus, or cervix(b/c they ain't girls) and have a blind vagina (not Ray Charles blind, but blind in the "dead end" sense of the word). But during pubesence (they still have testes due to the Y chromosome) they develop large, perky breasts (seriously) and grow tall and lean (most look like runway models) because much of the unused testosterone is converted to estrogen and causes female secondary sex characteristics.

Rumor mill says that Jamie Lee Curtis (HIPPA whaaaa?) has this condition and had "corrective surgery" at my medical center.
BlackNDecker is offline   Reply With Quote
Old 10-01-2007, 02:17 PM   #25
BlackNDecker
Paid da cost 2 be da bo$$
 
BlackNDecker's Avatar
 
Join Date: Jun 2005
Location: Pole Position
Posts: 624
SDN 2+ Year Member
Default

Quote:
Originally Posted by DrBubbles View Post
Will you please elaborate on the E:A ratio bit? Thanks!
No...only b/c it's written in textbooks much more clearly and authoritatively than I could.

Search in a physiology book or endocrinology book. "Aromatase" will lead you in the right direction. Now go amaze your friends with your new found knowledge
BlackNDecker is offline   Reply With Quote
Old 10-01-2007, 04:32 PM   #26
BusterDO
Senior Member
 
BusterDO's Avatar
 
Join Date: Jul 2006
Location: VA
Posts: 166
SDN 2+ Year Member
Default

of course there are multiple factors involved in determining how tall an individual will be, i think when you are dealing with any question in science, medicine etc, there will be a highly complex and invovled answer. However, to the OP, castrated boys WILL typically be taller, due to the lack of testosterone. Other hormones, genetic factors, etc., will still play a role, but the factor associated with plate closure in a castrated boy will be the absence of testosterone; the E:A ratio will be altered b/c of the loss of testosterone. Although in a normal individual it is not the main factor in plate closer, it will play a large role in someone lacking the hormone (or receptor for the hormone).

how did we get from castrated boys height to Jamie Lee Curtis?...freakin hormones
__________________
Class of 2010

Dr. Cox - "God, my brilliance is now becoming a bit of a burden. Get back to me."
BusterDO is offline   Reply With Quote
Old 10-01-2007, 06:54 PM   #27
BlackNDecker
Paid da cost 2 be da bo$$
 
BlackNDecker's Avatar
 
Join Date: Jun 2005
Location: Pole Position
Posts: 624
SDN 2+ Year Member
Default

Quote:
Originally Posted by BusterDO View Post
castrated boys WILL typically be taller, due to the lack of testosterone.
I still disagree with this summation.

With this logic, women would be taller than the average male b/c they have less testosterone. Continuing with this logic, individuals with androgen insensitivity would be much taller than the average male (The NBA would be dominated by 7 foot models with large perky breasts). The whole reason I brought up the Jamie Lee Curtis point was to discredit this line of reasoning.

You also don't seem to realize (or recall) that testosterone 1)derived from adrenal androgen, 2)derived from peripheral conversion of estrogen is still present in eunuchs. So they don't lack testosterone, rather their E:A ratio is shifted higher. The ratio is increased further b/c estrogen stimulates the production of steroid binding globulin (SBG) which further diminishes available testosterone.

Testosterone is a big reason men are taller than women . The right amount of testosterone in puberty triggering long bone growth while at the same time having less available estrogen to trigger epiphyseal plate closure.

Finally, to be completely correct...we should really be referring to dihydrotestosterone (DHT) which is the active form of the hormone responsible for all the positive (penile development, bone growth, facial hair) and negative (male pattern baldness, prostatic hyperplasia, back hair) effects.

Testosterone ---> DHT (by 5-alpha reductase)
Testosterone ---> Estrogen (aromatase)
Estrogen ---> Testosterone (aromatase)

Last edited by BlackNDecker; 10-01-2007 at 07:00 PM.
BlackNDecker is offline   Reply With Quote
Old 10-01-2007, 08:45 PM   #28
BlackNDecker
Paid da cost 2 be da bo$$
 
BlackNDecker's Avatar
 
Join Date: Jun 2005
Location: Pole Position
Posts: 624
SDN 2+ Year Member
Default

Quote:
Originally Posted by BusterDO View Post
the factor associated with plate closure in a castrated boy will be the absence of testosterone; the E:A ratio will be altered b/c of the loss of testosterone.
This is completely wrong. Sorry...not trying to be mean Buster, but I'm gonna use this to clarify further for those still interested.

The absence of gonadal sex steroids (testosterone, estrogen) is not of major importance in prepubertal growth...meaning, even without testosterone they will be roughly the same height as their (prepubertal) peers. The pubertal rise in gonadal and adrenal steroids is responsible for the sharp increase in growth rate. Much of the skeletal growth caused by estrogen (even in males) is mediated through the stimulation of hGH and IGF1.

Quote:
Originally Posted by BusterDO
A similar syndrome that this is seen in is Klinefelter's syndrome - XXY - the boys are taller...
This again is wrong You were correct in stating they have longer extremities...but they are NOT generally taller. As I stated in an earlier post, gonadal development is inversely related to upper and lower extremity growth and this is the protypical example...small balls and long legs. To be absolutely correct (and shine on rounds) arm span greater than height is what we are really talking about when referring to eunuchoid proportions. Again, the clinical manifestations of klinefelter syndrome and androgen deficiency vary considerably from patient to patient.

The pathogenesis of abnormal growth in Klinefelter syndrome is presently unclear. It is well known that androgen deficiency is responsible for the "arm span > height" growth pattern, however, patients with Klinefelter syndrome have increased growth of the lower extremities > trunk and upper extremities and do not always have eunuchoid proportions.

Source:Basic and Clinical Endocrinology (Lange 2007)


Caribstudent07and DrBubbles you guys are correct Don't let misinformation confuse you...and always take what you read on here with a grain of salt and consult a text.
BlackNDecker is offline   Reply With Quote
Old 10-02-2007, 05:54 PM   #29
BusterDO
Senior Member
 
BusterDO's Avatar
 
Join Date: Jul 2006
Location: VA
Posts: 166
SDN 2+ Year Member
Default

Thanks BlackNDecker...didn't feel picked on. I appreciate the clarification and even made corrections in some of my class lecture notes.
BusterDO is offline   Reply With Quote
Report advertising, harassment, and other inappropriate posts by pressing the button located to the left of the post.

Reply

Bookmarks

Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off

Forum Jump


All times are GMT -7. The time now is 09:06 PM.


SDN Bookstore
Search  Advanced Search


© 1999-2009 Coastal Research Group. Some rights reserved.
The SDN Logo and "Student Doctor Network" are registered trademarks of CRG. ☠ Arggh.

TRUSTe Trust Mark   Creative Commons License   We subscribe to the HONcode principles of the HON Foundation.  Click to verify.   HACKER SAFE certified sites prevent over 99.9% of hacker crime.