Table 2.
Accuracy of various hormonal tests for IHH (male)
Hormonal parameters | Cut-off (≤) | AUC (95% CI) | P (ROC) | Sensitivity (%) | Specificity (%) | PPV (%) | NPV (%) |
---|---|---|---|---|---|---|---|
Basal LH (U/L) | 0.35 | 0.629 (0.351-0.90) | 0.341 | 57.1 | 33.3 | 28.57 | 62.5 |
Basal FSH (U/L) | 1.15 | 0.743 (0.463-1.00) | 0.072 | 57.1 | 93.3 | 80 | 82.35 |
Basal inhibin B (pg/ml) | 79.2 | 0.857 (0.615-1.00) | 0.008 | 85.7 | 93.3 | 85.7 | 93.3 |
Basal AMH (ng/ml) | 16.84 | 0.457 (0.19-0.725) | 0.751 | 42.9 | 66.7 | 37.5 | 71.43 |
Basal testosterone (ng/dl) | 20.82 | 0.876 (0.723-1.00) | 0.005 | 100 | 53.3 | 50 | 100 |
Post-triptorelin 4-hour LH (U/L) | 4.84 | 1.00 | <0.001 | 100 | 100 | 100 | 100 |
Post-triptorelin 4-hour FSH (U/L) | 9.8 | 0.638 (0.378-0.899) | 0.307 | 85.7 | 46.7 | 42.87 | 87.5 |
Post-triptorelin 24-hour testosterone (ng/dl) | 34.52 | 0.876 (0.727-1.00) | 0.005 | 85.7 | 73.3 | 60 | 91.67 |
Post-HCG day 4 testosterone (ng/dl) | 99.7 | 0.962 (0.88-1.00) | 0.001 | 85.7 | 93.3 | 85.7 | 93.33 |
Basal testosterone (ng/dl) + basal inhibin B (pg/ml) | 20.82, 79.2 | - | - | 100 | 88.9 | 85.7 | 100 |
LH - Luteinising hormone, FSH - Follicle-stimulating hormone, AMH - Anti-Mullerian hormone, HCG - Human chorionic gonadotropin, AUC - Area under the curve, ROC - Receiver operating curve