Inhibin B is produced by Sertoli cells, provides negative feedback on FSH
secretion, and may prove to be an important marker for the functioning of
seminiferous tubules. The purpose of the present study was to examine the
relationship between the spermatogenic function of the testis of
subfertile men and the plasma concentrations of inhibin B and FSH. These
parameters were estimated in a group of 218 subfertile men. Serum inhibin
B levels were closely correlated with the serum FSH levels (r = -0.78, P <
0.001), confirming the role of inhibin B as feedback signal for FSH
production. The spermatogenic function of the testis was evaluated by
determining testicular volume and total sperm count. Inhibin B levels were
significantly correlated with the total sperm count and testicular volume
(r = 0.54 and r = 0.63, respectively; P < 0.001). Testicular biopsies were
obtained in 22 of these men. Inhibin B was significantly correlated with
the biopsy score (r = 0.76, P < 0.001). Receiver operating characteristic
analysis revealed a diagnostic accuracy of 95% for differentiating
competent from impaired spermatogenesis for inhibin B, whereas for FSH, a
value of 80% was found. We conclude that inhibin B is the best available
endocrine marker of spermatogenesis in subfertile men
