The growth hormone levels of 11 azoospermic patients with histological
evidence of maturation arrest of unknown aetiology were studied using
the clonidine test. The results were compared with the results from c
lonidine tests on 10 healthy fertile men and on a group of patients wi
th severe oligozoospermia of various aetiologies. The results demonstr
ated that 10 patients (91%) in the azoospermic group had non-reactive,
pathological responses while none of the control group had a patholog
ical response. Of the severe oligozoospermic group, 82% had normal rea
ctive clonidine tests (P < 0.005). We suggest that growth hormone defi
ciency may be associated with maturation arrest, and the possibility o
f treatment with growth hormone should be considered.