Endocrine Aspects of Male Sexual Dysfunctions

摘要: ABSTRACT Introduction Endocrine disorders may adversely affect men's sexual function. Aim To provide recommendations based on best evidence for diagnosis and treatment of endocrine-related male dysfunctions. Methods The Aspects Male Sexual Dysfunctions Committee, including 11 members from eight countries four continents, collaborated with the subcommittee Standards Committee International Society Medicine. Medical literature was reviewed in detail, followed by extensive internal committee discussion over 2 years, then public presentation other experts before finalizing report. Main Outcome Measure Recommendations grading evidence-base medical interactive discussion. Results From animal studies, it is derived that testosterone modulates mechanisms involved erectile machinery, expression enzymes both initiate terminate erection. In addition, essential motivation. Whether these findings could be extrapolated to human erections unclear. Testosterone plays a broad role overall health. Recent studies have established strong associations between low metabolic cardiovascular imbalances. some decreased longevity; however, longitudinal do not support predictive value further events. article proposes standardized process dysfunctions, updating knowledge prostate safety. There no compelling causes cancer or its progression men without severe deficiency (TD). possible roles prolactin thyroid hormones are also examined. Conclusions Men dysfunction, hypoactive desire retarded ejaculation, as well those visceral obesity diseases, should screened TD treated. Prospective interventional required screening more conditions, considering correction preventive medicine much data suggests. Buvat J, Maggi M, Gooren L, Guay AT, Kaufman Morgentaler A, Schulman C, Tan HM, Torres LO, Yassin Zitzmann M. aspects