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具有先前使用合成代谢类固醇史的男性的生育结果
Braian R Ledesma1, Alexander Weber1, Greeshma Venigalla1
1Desai Sethi Urology Institute, University of Miami Miller School of Medicine, Miami, Florida.
Fertility and sterility
|September 28, 2023
概括
使用类固醇的男性经常经历严重的精子数量低或阿佐精子症. 标准治疗仅取得了有限的成功,超过一半的精子在6个月后仍然具有不良的精子参数,这凸显了对恢复生育能力的进一步研究的需要.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 安德罗学与人类学
- 药理学 药理学是指药理学的学科.
背景情况:
- 类固醇使用与男性不孕症有关,包括阿佐精子和严重的寡精子.
- 在这些人中,精子生成的恢复通常需要有针对性的医疗干预.
研究的目的:
- 为了评估由于使用类固醇而导致不孕症的男性的精子参数恢复和生育结果,接受标准化治疗.
- 评估克洛米芬酸盐和人类胆管性淋巴激素的组合疗法的疗效.
主要方法:
- 45名男性的回顾性分析,其中有类固醇使用史和不孕症史 (2018-2022年).
- 治疗包括停止丸激素替代疗法,并在3-6个月内给予克洛米芬酸盐和人类胆管性淋巴激素.
- 主要结局包括精子度和怀孕率的变化.
主要成果:
- 最初的精子度中位数为0百万/cc,其中51.1%呈现出亚精子.
- 经过6个月的治疗后,只有5.6%的最初有精的男性获得了正常精;27.8%的男性仍然是精.
- 在夫妇中观察到37.5%的怀孕率,其中66.7%的怀孕是自然发生的.
结论:
- 经过先前使用类固醇的男性中,有很大比例的男性尽管接受了标准化治疗,但仍表现出持续的严重寡精症.
- 精液参数的改善和成功怀孕率是有限的,需要进一步调查.
- 改善精子参数和生育结果的预测因素需要进一步的研究.
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