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The intricate hormonal interplay essential for male reproductive health begins with the release of gonadotropin-releasing hormone (GnRH) by the hypothalamus. This hormone prompts the pituitary gland to secrete follicle-stimulating hormone (FSH) and luteinizing hormone (LH). LH targets the Leydig cells in the testes, stimulating them to produce and release testosterone. In concert with testosterone, FSH acts on the Sertoli cells within the seminiferous tubules to facilitate the release of...
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Menopause, a natural biological process marking the end of a woman's fertility, typically occurs between the fifth and sixth decade of life. This phase is characterized by the exhaustion of the ovarian follicle pool, leading to less responsive ovaries despite the high levels of Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH). The consequential decrease in estrogen production results in symptoms like hot flashes, heavy sweating, headaches, hair loss, muscle pains, vaginal...
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关于EMAS的立场声明:老年男性的替代疗法

George A Kanakis1, Riccardo Pofi2, Dimitrios G Goulis3

  • 1Department of Endocrinology & IVF Unit, Athens Naval and Veteran Affairs Hospital, Athens, Greece.

Maturitas
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概括
此摘要是机器生成的。

替代疗法 (TRT) 推给已确认低的症状老年男性,平衡好处与不确定的长期安全性. 在某些特定情况下,TRT可以改善性功能,胰岛素耐药性和生活质量.

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科学领域:

  • 老年医学 老年医学
  • 内分泌学 在内分泌学.
  • 男人的健康 男人的健康

背景情况:

  • 在老年男性中,晚期发生的性腺功能低下 (LOH) 呈现出低和症状,与代谢综合征,骨密度下降和心血管风险有关.
  • 虽然替代疗法 (TRT) 对年轻男性有好处,但其对老年男性的风险/益处概况仍在争论中.

研究的目的:

  • 提供关于TRT在老年男性中使用LOH的更新的基于证据的声明.
  • 将最近的研究成果纳入临床建议中.

主要方法:

  • 对LOH和TRT最近的研究进行了全面的文献综述.
  • 基于专家意见的共识发展.

主要成果:

  • 对于已确认低的症状老年男性,建议对TRT进行治疗,并仔细考虑长期安全性不确定性.
  • TRT可能有利于特定的疾病,如勃起功能障碍,严重的胰岛素耐药性,骨质疏松症和抑郁症状.
  • 寻求生育能力的男性,患有活跃癌症,最近心血管事件或严重心力衰竭的男性,对TRT的使用是禁忌的.

结论:

  • 对老年男性的TRT决策必须是个性化的,权衡感知到的好处与风险.
  • 对水平,血红素,PSA和临床反应的监测至关重要.
  • 对于肥胖/超重男性来说,改变生活方式对于增强内源性丸激素至关重要.