滥用类固醇类固醇,男性性功能障碍和不孕症:一个更新的审查
Rafael de Almeida Azevedo1, Bruno Gualano1, Thiago Afonso Teixeira2,3,4
1Applied Physiology and Nutrition Research Group, Center of Lifestyle Medicine, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, Brazil.
Frontiers in toxicology
|May 7, 2024
概括
类固醇类固醇 (AAS) 的滥用越来越多地影响非运动员,导致男性不孕症和性功能障碍. 本综述详细介绍了有关这些健康问题的患病率,机制和治疗方法.
科学领域:
- 内分泌学 在内分泌学.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 公共卫生 公共卫生
背景情况:
- 类固醇类固醇 (AAS) 的滥用在非运动员中正在增加.
- 包括男性不孕症和性功能障碍在内的不良健康影响是众所周知的,但人们对其了解甚少.
- 关于AAS引起的生殖问题的流行率,机制和治疗方法的数据有限.
研究的目的:
- 提供AAS对男性生育能力和性功能的影响的综合性审查.
- 总结有关流行率,机制和治疗选择的当前知识.
- 确定未来的研究方向.
主要方法:
- 叙述性综述综合了最近的评论和原始研究中的证据.
- 包括潜在的队列和临床试验.
- 讨论分为五个主要主题:AAS特征,流行率,机制,治疗方法和未来方向.
主要成果:
- AAS使用的特点是历史背景,生理机制和常见物质.
- 介绍了AAS诱导的男性不孕症和性功能障碍的流行数据.
- 讨论了使用动物模型和人类数据对潜在机制的新见解.
- 在使用AAS期间和之后,概述了潜在的治疗方法,以及恢复概率.
- 未来的研究需要强调方法论的严谨性.
结论:
- 滥用AAS对男性生殖健康构成重大风险.
- 了解AAS诱导的不孕症和性功能障碍需要进一步研究机制和有效的治疗方法.
- 强有力的科学研究对于解决这一公共卫生问题至关重要.
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