雄激素和勃起功能障碍:从雄激素缺乏到治疗
1Department of Urology, The Affiliated Hospital of Southwest Medical University, Luzhou, 646000, China.
Sexual medicine reviews
|May 8, 2024
概括
雄激素缺乏通过影响阴茎组织和通路来损害勃起功能. 替代疗法和其他治疗方法可以改善受影响个体的勃起功能.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 安德罗学与人类学
- 生殖医学 生殖医学
背景情况:
- 雄激素对男性生殖系统的发育和功能至关重要,包括性欲和勃起功能.
- 将雄激素缺乏与勃起功能障碍 (ED) 联系在一起的确切机制仍未完全阐明.
研究的目的:
- 探讨与雄激素缺乏有关的ED背后的机制.
- 审查与低雄激素水平相关的ED的当前治疗策略.
主要方法:
- 使用PubMed和谷歌学者进行了全面的文献审查.
- 分析了过去10年内发表的研究,以评估雄激素缺乏对勃起功能及其管理的影响.
主要成果:
- 雄激素缺乏源于各种原因,包括下丘脑下垂体问题,丸疾病,内分泌疾病,药物和衰老.
- 它通过破坏氧化合成酶/氧化/循环瓜诺辛单酸盐路径,改变离子通道蛋白质表达,并诱导阴茎体洞穴细胞损伤和纤维化,从而导致ED.
- 替代疗法有效地恢复血清丸激素,改善勃起功能.
- 对于那些需要低雄激素状态的人来说,改变生活方式,PDE5抑制剂,冲击波疗法和干细胞疗法提供了治疗效益.
结论:
- 雄激素缺乏会对阴茎体洞穴的结构和功能产生负面影响,导致ED.
- 需要进一步的研究,以优化雄激素替代疗法对勃起功能,并提高勃起功能维护在低雄激素状态.
相关概念视频
Disorders of the Male Reproductive System
397
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
397
Treatment for Pulmonary Arterial Hypertension: Phosphodiesterase Inhibitors
146
Phosphodiesterase 5 (PDE5) inhibitors are potent enzymes that function to hydrolyze cyclic nucleotides to their corresponding 5' monophosphates. Their unique biochemical properties have been applied in treating Pulmonary Arterial Hypertension (PAH).
Among the PDE5 inhibitors, sildenafil (Revatio) stands out as a competitive and selective inhibitor. It operates by elevating cellular levels of cGMP and augmenting signaling through the cGMP-PKG pathway, promoting vasodilation. Upon oral...
Among the PDE5 inhibitors, sildenafil (Revatio) stands out as a competitive and selective inhibitor. It operates by elevating cellular levels of cGMP and augmenting signaling through the cGMP-PKG pathway, promoting vasodilation. Upon oral...
146
Infertility in Males
260
Male infertility affects millions of couples worldwide, arising from various factors that impact different stages of the reproductive process. An endocrine imbalance resulting from conditions like hypogonadism, Klinefelter syndrome, or pituitary disorders can disrupt hormone levels and reduce sperm production. Testicular defects, such as tumors, cryptorchidism, atrophic testes, abnormal sperm morphology, and low sperm count or motility, may arise due to genetic factors, structural...
260
Male Sexual Response: Erection & Ejaculation
2.1K
Sexual stimulation can take various forms, such as physical touch and visual or auditory cues. When this happens, the parasympathetic reflex in the sacral portion of the spinal cord is activated. This reflex stimulates the release of nitric oxide (NO), which then dilates the arterioles in the penis, increasing blood flow to the erectile tissues - the corpora cavernosa and corpus spongiosum.
The blood filling the erectile tissues compresses the veins, which helps to prevent blood from leaving...
The blood filling the erectile tissues compresses the veins, which helps to prevent blood from leaving...
2.1K
Adrenal Gland Disorders
1.5K
Adrenal gland disorders manifest when the production of adrenal hormones deviates from the norm, resulting in either excessive or insufficient concentrations.
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
1.5K
Alzheimer's Disease: Treatment
181
Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...
181


