在男性中丸激素缺乏症的药理管理当前的进展和未来的方向
Giovanni Corona1, Giulia Rastrelli2, Clotilde Sparano3
1Endocrinology Unit, AUSL Bologna, Maggiore Hospital, Bologna, Italy.
Expert review of clinical pharmacology
|June 10, 2024
概括
缺乏症 (TD) 在老年男性中很常见. 本综述涵盖了新的替代疗法 (TRT) 选择和生活方式的改变,以有效地管理TD.
科学领域:
- 内分泌学 在内分泌学.
- 男人的健康 男人的健康
- 药理学 药理学是指药理学的学科.
背景情况:
- 缺乏症 (TD) 影响大约2%的老年男性.
- 替代疗法 (TRT) 是不寻求生育的男性的主要治疗方法.
研究的目的:
- 审查最近丸激素替代疗法 (TRT) 的进展.
- 评估TD的批准和非标签药理选择.
- 分析各种TRT配方的疗效和局限性.
主要方法:
- 关于TRT进步的综合文献综述.
- 在可行的情况下,将元分析方法应用于数据解释.
- 讨论药理选择,包括抗雌激素和GLP-1类似物.
主要成果:
- 新的口服,透皮和亲肠TRT配方已经出现.
- 反雌激素提供非标签选择,但有长期副作用的担忧.
- 改变生活方式和GLP-1类似物对与肥胖相关的TD是可行的.
结论:
- 随着TRT选项的扩大,需要仔细考虑配方特定的优缺点.
- 生活方式干预至关重要,特别是对于超重/肥胖患者.
- 结合TRT和生活方式的改变,提供了一种全面的方法来管理TD.
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