对于有生育需求的男性勃起功能障碍治疗的态度和偏好:来自临床研究的见解
Xiaowei Yu1, Tian Tian1, Wei Han1
1Department of Reproductive Medicine, Department of Prenatal Diagnosis, The First Hospital of Jilin University, Changchun, Jilin, China.
Scientific reports
|September 28, 2024
概括
寻求勃起功能障碍 (ED) 治疗的生育挑战的男性因不孕症类型和精液质量而异. 对药物副作用的担忧会影响男性流产的治疗选择.
科学领域:
- 生殖医学 生殖医学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 男人的健康 男人健康
背景情况:
- 勃起功能障碍 (ED) 在面临生育问题的男性中很常见.
- 了解患者对ED治疗的态度在这个人口群体中至关重要,但研究不足.
研究的目的:
- 调查影响男性寻求ED治疗决定的因素.
- 在这个人群中探索对固酶5型抑制剂 (PDE-5Is) 的利用和关注.
主要方法:
- 在1256名有生殖需求的男性中进行了一项调查.
- 确定了303名ED男性,296人填写了后续调查问卷.
- 统计分析,包括赔率比率 (OR) 和95%置信区间 (CI),用于评估影响因素.
主要成果:
- 超过50%的ED男性寻求治疗,严重程度与寻求治疗正相关.
- 不孕男性 (OR 3.18) 和具有正常精液参数 (OR 3.02) 的男性更有可能寻求ED治疗.
- 接受辅助生殖治疗 (ART) 的男性倾向较小 (OR 0.32),对PDE-5Is对胎儿健康和精子质量影响的担忧显著.
结论:
- 生育能力要求,精液参数和ART状态显著影响ED治疗接受率.
- PDE-5阻断剂是常见的选择,但对副作用的担忧限制了它们的使用,特别是在怀孕流产的男性中.
- 对于患有生育问题的男性,需要针对ED治疗的安全性和有效性进行有针对性的咨询.
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