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莱迪格细胞功能障碍在以前的非法雄激素使用者的特征
Yeliz Bulut1,2, Niels Brandt-Jacobsen1,3, Rasmus Madsen1,2
1Department of Nephrology and Endocrinology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
The Journal of clinical endocrinology and metabolism
|March 7, 2025
概括
以前的非法雄激素使用者在停止使用后的几年内显示Leydig细胞功能下降,影响勃起功能. 这项研究评估了前合成类固醇使用者的垂体丸轴恢复.
科学领域:
- 内分泌学 在内分泌学.
- 生殖健康 生殖健康
- 运动医学 运动医学
背景情况:
- 在非法使用雄激素后,对长期垂体丸轴恢复的理解有限.
- 之前的研究主要集中在最近的戒烟,长期影响尚不清楚.
研究的目的:
- 在停止非法雄激素药物的几年后,在男性中评估垂体-丸轴功能.
- 为了比较以前的用户和非用户之间的荷尔蒙功能和性健康.
主要方法:
- 在56名男性 (30名以前使用者,26名非使用者) 的截面研究.
- 以往的使用者按可检测或不可检测的药物代谢物分类.
- 使用了激素刺激测试 (GnRH,hCG) 和性功能问卷 (IIEF-15).
主要成果:
- 之前的用户与非用户相比,hCG刺激后丸激素分泌量明显降低.
- 没有观察到素化激素 (LH) 分泌的显著差异.
- 在hCG测试期间增加丸激素分泌与更好的勃起功能相关.
结论:
- 非法使用雄激素会损害莱迪格细胞的功能,停用后至少两年.
- 减少莱迪格细胞容量可能导致长期性功能障碍,特别是勃起问题.
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