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替代疗法和生殖年龄男性的精子生成
Bryan D Naelitz1, Leila Momtazi-Mar2,3, Sanjay Vallabhaneni4
1Department of Urology, Glickman Urological Institute, Cleveland Clinic, Cleveland, OH, USA. naelitb2@ccf.org.
Nature reviews. Urology
|May 9, 2025
概括
替代疗法 (TRT) 通过抑制自然激素水平,损害精子生产. 虽然在停止TRT后,精子生产可能会恢复,但这个过程是可变的,可以使男性的计划生育复杂化.
科学领域:
- 内分泌学 在内分泌学.
- 生殖医学 生殖医学
- 男人的健康 男人健康
背景情况:
- 对男性生殖功能至关重要,如精子生产和性欲.
- 缺乏症很常见,并使用替代疗法 (TRT) 治疗.
- TRT抑制了天然激素的产生,对精子的产生产生了负面影响.
研究的目的:
- 审查TRT对精子生成的影响.
- 讨论在接受TRT的男性中保存或恢复精子生产的方法.
- 评估TRT配方对生育能力的影响.
主要方法:
- 对替代疗法和男性生育能力研究的文献综述.
- 对外源性雄激素对下丘脑-垂体-腺轴的影响的分析.
- 对医学疗法和新型TRT配方进行检查,以保护生育能力.
主要成果:
- 外源性丸激素显著抑制内源性丸激素的产生和精子生成.
- 在TRT停止后,精子生产的恢复是缓慢的和高度可变的.
- 某些医学疗法和新型TRT配方可能会部分保存精子生成.
结论:
- 对于由于精子生成受损而想要怀孕的男性来说,TRT是禁忌的.
- 现有策略可以在使用TRT的男性中保存或恢复生育能力.
- 新兴的TRT配方显示出不完全抑制生殖轴的潜力,可能有助于维持生育能力.
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