[男性性功能障碍患者的性欲低下的因素]
Qiu-Chen LLü1, Rui Wang2, Zu-Long Wang1
1Department of Andrology, The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, Henan 450000, China.
Zhonghua nan ke xue = National journal of andrology
|August 8, 2025
概括
男性的低性欲与胰岛素类生长因子1 (IGF-1) 水平的降低以及焦虑的增加有关,而不仅仅是性激素. 这一发现有助于诊断和治疗男性性功能障碍.
科学领域:
- 内分泌学 在内分泌学.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 精神病学是一个精神病学.
背景情况:
- 低性欲是男性性功能障碍的一个常见问题.
- 识别促成因素对于有效的临床管理至关重要.
研究的目的:
- 调查性功能障碍男性低性欲的多因素原因.
- 为改善诊断和治疗策略提供证据.
主要方法:
- 对111名患有性功能障碍的男性患者的回顾性分析.
- 在正常和低性欲组之间比较性欲,勃起功能 (IIEF-5),射精 (PEDT) 和心理 (SRLS-M,PHQ-9,GAD-7) 评分.
- 对性激素水平 (FSH,LH,PRL,T,ft,E2,GH) 和IGF-1的评估.
主要成果:
- 与正常人相比,低性欲组的IGF-1水平显著降低,GAD-7得分更高.
- 性欲与勃起功能 (IIEF-5),射精功能 (PEDT) 和IGF-1正相关.
- 性欲与焦虑负相关 (GAD-7).
- 两组之间在大多数性激素水平上没有发现显著差异.
结论:
- 男性的低性欲是多因素的,受IGF-1降低和焦虑增加的影响.
- 仅仅性激素水平并不能完全解释低性欲.
- 这些发现支持将IGF-1评估和焦虑评估纳入男性性功能障碍的临床实践.
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