Erectile dysfunction and andropause symptoms in infertile men
Erectile dysfunction and andropause symptoms in infertile men
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DOI：
10.1097/01.ju.0000177453.14334.a2
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发表时间：
2005-11-01
影响因子：
6.6
通讯作者：
Zini, A
中科院分区：
文献类型：
--
作者：
O'Brien, JH;Lazarou, S;Zini, A
目的：我们评估了不育人群中男性更年期症状和勃起功能障碍的患病率。 材料和方法：总共 302 名连续接受不孕症评估的男性和 60 名连续 60 名已证实具有生育能力并寻求输精管结扎术的男性（对照）接受了老年男性雄激素缺乏症和男性性健康调查问卷 (SHIM) 调查问卷。通过审查患者病历收集有关其他临床参数（包括精液参数）的信息。结果：在接受筛查的 302 名不育男性中，38% 的人报告有明显的男性更年期症状，28% 的 SHIM 评分异常。在患有非梗阻性无精症的不育男性亚组中，25% 的人报告有男性更年期症状，27% 的人有异常的 SHIM 评分。在生育组中，21% 的人报告了男性更年期症状，只有 11% 的人有异常的 SHIM 评分。不育男性中勃起功能障碍的患病率显着高于生育对照者 (p=0.007)。结论：男性更年期症状和勃起功能障碍在不育男性中很常见，影响了该人群的约 38%。这一发现表明，应仔细筛查不育男性群体，以识别和治疗患有勃起功能障碍的男性。
Purpose: We evaluated the prevalence of andropause symptoms and erectile dysfunction in our infertile population.Materials and Methods: A total of 302 consecutive men presenting for infertility evaluation and 60 consecutive men with proven fertility seeking vasectomy (controls) were administered the Androgen Deficiency in the Aging Male and Sexual Health Inventory for Men (SHIM) questionnaires. Information regarding other clinical parameters, including seminal parameters, was collected by review of patient charts.Results: Of the 302 infertile men screened, 38% reported significant andropause symptoms and 28% had abnormal SHIM scores. Of the subgroup of infertile men with nonobstructive azoospermia, 25% reported andropause symptoms and 27% had an abnormal SHIM score. In the fertile group 21% reported andropause symptoms and only 11% had an abnormal SHIM score. The prevalence of erectile dysfunction in infertile men was significantly higher than in the fertile controls (p=0.007).Conclusions: Andropause symptoms and erectile dysfunction are common among infertile men, affecting approximately 38% of this population. This finding suggests that the population of infertile men should be carefully screened to identify and treat those with erectile dysfunction.