O'Brien Jeanne H, Lazarou Steve, Deane Leslie, Jarvi Keith, Zini Armand
Department of Urology, University of Rochester Medical Center, Rochester, New York 14642-8656, USA.
J Urol. 2005 Nov;174(5):1932-4; discussion 1934. doi: 10.1097/01.ju.0000177453.14334.a2.
We evaluated the prevalence of andropause symptoms and erectile dysfunction in our infertile population.
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.
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).
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.
我们评估了男性不育人群中男性更年期症状和勃起功能障碍的患病率。
对连续302名前来进行不育评估的男性以及连续60名已证实有生育能力且寻求输精管切除术的男性（对照组）进行了老年男性雄激素缺乏症和男性性健康量表（SHIM）问卷调查。通过查阅患者病历收集包括精液参数在内的其他临床参数信息。
在筛查的302名不育男性中，38%报告有明显的男性更年期症状，28%的SHIM评分异常。在非梗阻性无精子症的不育男性亚组中，25%报告有男性更年期症状，27%的SHIM评分异常。在有生育能力的组中，21%报告有男性更年期症状，只有11%的SHIM评分异常。不育男性勃起功能障碍的患病率显著高于有生育能力的对照组（p = 0.007）。
男性更年期症状和勃起功能障碍在不育男性中很常见，约影响该人群的38%。这一发现表明，应对不育男性群体进行仔细筛查，以识别和治疗勃起功能障碍患者。
