Omisanjo Olufunmilade Akinfolarin, Ikuerowo Stephen Odunayo, Abdulsalam Moruf Adekunle, Ajenifuja Sheriff Olabode, Shittu Khadijah Adebisi
Department of Surgery, Lagos State University College of Medicine and Teaching Hospital (LASUCOM/LASUTH), Ikeja, Lagos, Nigeria.
Department of Surgery, Lagos State University Teaching Hospital (LASUTH), Ikeja, Lagos, Nigeria.
Int J Reprod Med. 2017;2017:4607623. doi: 10.1155/2017/4607623. Epub 2017 Aug 29.
Though exogenous testosterone is known for its contraceptive effects in men, it is sometimes prescribed by medical practitioners for the treatment of male factor infertility in the mistaken belief that exogenous testosterone improves sperm count. The aim of this study was to evaluate the scope of testosterone use in the treatment of male factor infertility by medical practitioners in Lagos, Nigeria.
A survey using a structured questionnaire was carried out amongst doctors attending a regular Continuing Medical Education (CME) programme in Lagos, Nigeria.
There were 225 respondents. Most of the respondents (69.8%, = 157) indicated that exogenous testosterone increases sperm count. Only 22 respondents (9.8%) indicated (correctly) that exogenous testosterone decreases sperm count. Seventy-seven respondents (34.2%) had prescribed some form of exogenous testosterone in the treatment of male factor infertility. The vast majority of respondents who had prescribed testosterone (81.8%, = 63) thought exogenous testosterone increases sperm count. There was no statistically significant difference in the pattern of prescription across the respondents' specialty ( = 0.859) or practice type ( = 0.747).
The misuse of exogenous testosterone for the treatment of male infertility was common amongst the respondents, with most of them wrongly believing that exogenous testosterone increases sperm count.
尽管外源性睾酮因其对男性的避孕作用而为人所知,但有时医生会错误地认为外源性睾酮能提高精子数量而将其用于治疗男性因素不孕症。本研究的目的是评估尼日利亚拉各斯的医生使用睾酮治疗男性因素不孕症的情况。
对参加尼日利亚拉各斯定期继续医学教育(CME)项目的医生进行了一项使用结构化问卷的调查。
有225名受访者。大多数受访者(69.8%,n = 157)表示外源性睾酮会增加精子数量。只有22名受访者(9.8%)(正确地)表示外源性睾酮会降低精子数量。77名受访者(34.2%)曾开具某种形式的外源性睾酮用于治疗男性因素不孕症。绝大多数开具睾酮的受访者(81.8%,n = 63)认为外源性睾酮会增加精子数量。受访者的专业(p = 0.859)或执业类型(p = 0.747)在处方模式上没有统计学显著差异。
在受访者中,滥用外源性睾酮治疗男性不孕症的情况很常见,大多数人错误地认为外源性睾酮会增加精子数量。