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前列腺癌幸存者的性腺功能减退及其治疗。

Hypogonadism and its treatment among prostate cancer survivors.

机构信息

Department of Urology, University of California, Irvine Health, Orange, CA, USA.

出版信息

Int J Impot Res. 2021 May;33(4):480-487. doi: 10.1038/s41443-020-00387-3. Epub 2020 Dec 12.

Abstract

Adult-onset hypogonadism (AOH) is associated with sexual dysfunction, poor bone mineralization, decreased muscle mass, metabolic syndrome disorder, and cognitive suppression. Historically, testosterone has been contraindicated in men with a history of prostate cancer. However, there has been a modern resurgence in re-evaluating this belief. Not only can testosterone be safely utilized to alleviate AOH symptoms in prostate cancer survivors, it has been also touted as a treatment option for aggressive prostatic cancer. While much work remains in understanding the relationship between testosterone and prostate cancer, those who survive this disease should not be automatically turned away from an opportunity to be treated and restored.

摘要

成人迟发性性腺功能减退症(AOH)与性功能障碍、骨矿化不良、肌肉量减少、代谢综合征紊乱和认知抑制有关。从历史上看,患有前列腺癌的男性被禁忌使用睾酮。然而,人们对这一观点进行了重新评估。不仅可以安全地使用睾酮来缓解前列腺癌幸存者的 AOH 症状,而且它也被吹捧为治疗侵袭性前列腺癌的一种选择。尽管在理解睾酮与前列腺癌之间的关系方面仍有许多工作要做,但那些幸存下来的患者不应该被自动排除在治疗和康复的机会之外。

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