King's College, London, England.
Rheumatology Department, North Middlesex University Hospital, London, England.
Clin Rheumatol. 2021 Aug;40(8):3067-3077. doi: 10.1007/s10067-020-05551-0. Epub 2021 Jan 15.
The birth of reproductive rheumatology as a subject of interest in rheumatology has led to improvement of clinical care for patients living with autoimmune rheumatic diseases and paved the way towards setting a specialized pregnancy service within the standard rheumatology practice. In contrast to women, where there has been wealth of literature regarding pregnancy, lactation, and birth outcomes, there is not as much focusing on male sexual health and outcomes among inflammatory arthritis patients. Challenges such as decrease ability to conceive, impaired fertility, erectile dysfunction, and other sexual problems have been raised by male patients living with autoimmune rheumatic diseases. This broad scope gives the reproductive health concept in men another expansion with views to include sexual health problems screening among men attending the standard outpatient rheumatology clinics. This article adds to the paucity of real-life experience and aims at discussing the sexual health from the men perspective and provides a practical approach towards screening, and assessment of men living with autoimmune diseases in standard day to day practice.
生殖风湿病学的诞生作为风湿病学的一个研究课题，已经导致改善了患有自身免疫性风湿病患者的临床护理，并为在标准风湿病学实践中建立专门的妊娠服务铺平了道路。与有大量关于妊娠、哺乳和生育结局文献的女性相比，在炎症性关节炎患者中，男性的性健康和结局并没有那么受到关注。患有自身免疫性风湿病的男性患者提出了诸如受孕能力下降、生育能力受损、勃起功能障碍和其他性问题等挑战。这一广泛的范围使男性生殖健康概念有了另一个扩展，即包括在标准门诊风湿病诊所就诊的男性进行性健康问题筛查。本文增加了对实际经验的缺乏，并旨在从男性的角度讨论性健康问题，并为在标准日常实践中筛查和评估患有自身免疫性疾病的男性提供一种实用方法。
