Malik Jahanzeb, Younus Faizan, Iftikhar Imran, Usman Muhammad
Department of Cardiology, Rawalpindi Institute of Cardiology, Rawalpindi, Pakistan.
J Community Hosp Intern Med Perspect. 2021 Jun 21;11(4):496-500. doi: 10.1080/20009666.2021.1922133.
The coronavirus disease 2019 (COVID-19) outbreak constitutes an unparalleled socioeconomic burden on the global scale. In critically ill COVID-19 patients, the disease manifests as a state of hyper inflammation causing the 'cytokine storm', which leads to various pulmonary, cardiovascular, and spurious manifestations. One such reported sequelae of COVID-19 is sexual dysfunction in males even after recovery from the disease. Various mechanisms have been proposed regarding the erectile dysfunction a patient suffers after COVID-19. Most important is the hypothesis of endothelial dysregulation, subclinical hypogonadism, psychosocial misery, and pulmonary impairment contributing to erectile dysfunction. Assessment of testicular function and hormonal axis is needed to assess the novel association of COVID-19 with sexual and reproductive health issues in males.
2019年冠状病毒病（COVID-19）疫情在全球范围内构成了前所未有的社会经济负担。在重症COVID-19患者中，该疾病表现为一种导致“细胞因子风暴”的过度炎症状态，进而引发各种肺部、心血管和其他表现。COVID-19报告的后遗症之一是男性即使在疾病康复后仍出现性功能障碍。关于COVID-19后患者出现勃起功能障碍提出了各种机制。最重要的假说是内皮功能失调、亚临床性腺功能减退、心理社会痛苦和肺部损伤导致勃起功能障碍。需要评估睾丸功能和激素轴，以评估COVID-19与男性性健康和生殖健康问题的新关联。
