The influence of antipsychotic drugs on fertility hormones in male patients – Khartoum state

Abdalla Eltoum Ali, Lana Mohamed Babikir Aladani, Salih A Elmahd
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Abstract

Background: Psychiatric disorders are severe, depilating conditions with unknown a etiology and are commonly misdiagnosed when based solely on clinical interview. Antipsychotic drugs provide effective treatment of psychotic symptoms but might lead to neuroendocrine abnormalities. The study aim to assess fertility hormones Luteinizing and Testosterone among psychotic male patients at Khartoum State. Materials and Methods: A cross-sectional study was conducted during the period from July to August 2021, with fifty known diagnostic psychiatric patients as cases and fifty healthy people as case controls. The levels of serum testosterone and luteinizing hormones were measured by enzyme linked immune sorbent assay (ELISA). Results: The mean level of serum luteinizing hormone in psychiatric patients showed a significant decrease (3.8 0.54; P.value = 0.000) and the level of serum testosterone showed a significant increase (8.3 ± 0.92; P.value = 0.000) in psychiatric patients when compared to healthy individuals. There was a significant decrease in LH hormone in patients taking Olanzapine drugs compared to those taking Risperidone drugs (p value = 0.03). Conclusion: There were significant sexual dysfunctions in psychiatric patients due to antipsychotic drugs, which led to a decrease in luteinizing hormone and an increase in testosterone hormone.
抗精神病药物对男性患者生育激素的影响——喀土穆州
背景:精神疾病是一种严重的脱毛疾病,病因不明,仅根据临床采访时通常被误诊。抗精神病药物可有效治疗精神病症状,但可能导致神经内分泌异常。该研究旨在评估喀土穆州精神病男性患者的生育激素黄体生成素和睾酮。材料和方法:在2021年7月至8月期间进行横断面研究,以50名已知的诊断性精神病患者作为病例,50名健康人群作为病例对照。采用酶联免疫吸附试验(ELISA)测定血清睾酮和黄体生成素水平。结果:精神病患者血清黄体生成素平均水平显著降低(3.8 0.54;p值= 0.000),血清睾酮水平显著升高(8.3±0.92;p值= 0.000)。与服用利培酮的患者相比,服用奥氮平的患者LH激素水平明显降低(p值= 0.03)。结论:抗精神病药物使精神病人出现明显的性功能障碍,导致黄体生成素水平下降,睾酮水平升高。
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