睾酮水平和睾酮替代疗法对男性健康的影响

Zuzanna Karbowska, Katarzyna Cierpiszewska, Klara Maruszczak, Ivanna Sukhachova, Dominika Szwankowska, Igor Piotrowski
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引用次数: 0

摘要

各种研究表明,睾丸激素水平严重影响男性健康的许多方面。低血清睾酮(和,类推,迟发性性腺功能减退)可能导致2型糖尿病,腹部肥胖,最重要的是,心血管风险增加(CV)。在其他结果中,研究人员指出代谢综合征和血脂异常,以及焦虑症和重度抑郁症的风险增加。也有报道称睾酮对生育能力、骨密度和红细胞增多症的发展有影响。所有这些影响都与低睾丸激素引起的炎症标志物水平升高有关,并导致过早死亡的风险增加。然而,过高的睾酮已被证明对男性的个性以及其他心理和社会特征有显著影响,无论是内源性睾酮水平升高,还是有使用合成代谢雄激素类固醇史的患者。过去十年对睾酮对机体影响的研究带来了相互矛盾的结果。因此,检查和了解其异常水平的影响,不仅可以保证性腺功能减退治疗的最佳质量,而且可以有效预防与睾酮使用相关的任何副作用或并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of testosterone levels and testosterone replacement ther-apy on men’s health
Various studies have shown that testosterone levels heavily impact many areas of a man’s health. Low serum testosterone (and, by analogy, late onset hypogonadism) may be responsible for such conditions as type 2 diabetes, obesity in abdominal area, and most of all, heightened cardiovascular risk (CV). Among other outcomes researchers have pointed out metabolic syndrome and dyslipidemia, as well as increased risk of anxiety disorders and major depressive disorder. There have also been reports of testosterone’s influence on fertility, bone mineral density and the development of polycythemia. All of these effects can be linked to the increased levels of inflammatory markers caused by low testosterone and lead to higher risk of premature death. Overly high testosterone, however, has been proven to have a notable influence on men’s personality, as well as other psychological and social traits, both in endogenously elevated testosterone level, and in patients with history of anabolic- androgenic steroid use. The last decade’s research of testosterone’s impact on the organism has brought contradictory results. Therefore, examination and understanding of the influence of its abnormal levels proves important to not only guarantee the best quality of hypogonadism treatment, but also to efficiently prevent any side effects or complications associated with testosterone use.
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