Reproductive Aging in Men

被引：44
作者：
Basaria, Shehzad [1 ]
机构：
[1] Harvard Univ, Sch Med, Sect Mens Hlth Aging & Metab, Brigham & Womens Hosp, Boston, MA 02115 USA
来源：
ENDOCRINOLOGY AND METABOLISM CLINICS OF NORTH AMERICA | 2013年 / 42卷 / 02期
关键词：
Late-onset hypogonadism; Androgen deficiency; Andropause; Frailty; Sexual dysfunction; HORMONE-BINDING-GLOBULIN; LATE-ONSET HYPOGONADISM; LOW SERUM TESTOSTERONE; ENDOGENOUS SEX-HORMONES; COMMUNITY-DWELLING MEN; BONE-MINERAL DENSITY; MIDDLE-AGED MEN; OLDER MEN; ELDERLY-MEN; ANDROGEN DEFICIENCY;
D O I：
10.1016/j.ecl.2013.02.012
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Aging in men is associated with a decrease in serum testosterone levels due to attrition in testicular Leydig cells and slowing of the hypothalamic GnRH pulse generator. The practicing endocrinologist is frequently consulted for consideration of testosterone therapy in older men with late-onset hypogonadism (LOH), a condition that many clinicians fail to distinguish from organic hypogonadism. Recent data using syndromic definition show that only 2% of 40-80-year-old men have LOH. Co-morbidities and obesity strongly contribute to LOH, suggesting that testosterone is a biomarker of health. Hence, prevention and treatment of these co-morbidities might attenuate age-related decline in androgen levels.
引用
收藏
页码：255 / +
页数：17
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