Obstructive Sleep Apnea and Testosterone Deficiency

被引：35

作者：

Kim, Sung-Dong ^{[1
,2
]}

Cho, Kyu-Sup ^{[1
,2
]}

机构：

[1] Pusan Natl Univ, Sch Med, Pusan Natl Univ Hosp, Dept Otorhinolaryngol, 179 Gudeok Ro, Busan 49241, South Korea

[2] Pusan Natl Univ, Sch Med, Pusan Natl Univ Hosp, Biomed Res Inst, 179 Gudeok Ro, Busan 49241, South Korea

来源：

WORLD JOURNAL OF MENS HEALTH | 2019年 / 37卷 / 01期

关键词：

Continuous positive airway pressure; Erectile dysfunction; Sexual dysfunction; physiological; Sleep apnea; obstructive; Testosterone; POSITIVE AIRWAY PRESSURE; ERECTILE DYSFUNCTION; LUTEINIZING-HORMONE; SERUM TESTOSTERONE; FAT DISTRIBUTION; OBESE MEN; OLDER MEN; ASSOCIATION; REPLACEMENT; SECRETION;

D O I：

10.5534/wjmh.180017

中图分类号：

R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

摘要：

Obstructive sleep apnea (OSA) is a common disorder characterized by intermittent hypoxia and sleep fragmentation. OSA in middle-aged men is often associated with decreased testosterone secretion, together with obesity and aging. Although OSA treatment does not reliably increase testosterone levels in most studies, OSA treatment with testosterone replacement therapy (TRT) may not only improve hypogonadism, but can also alleviate erectile/sexual dysfunction. However, because TRT may exacerbate OSA in some patients, patients should be asked about OSA symptoms before and after starting TRT. Furthermore, TRT should probably be avoided in patients with severe untreated OSA.

引用

页码：12 / 18

页数：7