A Comparative Study of the Effects of Valproate and Oxcarbazepine on Sexual Function, Sperm Quality, and Sex Hormones in Males with Epilepsy

被引：11
作者：
Guo, Yi [1 ,2 ]
Chen, Lang [1 ,2 ,3 ,4 ]
Wu, Dongmei [1 ,2 ,3 ]
Yu, Liang [1 ,2 ]
Sun, Hongbin [1 ,2 ,3 ]
Zhu, Qiong [1 ,2 ]
机构：
[1] Univ Elect Sci & Technol China, Sichuan Prov Peoples Hosp, Dept Neurol, Chengdu, Peoples R China
[2] Chinese Acad Sci, Sichuan Translat Med Res Hosp, Chengdu, Peoples R China
[3] Southwest Med Univ, Luzhou, Peoples R China
[4] Dazhou Cent Hosp, Dazhou, Peoples R China
来源：
BIOMED RESEARCH INTERNATIONAL | 2021年 / 2021卷
关键词：
ANTIEPILEPTIC DRUGS; SEMEN PARAMETERS; SODIUM VALPROATE; CARBAMAZEPINE; ADULTS; MEN; LEVETIRACETAM; DYSFUNCTION; MANAGEMENT; FERTILITY;
D O I：
10.1155/2021/6624101
中图分类号：
Q81 [生物工程学（生物技术）]; Q93 [微生物学];
学科分类号：
071005 ; 0836 ; 090102 ; 100705 ;
摘要：
Aims. Although several studies have indicated that valproate (VPA) and oxcarbazepine (OXC) cause reproductive endocrine disorders and sexual dysfunction, there remains some controversy regarding these issues in males with epilepsy. This study is aimed at evaluating the effects of VPA and OXC on sexual function, sperm quality, and sex hormones in young males with epilepsy. Methods. Males with newly diagnosed epilepsy treated with VPA and OXC were recruited, and sexual function questionnaires (International Index of Erectile Function-5 (IIEF-5)), sperm quality, and sex hormone levels were assessed before treatment and at 6 months after treatment with VPA or OXC monotherapy. Results. Forty-four young males with epilepsy (23 treated with VPA, 21 treated with OXC) and 30 age-matched healthy individuals were recruited for our study. The sexual function, sperm quality, marriage rate, and fertility rate of these young males with epilepsy were lower than those of healthy controls. Sperm quality were significantly reduced in young male patients after 6 months of VPA administration. The level of follicle stimulating hormone (FSH) was increased in patients after OXC treatment. Meanwhile, sexual function and sperm quality were not affected. Conclusion. Sexual function and sperm quality were reduced in young males with epilepsy. VPA may exert a negative effect on sperm quality, whereas OXC has no harmful effect on sexual function and sperm quality in young males with epilepsy.
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页数：6
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