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タイトル: | 男性更年期外来受診者62例の臨床的検討 |
その他のタイトル: | Clinical Study of 62 Patients with Symptoms of Male Climacterium |
著者: | 堀, 靖英 西井, 正彦 舛井, 覚 吉尾, 裕子 長谷川, 嘉弘 神田, 英輝 山田, 泰司 有馬, 公伸 杉村, 芳樹 |
著者名の別形: | Hori, Yasuhide Nishii, Masahiko Masui, Satoru Yoshio, Yuko Hasegawa, Yoshihiro Kanda, Hideki Yamada, Yasushi Arima, Kiminobu Sugimura, Yoshiki |
キーワード: | Late-onsethypogonadism Androgen replacementt herapy Depression |
発行日: | Aug-2013 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 59 |
号: | 8 |
開始ページ: | 491 |
終了ページ: | 495 |
抄録: | We prospectively reviewed the records of 62 patients who had sought evaluation at our hospital with a chief complaint of male climacteric symptoms. Late-onset hypogonadism (LOH)-related symptoms were evaluated during the initial visit based on the Aging Males' Symptoms (AMS) score, International Index of Erectile Function (IIEF) -5 score, and Center for Epidemiologic Studies Depression Scale (CES-D). Laboratory and endocrinologic testing, including the free testosterone (FT) level, was performed with blood samples collected before 10 : 00 am. The AMS psychological and CES-D scores in patients with a FT >8.5 pg/ml were significantly higher than those in patients with a FT ≦8.5 pg/ml. The study included 32 patients who were diagnosed with LOH (FT ≦8.5 pg/ml) and treated with androgen replacement therapy (ART). The total, somatic, psychological, and sexual scores of the AMS were significantly decreased after the third intramuscular administration of testosterone enanthate; there were no serious complications. Because a significant proportion of depressed patients may be amongst the patients with aging male's symptoms, it is important to consider depression in the exclusion diagnosis during a clinical examination for LOH. |
著作権等: | 許諾条件により本文は2014-09-01に公開 |
URI: | http://hdl.handle.net/2433/178388 |
PubMed ID: | 23995524 |
出現コレクション: | Vol.59 No.8 |
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