Sexual disturbance caused by endocrine dysfunction

Nineteen cases of sexual disturbance caused by endocrine dysfunction were surveyed for the clinical features. In hypogonadotropic hypogonadism ejaculatory failure was observed in 12 out of 13 cases. On the contrary, 2 of three hypergonadotropic patients preserved their ejaculation. The serum testost...

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Published inNippon Hinyokika Gakkai zasshi Vol. 82; no. 7; p. 1091
Main Authors Sumiya, H, Shiseki, Y, Kotake, T, Takahara, M, Shimazaki, J
Format Journal Article
LanguageEnglish
Japanese
Published Japan 1991
Subjects
Adult
Aged
Ejaculation
Humans
Hypogonadism - physiopathology
Libido
Male
Middle Aged
Penile Erection
Prolactin - blood
Testosterone - blood
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Summary:Nineteen cases of sexual disturbance caused by endocrine dysfunction were surveyed for the clinical features. In hypogonadotropic hypogonadism ejaculatory failure was observed in 12 out of 13 cases. On the contrary, 2 of three hypergonadotropic patients preserved their ejaculation. The serum testosterone levels of hypogonadotropic and hypergonadotropic hypogonadism were less than 200 ng/dl. When the testosterone level decreased to less than 100 ng/dl, nine patients out of 13 complained loss of libido and 12 patients complained loss of ejaculation, but six patients preserved erectile function. Hyperprolactinemic patients showed loss of libido in 4, erectile failure in 4 and loss of ejaculation in 2. When good response to hCG test was present or the testicular volume was more than 4 ml, patients with hypogonadotropic hypogonadism showed good response to hCG therapy.
ISSN:0021-5287
DOI:10.5980/jpnjurol1989.82.1091