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Sexual dysfunction and male infertility
Nature Reviews Urology ( IF 15.3 ) Pub Date : 2018-03-13 , DOI: 10.1038/nrurol.2018.20
Francesco Lotti , Mario Maggi

Infertility affects up to 12% of all men, and sexual dysfunction occurs frequently in men of reproductive age, causing infertility in some instances. In infertile men, hypoactive sexual desire and lack of sexual satisfaction are the most prevalent types of sexual dysfunction, ranging from 8.9% to 68.7%. Erectile dysfunction and/or premature ejaculation, evaluated with validated tools, have a prevalence of one in six infertile men, and orgasmic dysfunction has a prevalence of one in ten infertile men. In addition, infertile men can experience a heavy psychological burden. Infertility and its associated psychological concerns can underlie sexual dysfunction. Furthermore, general health perturbations can lead to male infertility and/or sexual dysfunction. Erectile dysfunction and male infertility are considered proxies for general health, the former underlying cardiovascular disorders and the latter cancerous and noncancerous conditions. The concept that erectile dysfunction in infertile men might be an early marker of poor general health is emerging. Finally, medications used for general health problems can cause sperm abnormalities and sexual dysfunction. The treatment of some causes of male infertility might improve semen quality and reverse infertility-related sexual dysfunction. In infertile men, an investigation of sexual, general, and psychological health status is advisable to improve reproductive problems and general health.



中文翻译:

性功能障碍和男性不育

不育症影响多达12%的男性,性功能障碍在育龄男性中经常发生,在某些情况下会导致不育。在不育男性中,性欲低下和缺乏性满足是性功能障碍最普遍的类型,其范围从8.9%到68.7%。使用经过验证的工具评估的勃起功能障碍和/或早泄的患病率为六分之一的不育男性,而性高潮障碍的患病率为十分之一的不育男性。此外,不育男人会承受沉重的心理负担。不育及其相关的心理问题可能是性功能障碍的根源。此外,一般的健康问题可能导致男性不育和/或性功能障碍。勃起功能障碍和男性不育被认为是一般健康的代表,前者是潜在的心血管疾病,后者是癌症和非癌性疾病。不育男性勃起功能障碍可能是总体健康状况较差的早期标志的观念正在兴起。最后,用于一般健康问题的药物可能会导致精子异常和性功能障碍。某些原因引起的男性不育症的治疗可能会改善精液质量并逆转与不育症有关的性功能障碍。对于不育男性,建议进行性,一般和心理健康状况调查,以改善生殖问题和一般健康状况。用于一般健康问题的药物可能会导致精子异常和性功能障碍。某些原因引起的男性不育症的治疗可能会改善精液质量并逆转与不育症有关的性功能障碍。对于不育男性,建议进行性,一般和心理健康状况调查,以改善生殖问题和一般健康状况。用于一般健康问题的药物可能会导致精子异常和性功能障碍。某些原因引起的男性不育症的治疗可能会改善精液质量并逆转与不育症有关的性功能障碍。对于不育男性,建议进行性,一般和心理健康状况调查,以改善生殖问题和一般健康状况。

更新日期:2018-03-13
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