Hormonal and Psychogenic Risk Factors for Erectile Dysfunction in Men with HTLV-1
Erectile dysfunction (ED) is associated with neurological damage due to human T-lymphotropic virus 1 (HTLV-1) infection, but hormonal and psychogenic factors also cause ED. To evaluate the association of psychogenic and hormonal factors with ED in men infected with HTLV-1. In this cross-sectional st...
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| Veröffentlicht in: | Journal of sexual medicine 2019-11, Vol.16 (11), p.1763-1768 |
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| creator | de Oliveira, Cassius José Vitor Carneiro Neto, José Abraão Andrade, Rosana C.P. de La Glória Orge, Maria Liberato de Matos, Sheila Nunes F. Rocha, Paulo Novis Marcelino de Carvalho Filho, Edgar |
| description | Erectile dysfunction (ED) is associated with neurological damage due to human T-lymphotropic virus 1 (HTLV-1) infection, but hormonal and psychogenic factors also cause ED.
To evaluate the association of psychogenic and hormonal factors with ED in men infected with HTLV-1.
In this cross-sectional study, we compared total testosterone, follicle stimulating hormone, luteinizing hormone, prolactin, anxiety symptoms, depressive symptoms, and neurologic manifestations in HTLV-1-infected men with or without ED. The International Index of Erectile Function was used to determine the degree of ED. Participants were grouped according to Osame’s Motor Disability Scale and the Expanded Disability Status Scale: HTLV-1-associated myelopathy or tropical spastic paraparesis (HAM/TSP), probable HAM/TSP, or HTLV-1 carrier. Chi-square and Fisher’s exact tests were used to compare the groups, and regression analyses were used to show predictors of ED.
Sexual hormonal levels, psychogenic factors, and neurologic disabilities were found to be associated with ED.
ED was associated with age older than 60 years (P < .001), degree of neurologic involvement (P |
| doi_str_mv | 10.1016/j.jsxm.2019.07.028 |
| format | Article |
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To evaluate the association of psychogenic and hormonal factors with ED in men infected with HTLV-1.
In this cross-sectional study, we compared total testosterone, follicle stimulating hormone, luteinizing hormone, prolactin, anxiety symptoms, depressive symptoms, and neurologic manifestations in HTLV-1-infected men with or without ED. The International Index of Erectile Function was used to determine the degree of ED. Participants were grouped according to Osame’s Motor Disability Scale and the Expanded Disability Status Scale: HTLV-1-associated myelopathy or tropical spastic paraparesis (HAM/TSP), probable HAM/TSP, or HTLV-1 carrier. Chi-square and Fisher’s exact tests were used to compare the groups, and regression analyses were used to show predictors of ED.
Sexual hormonal levels, psychogenic factors, and neurologic disabilities were found to be associated with ED.
ED was associated with age older than 60 years (P < .001), degree of neurologic involvement (P < .001), depression (P = .009), and anxiety (P = .008). In the multivariate analyses, only age and degree of neurological injury remained as risk factors for ED.
Neurological manifestations are a stronger predictor of ED than hormonal and psychogenic factors in HTLV-1-infected men.
The statistical power of the study was limited due to the low number of participants, but neurologic manifestations were clearly associated with ED. There was no strong association between hormonal and psychogenic factors and ED.
Hormonal and psychogenic factors did not show a strong association with ED in individuals with HTLV-1, but neurological manifestations were strongly associated with ED in these individuals.
de Oliveira CJV, Neto, JAC, Andrade RCP, et al. Hormonal and Psychogenic Risk Factors for Erectile Dysfunction in Men with HTLV–1. J Sex Med 2019; 16:1763–1768.</description><identifier>ISSN: 1743-6095</identifier><identifier>EISSN: 1743-6109</identifier><identifier>DOI: 10.1016/j.jsxm.2019.07.028</identifier><identifier>PMID: 31521570</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Anxiety ; Depression ; Erectile Dysfunction ; Human T-Lymphotropic Virus 1 ; Neurologic Disease ; Testosterone</subject><ispartof>Journal of sexual medicine, 2019-11, Vol.16 (11), p.1763-1768</ispartof><rights>2019 International Society for Sexual Medicine</rights><rights>Copyright © 2019 International Society for Sexual Medicine. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-b6db0a5cf157a7290aa6aa4ea35450e72531133839983f0082a2ac8f6c8db6b43</citedby><cites>FETCH-LOGICAL-c356t-b6db0a5cf157a7290aa6aa4ea35450e72531133839983f0082a2ac8f6c8db6b43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31521570$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>de Oliveira, Cassius José Vitor</creatorcontrib><creatorcontrib>Carneiro Neto, José Abraão</creatorcontrib><creatorcontrib>Andrade, Rosana C.P.</creatorcontrib><creatorcontrib>de La Glória Orge, Maria</creatorcontrib><creatorcontrib>Liberato de Matos, Sheila Nunes F.</creatorcontrib><creatorcontrib>Rocha, Paulo Novis</creatorcontrib><creatorcontrib>Marcelino de Carvalho Filho, Edgar</creatorcontrib><title>Hormonal and Psychogenic Risk Factors for Erectile Dysfunction in Men with HTLV-1</title><title>Journal of sexual medicine</title><addtitle>J Sex Med</addtitle><description>Erectile dysfunction (ED) is associated with neurological damage due to human T-lymphotropic virus 1 (HTLV-1) infection, but hormonal and psychogenic factors also cause ED.
To evaluate the association of psychogenic and hormonal factors with ED in men infected with HTLV-1.
In this cross-sectional study, we compared total testosterone, follicle stimulating hormone, luteinizing hormone, prolactin, anxiety symptoms, depressive symptoms, and neurologic manifestations in HTLV-1-infected men with or without ED. The International Index of Erectile Function was used to determine the degree of ED. Participants were grouped according to Osame’s Motor Disability Scale and the Expanded Disability Status Scale: HTLV-1-associated myelopathy or tropical spastic paraparesis (HAM/TSP), probable HAM/TSP, or HTLV-1 carrier. Chi-square and Fisher’s exact tests were used to compare the groups, and regression analyses were used to show predictors of ED.
Sexual hormonal levels, psychogenic factors, and neurologic disabilities were found to be associated with ED.
ED was associated with age older than 60 years (P < .001), degree of neurologic involvement (P < .001), depression (P = .009), and anxiety (P = .008). In the multivariate analyses, only age and degree of neurological injury remained as risk factors for ED.
Neurological manifestations are a stronger predictor of ED than hormonal and psychogenic factors in HTLV-1-infected men.
The statistical power of the study was limited due to the low number of participants, but neurologic manifestations were clearly associated with ED. There was no strong association between hormonal and psychogenic factors and ED.
Hormonal and psychogenic factors did not show a strong association with ED in individuals with HTLV-1, but neurological manifestations were strongly associated with ED in these individuals.
de Oliveira CJV, Neto, JAC, Andrade RCP, et al. Hormonal and Psychogenic Risk Factors for Erectile Dysfunction in Men with HTLV–1. J Sex Med 2019; 16:1763–1768.</description><subject>Anxiety</subject><subject>Depression</subject><subject>Erectile Dysfunction</subject><subject>Human T-Lymphotropic Virus 1</subject><subject>Neurologic Disease</subject><subject>Testosterone</subject><issn>1743-6095</issn><issn>1743-6109</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp9kEtPwzAQhC0EgvL4AxyQj1wS1nbjJBIXVFqKVMRDhavlOA64JHaxU6D_nkSlHNnLzmFmtPshdEogJkD4xSJehO8mpkDyGNIYaLaDBiQdsogTyHe3GvLkAB2GsABg3dB9dMBIQkmSwgA9Tp1vnJU1lrbED2Gt3tyrtkbhJxPe8USq1vmAK-fx2GvVmlrj63WoVrbTzmJj8Z22-Mu0b3g6n71E5BjtVbIO-uR3H6HnyXg-mkaz-5vb0dUsUizhbVTwsgCZqKq7Q6Y0Bym5lEMtWTJMQKc0YYQwlrE8z1gFkFFJpcoqrrKy4MWQHaHzTe_Su4-VDq1oTFC6rqXVbhUE7TrzlDPeW-nGqrwLwetKLL1ppF8LAqJHKRaiRyl6lAJS0aHsQme__aui0eVfZMuuM1xuDLr78tNoL4Iy2ipdmp6UKJ35r_8HnRGD2Q</recordid><startdate>201911</startdate><enddate>201911</enddate><creator>de Oliveira, Cassius José Vitor</creator><creator>Carneiro Neto, José Abraão</creator><creator>Andrade, Rosana C.P.</creator><creator>de La Glória Orge, Maria</creator><creator>Liberato de Matos, Sheila Nunes F.</creator><creator>Rocha, Paulo Novis</creator><creator>Marcelino de Carvalho Filho, Edgar</creator><general>Elsevier Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201911</creationdate><title>Hormonal and Psychogenic Risk Factors for Erectile Dysfunction in Men with HTLV-1</title><author>de Oliveira, Cassius José Vitor ; Carneiro Neto, José Abraão ; Andrade, Rosana C.P. ; de La Glória Orge, Maria ; Liberato de Matos, Sheila Nunes F. ; Rocha, Paulo Novis ; Marcelino de Carvalho Filho, Edgar</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-b6db0a5cf157a7290aa6aa4ea35450e72531133839983f0082a2ac8f6c8db6b43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Anxiety</topic><topic>Depression</topic><topic>Erectile Dysfunction</topic><topic>Human T-Lymphotropic Virus 1</topic><topic>Neurologic Disease</topic><topic>Testosterone</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>de Oliveira, Cassius José Vitor</creatorcontrib><creatorcontrib>Carneiro Neto, José Abraão</creatorcontrib><creatorcontrib>Andrade, Rosana C.P.</creatorcontrib><creatorcontrib>de La Glória Orge, Maria</creatorcontrib><creatorcontrib>Liberato de Matos, Sheila Nunes F.</creatorcontrib><creatorcontrib>Rocha, Paulo Novis</creatorcontrib><creatorcontrib>Marcelino de Carvalho Filho, Edgar</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of sexual medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>de Oliveira, Cassius José Vitor</au><au>Carneiro Neto, José Abraão</au><au>Andrade, Rosana C.P.</au><au>de La Glória Orge, Maria</au><au>Liberato de Matos, Sheila Nunes F.</au><au>Rocha, Paulo Novis</au><au>Marcelino de Carvalho Filho, Edgar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hormonal and Psychogenic Risk Factors for Erectile Dysfunction in Men with HTLV-1</atitle><jtitle>Journal of sexual medicine</jtitle><addtitle>J Sex Med</addtitle><date>2019-11</date><risdate>2019</risdate><volume>16</volume><issue>11</issue><spage>1763</spage><epage>1768</epage><pages>1763-1768</pages><issn>1743-6095</issn><eissn>1743-6109</eissn><abstract>Erectile dysfunction (ED) is associated with neurological damage due to human T-lymphotropic virus 1 (HTLV-1) infection, but hormonal and psychogenic factors also cause ED.
To evaluate the association of psychogenic and hormonal factors with ED in men infected with HTLV-1.
In this cross-sectional study, we compared total testosterone, follicle stimulating hormone, luteinizing hormone, prolactin, anxiety symptoms, depressive symptoms, and neurologic manifestations in HTLV-1-infected men with or without ED. The International Index of Erectile Function was used to determine the degree of ED. Participants were grouped according to Osame’s Motor Disability Scale and the Expanded Disability Status Scale: HTLV-1-associated myelopathy or tropical spastic paraparesis (HAM/TSP), probable HAM/TSP, or HTLV-1 carrier. Chi-square and Fisher’s exact tests were used to compare the groups, and regression analyses were used to show predictors of ED.
Sexual hormonal levels, psychogenic factors, and neurologic disabilities were found to be associated with ED.
ED was associated with age older than 60 years (P < .001), degree of neurologic involvement (P < .001), depression (P = .009), and anxiety (P = .008). In the multivariate analyses, only age and degree of neurological injury remained as risk factors for ED.
Neurological manifestations are a stronger predictor of ED than hormonal and psychogenic factors in HTLV-1-infected men.
The statistical power of the study was limited due to the low number of participants, but neurologic manifestations were clearly associated with ED. There was no strong association between hormonal and psychogenic factors and ED.
Hormonal and psychogenic factors did not show a strong association with ED in individuals with HTLV-1, but neurological manifestations were strongly associated with ED in these individuals.
de Oliveira CJV, Neto, JAC, Andrade RCP, et al. Hormonal and Psychogenic Risk Factors for Erectile Dysfunction in Men with HTLV–1. J Sex Med 2019; 16:1763–1768.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>31521570</pmid><doi>10.1016/j.jsxm.2019.07.028</doi><tpages>6</tpages></addata></record> |
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| source | Oxford University Press Journals All Titles (1996-Current) |
| subjects | Anxiety Depression Erectile Dysfunction Human T-Lymphotropic Virus 1 Neurologic Disease Testosterone |
| title | Hormonal and Psychogenic Risk Factors for Erectile Dysfunction in Men with HTLV-1 |
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