Effects of androgen treatment in impotent men with normal and low levels of free testosterone

The relation between sexual function and serum free testosterone (fT) levels, which represent the active fraction of circulating testosterone, was evaluated. Two groups of impotent male subjects with mild hypogonadism were treated with oral testosterone undecanoate (TU); these men presented with tT/...

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Veröffentlicht in:Archives of sexual behavior 1990-06, Vol.19 (3), p.223-234
Hauptverfasser: CARANI, C, ZINI, D, BALDINI, A, DELLA CASA, L, GHIZZANI, A, MARRAMA, P
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container_end_page 234
container_issue 3
container_start_page 223
container_title Archives of sexual behavior
container_volume 19
creator CARANI, C
ZINI, D
BALDINI, A
DELLA CASA, L
GHIZZANI, A
MARRAMA, P
description The relation between sexual function and serum free testosterone (fT) levels, which represent the active fraction of circulating testosterone, was evaluated. Two groups of impotent male subjects with mild hypogonadism were treated with oral testosterone undecanoate (TU); these men presented with tT/luteinizing hormone (LH) ratio and tT levels at the lower limits of normal. The first group had serum fT below 6.6 ng/ml, considered the lower normal value, according to our laboratory method, whereas the second group had normal fT limits. Administration of TU improved sexual function only in impotent men with low fT levels, but not in subjects with normal fT levels, even though the tT levels and the tT/LH ratio of the two groups were not significantly different. The results of our study suggest the presence of a minimum serum fT threshold, lying near the lower normal range, which determines the male sexual function. Moreover, serum fT levels were a more sensitive index than tT for identifying impotent men who can be successfully treated with androgens.
doi_str_mv 10.1007/BF01541548
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Two groups of impotent male subjects with mild hypogonadism were treated with oral testosterone undecanoate (TU); these men presented with tT/luteinizing hormone (LH) ratio and tT levels at the lower limits of normal. The first group had serum fT below 6.6 ng/ml, considered the lower normal value, according to our laboratory method, whereas the second group had normal fT limits. Administration of TU improved sexual function only in impotent men with low fT levels, but not in subjects with normal fT levels, even though the tT levels and the tT/LH ratio of the two groups were not significantly different. The results of our study suggest the presence of a minimum serum fT threshold, lying near the lower normal range, which determines the male sexual function. Moreover, serum fT levels were a more sensitive index than tT for identifying impotent men who can be successfully treated with androgens.</abstract><cop>New York, NY</cop><pub>Kluwer Academic/Plenum</pub><pmid>2193636</pmid><doi>10.1007/BF01541548</doi><tpages>12</tpages></addata></record>
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subjects Adult
Adult. Elderly
Androgens
Biological and medical sciences
Clinical Trials as Topic
Developmental psychology
Double-Blind Method
Erectile Dysfunction - blood
Erectile Dysfunction - complications
Erectile Dysfunction - drug therapy
Fundamental and applied biological sciences. Psychology
Humans
Hypogonadism - blood
Hypogonadism - complications
Hypogonadism - drug therapy
Luteinizing Hormone - blood
Male
Men
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
Sexual Behavior - drug effects
Sexual disorders
Social research
Testosterone - analogs & derivatives
Testosterone - blood
Testosterone - therapeutic use
title Effects of androgen treatment in impotent men with normal and low levels of free testosterone
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