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Hormonal modulation in aging patients with erectile dysfunction and metabolic syndrome

dc.contributor.authorCosta, Inês Campos
dc.contributor.authorCarvalho, Hugo Nogueira
dc.contributor.authorPacheco-Figueiredo, Luís
dc.contributor.authorTomada, Inês
dc.contributor.authorTomada, Nuno
dc.date.accessioned2021-06-27T20:10:27Z
dc.date.available2021-06-27T20:10:27Z
dc.date.issued2013
dc.description.abstractErectile dysfunction (ED), metabolic syndrome (MetS), and hypogonadism are closely related, often coexisting in the aging male. Obesity was shown to raise the risk of ED and hypogonadism, as well as other endocrinological disturbances with impact on erectile function. We selected 179 patients referred for ED to our andrology unit, aiming to evaluate gonadotropins and estradiol interplay in context of ED, MetS, and hypogonadism. Patients were stratified into groups in accordance with the presence (or not) of MetS and/or hypogonadism. Noticeable differences in total testosterone (TT) and free testosterone (FT) levels were found between patients with and without MetS. Men with MetS evidenced lower TT circulating levels with an increasing number of MetS parameters, for which hypertriglyceridemia and waist circumference strongly contributed. Regarding the hypothalamic-pituitary-gonadal axis, patients with hypogonadism did not exhibit raised LH levels. Interestingly, among those with higher LH levels, estradiol values were also increased. Possible explanations for this unexpected profile of estradiol may be the age-related adiposity, other estrogen-raising pathways, or even unknown mechanisms. Estradiol is possibly a molecule with further interactions beyond the currently described. Our results further enlighten this still unclear multidisciplinary and complex subject, raising new investigational opportunities.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1155/2013/107869pt_PT
dc.identifier.eid84897809106
dc.identifier.issn1687-8337
dc.identifier.pmid24459467
dc.identifier.urihttp://hdl.handle.net/10400.14/34019
dc.identifier.wos000329750400001
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.titleHormonal modulation in aging patients with erectile dysfunction and metabolic syndromept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleInternational Journal of Endocrinologypt_PT
oaire.citation.volume2013pt_PT
person.familyNameTomada
person.givenNameInês
person.identifier2689332
person.identifier.ciencia-id7719-7A32-37A7
person.identifier.orcid0000-0003-4660-0645
person.identifier.scopus-author-id25223994400
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication18f09a66-7909-4d3e-90ac-82b21040cd31
relation.isAuthorOfPublication.latestForDiscovery18f09a66-7909-4d3e-90ac-82b21040cd31

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