ANALYSIS OF CLINICAL MANIFESTATIONS AND ENDOCRINOLOGICAL ASPECTS OF PATIENTS HAVING PADAM-LIKE SYMPTOMS
| Autor: | Tatsuo Hanzawa, Yoshikazu Sato, Naoki Itoh, Naoya Masumori, Shin-ichi Hisasue, Akihito Nanbu, Sigeki Ohnishi, Toshikazu Nitta, Hisao Nakajima, Shuji Kato, Taiji Tsukamoto, Hitoshi Tanda, Keigo Akagashi, Mikio Koroku, Ryuuichi Kato |
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| Rok vydání: | 2004 |
| Předmět: |
Adult
Male Aging medicine.medical_specialty Libido Urology Erectile Dysfunction Surveys and Questionnaires Internal medicine Androgen deficiency medicine Humans Testosterone Medical history Depression (differential diagnoses) Aged Climacteric Depression business.industry Age Factors Middle Aged medicine.disease Erectile dysfunction Androgens business Hormone |
| Zdroj: | The Japanese Journal of Urology. 95:8-16 |
| ISSN: | 1884-7110 0021-5287 |
| Popis: | Purpose To analyze clinical manifestations and endocrinological aspects of the patients who visited our hospital to be examined for partial androgen deficiency in the aging male (PADAM). Materials and methods Two hundred forty-three patients were evaluated. History taking and questionnaires were employed for analysis of their symptoms. Serum total testosterone (T), free-T and other hormones were measured for evaluation of the androgen deficiency. Results The chief complains of the patients were categorized as psychological symptoms, somatovegatative symptoms, and sexual symptoms, accounting for 51%, 36%, and 13%, respectively. A depressed mood, hot flashes and sweating and erectile dysfunction were dominant in these symptom categories, respectively. The prevalence of the psychological symptoms and somatovegatative symptoms was relatively high in the 30-50-year-old and 60-70-year-old groups, respectively. The free-T, but not total-T, was significantly decreased with aging as measured by the RIA method. Twenty one percent of the patients showed a lower total-T level than the normal range (2.7-10.7 ng/ml). The percentage of those with a total-T level lower than 2.0 ng/dl, which is the criterion for T-replacement recommended by the American Association of Clinical Endocrinologists guidelines, was 9%. Eighty two percent and 30% of the patients had lower free-T levels than the normal range (15.2-43.5 pg/ml) and that of men in their twenties in the Canadian data (9.3-26.5 pg/ml). Depending on the criteria of androgen deficiency, not all patients had low total-T and free-T levels. Conclusion Patients suspected of having PADAM present various clinical symptoms and endocrinological aspects. |
| Databáze: | OpenAIRE |
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