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Improvement of Sexual Function in Men with Late-Onset Hypogonadism Treated with Testosterone Only
Abstract
Aim: Late-onset hypogonadism is associated with relatively mild testosterone deficiencies. This study investigated the effects of restoring testosterone levels to normal in men with complaints of low sexual desire and erectile dysfunction. Main Outcome Measures: Sexual function was assessed with the International Index of Erectile Function (IIEF) at baseline and after 24 weeks of testosterone administration. Methods: Twenty-two hypogonadal men (mean age 58 years) with erectile dysfunction were studied. Fifteen patients had serum testosterone below 6.9 nmol/L, and seven between 7.2 and 11.7 nmol/L (reference values in our laboratory ≥12.0 nmol/L); there were considerable comorbidities. The duration of sexual complaints was on average 3.8 years. Patients received intramuscular long-acting testosterone undecanoate. Results: In all patients, serum testosterone levels were restored to normal within 6–8 weeks. Twelve patients reported a significant improvement in the sexual desire domain (from 4.5 to 8.4) and experienced an improvement in the erectile function domain (from 12 to 25 [Questions 1–5 plus 15)], following treatment with this long-acting testosterone; in 9 of 12 patients, this occurred only after at least 12–24 weeks. The remaining 10 patients reported an improvement of sexual desire (from 4.5 to 7.5), but no significant improvement in the erectile function domain (from 12 to 14). No changes in serum prostate-specific antigen or prostate volume were noticed while receiving this long-acting testosterone preparation. Conclusion: Restoring testosterone levels to normal in men with proven subnormal testosterone levels improves libido in most subjects, and erectile function in more than 50% of these men. It may take 12–24 weeks before the effects of testosterone become manifest.
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“Changes in erections/ejaculations may require up to 6 months.”
From Onset of effects of testosterone treatment and time span until maximum effects are achieved (2011) · cites this paper as [72]
In the citing paper
“Maximal effects are usually achieved after 3–6 months (72) but may take even up to 1 year in individual cases (71).”
From Onset of effects of testosterone treatment and time span until maximum effects are achieved (2011) · cites this paper as [72]
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“Further, Yassin and Saad reported that while all 22 diabetic men given 910 Andrology, 2017, 5, 905–913 © 2017 American Society of Andrology and European Academy of Andrology TRT showed improved IIEF SxD scores, EF improved in only 54% men after 24 weeks (Yassin & Saad, 2007).”
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“First, although previous studies that evaluated the TTh responses in LOH patients, these studies comprised traditionally low number of participants, ranging from 22 patients [14] to 29 [10] or 32 patients [15].”
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“Our data indicate that the short-term risks for the prostate and erythropoiesis are acceptable, confirming results from earlier studies of TU in elderly men (Yassin & Saad, 2007, 2008).”
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“T has an important role in male sexual response by acting both central and peripheral mechanisms [18,19].”
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“In the last years, the use of testosterone therapy (TT) has been proposed to relieve the symptoms related to such pathologies (Amory et al., 2004; Wang et al., 2004; Yassin and Saad, 2007; Reyes-Vallejo et al., 2007).”
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Late-onset hypogonadism: Review of the problem
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“Other publications suggest that, as a result of TAT, erectile function decreases in more than 50% of cases (Yassin and Saad, 2007).”
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“…cols., which aimed to demonstrate the effect of testosterone replacement therapy on sexual functions in late-onset hypogonadism, the IIEF scale was used to evaluate sexual functions, and an increase of approximately 50% in sexual functions was observed after treatment than before treatment (23).”
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Metadata
- Authors
- Yassin, A. A., & Saad, F.
- Affiliations
- Gulf Medical University (AE)
- Corresponding author
- Yassin, Aksam A.
- Venue
- The Journal of Sexual Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2007-03-01
- Volume
- 4
- Issue
- 2
- Pages
- 497-501
- ISSN
- 1743-6095 (ISSN-L)
- 1743-6109
- OpenAlex
- W1936236392
- Cited by
- 101
- References
- 22
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2022: 2 · 2021: 1 · 2020: 2 · 2019: 3 · 2018: 4 · 2017: 1 · 2016: 4 · 2015: 4 · 2014: 6 · 2013: 8 · 2012: 7
- FWCI
- 11.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- The Journal of Sexual Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Health Sciences › Medicine › Reproductive Medicine › Hypothalamic control of reproductive hormones
- Keywords
- andropause, testosterone replacement therapy, testosterone undecanoate, erectile dysfunction, low libido, sexual desire, sexual function, International Index of Erectile Function, serum testosterone levels, prostate-specific antigen, prostate volume
- MeSH terms
- Adult, Aged, Dose-Response Relationship, Drug, Humans, Hypogonadism, Erectile Dysfunction, Libido, Male, Middle Aged, Penile Erection, Prospective Studies, Surveys and Questionnaires, Severity of Illness Index, Testosterone, Patient Satisfaction
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