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The association between elevated serum oestradiol levels and clinically significant erectile dysfunction in men presenting for andrological evaluation.
Zuniga, Kyle B; Margolin, Ezra J; De Fazio, Adam; Ackerman, Anika; Stahl, Peter J.
Afiliación
  • Zuniga KB; College of Physicians and Surgeons, Columbia University Medical Center, New York, New York.
  • Margolin EJ; Department of Urology, Columbia University Medical Center, New York, New York.
  • De Fazio A; Department of Urology, University of Minnesota, Minneapolis, Minnesota.
  • Ackerman A; Department of Urology, Columbia University Medical Center, New York, New York.
  • Stahl PJ; Department of Urology, Columbia University Medical Center, New York, New York.
Andrologia ; 51(9): e13345, 2019 Oct.
Article en En | MEDLINE | ID: mdl-31317572
The goal of this study was to investigate the association between serum oestradiol levels and clinically significant erectile dysfunction in a cohort of men presenting for andrological evaluation. Retrospective review was conducted of patients that presented to a urologist with practice in andrology over an 18-month period. Patients completed the Male Sexual Health Questionnaire and had serum total testosterone and oestradiol measurements prior to 10:30 a.m. via immunoassay. t Tests, chi-square tests and multivariate logistic regression were used to compare clinical characteristics between those with adequate erectile function (erection scale score > 2) vs. clinically significant erectile dysfunction (erection scale score ≤ 2). Among 256 patients, average age was 49 years (SD 15), average serum oestradiol was 22.3 pg/ml (SD 10.6), and average serum total testosterone was 465.9 pg/ml (SD 206.3). On multivariate logistic regression, serum oestradiol was associated with clinically significant erectile dysfunction (OR 1.52 per SD increase, 95% CI 1.11-2.09, p = 0.009) when controlling for serum total testosterone, age, body mass index and smoking status. These results warrant future studies on the utility of measuring serum oestradiol in patients with erectile dysfunction and the use of aromatase inhibitors in patients with erectile dysfunction and elevated serum oestradiol.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estradiol / Disfunción Eréctil Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Adult / Aged / Humans / Male / Middle aged Idioma: En Revista: Andrologia Año: 2019 Tipo del documento: Article Pais de publicación: Alemania

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estradiol / Disfunción Eréctil Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Adult / Aged / Humans / Male / Middle aged Idioma: En Revista: Andrologia Año: 2019 Tipo del documento: Article Pais de publicación: Alemania