The impact of type 1 diabetes mellitus on male sexual functions and sex hormone levels

0535100 - BTÚ 2021 RIV JP eng J - Článek v odborném periodiku
Hylmarová, Simona - Štechová, K. - Pavlínková, Gabriela - Pěknicová, Jana - Macek, M. - Kvapil, M.
The impact of type 1 diabetes mellitus on male sexual functions and sex hormone levels.
Endocrine Journal. Roč. 67, č. 1 (2020), s. 59-71. ISSN 0918-8959. E-ISSN 1348-4540
Grant CEP: GA MZd(CZ) NV15-30880A
Institucionální podpora: RVO:86652036
Klíčová slova: Type 1 diabetes mellitus * Erectile dysfunction * Testosterone * Sex hormone binding globulin
Obor OECD: Endocrinology and metabolism (including diabetes, hormones)
Impakt faktor: 2.349, rok: 2020
Způsob publikování: Open access
https://www.jstage.jst.go.jp/article/endocrj/67/1/67_EJ19-0280/_pdf

Little is known about type I diabetes mellitus (T1DM) impact on the male sexual and reproductive functions. We aim to evaluate the influence of T1DM on male sexual function, quality of sexual life, and sex hormone levels. A total of 57 male patients aged 18 to 50 years (mean = 33) with T1DM (duration mean = 15 years) had a medical examination and completed a set of questionnaires International Index of Erectile Function-5 (IIEF-5), Beck Depression Inventory (BDI) and Sexual quality of life questionnaire male (SQoL-M). The prevalence of erectile dysfunction was 28.1% (IIEF-5 <= 21). Patients without diabetic nephropathy had better erectile function (p = 0.008). Subjects with better glycemic control (HbA(1c) <65 mmol/ mol) had also better erectile function (p= 0.041). At least 8.8% patients had retrograde ejaculation. Blood serum levels of sex hormones were determined and compared to laboratory reference values of healthy men. Total testosterone level was not significantly changed, sex hormone binding globulin was higher (p < 0.001) and its level correlated with daily insulin dose adjusted to body weight (p = 0.008). Free androgen index and calculated free testosterone were lower (p = 0.013, p < 0.001), estradiol was not significantly changed, LH was higher (p < 0.001), FSII was unchanged, and prolactin was higher (p < 0.001). Prostate-specific antigen (PSA) negatively correlated with HbA(1c) (p < 0.001). To conclude, we found significant changes in sexual functions and sex hormone blood concentrations that indicate impairment of sexual and reproductive functions in T1DM males.
Trvalý link: http://hdl.handle.net/11104/0313206