BMJ Best Practice
最后审核时间： 十月 2018
最近更新时间： 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 性欲降低
  • 自发晨勃的减少
  • 勃起功能障碍
  • 男性乳房发育
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其他诊断因素

  • 体力降低以及容易疲劳
  • 青春期延迟
  • 阴囊色素沉着以及褶皱的缺失
  • 体力降低以及容易疲劳
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危险因素

  • 遗传性疾病
  • 2型糖尿病
  • 使用烷化剂、阿片类药物或糖皮质激素
  • 外源性性激素及GnRH类似物的应用
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诊断性检查

首要检查

  • 血清总睾酮
  • 血细胞计数
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需要考虑的检查

  • 血清游离睾酮
  • 血清具有生物活性的睾酮
  • 血清黄体生成素（LH）或卵泡刺激素（FSH）
  • 血清催乳素
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治疗流程

疾病持续状态

原发性

继发性

贡献者

作者 查看所有

Assistant Professor of Surgery

Division of Urology

Albany Medical College

Albany

NY

利益冲突披露
CW has received honoraria from the American Society of Andrology, and Urology Clinics of North America; he has worked as a consultant for Coloplast, and as an investigator for Auxilium Pharmaceuticals, Mereo BioPharma, and PROCEPT BioRobotics; and he is a paid reviewer at Oakstone Publishing and BMJ Best Practice. CW also has a family member who is an employee at Bristol-Myers Squibb.

Dr Charles Welliver would like to gratefully acknowledge Matthew Aoun for his help with updating this topic. He would also like to acknowledge Dr T. Hugh Jones, Dr Milena Braga-Basaria, and Dr Shehzad Basaria, previous contributors to this monograph. THJ and SB are authors of references cited in this topic. MB declared that she had no competing interests.

同行评议专家 查看所有

Professor

Department of Internal Medicine

University of Texas Medical Branch

Galveston

TX

利益冲突披露
RJU declares that he has no competing interests.

Consultant Endocrinologist

Oxford Centre for Diabetes, Endocrinology and Metabolism

Churchill Hospital

Oxford

UK

利益冲突披露
NK declares that she has no competing interests.

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