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More than eight years' hands-on experience with the novel long-acting parenteral testosterone undecanoate 被引量:3
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作者 Farid Saad Axel Kamischke +6 位作者 Aksam Yassin Michael Zitzmann Markus Schubert Ffiedrich Jockenhovel HermannM. Behre louis gooren Eberhard Nieschlag 《Asian Journal of Andrology》 SCIE CAS CSCD 2007年第3期291-297,共7页
Testosterone (T) as a compound for treatment of T deficiency has been available for almost 70 years, but the pharmaceutical formulations have been less than ideal. Traditionally, injectable T esters have been used f... Testosterone (T) as a compound for treatment of T deficiency has been available for almost 70 years, but the pharmaceutical formulations have been less than ideal. Traditionally, injectable T esters have been used for treatment, but they generate supranormal T levels shortly after the 2-3 weekly injection interval. T levels then decline very rapidly, becoming subnormal during the days preceding the next injection. The rapid fluctuations in plasma T are subjectively experienced as disagreeable. T undecanoate (TU) is a new injectable T preparation with a considerably better pharmacokinetic profile. After two initial injections separated by a 6-week interval, the following intervals between two injections are generally 12 weeks, eventually amounting to a total of four injections per year. Plasma T levels with this preparation are nearly always in the range of normal men, as are its metabolic products estradiol and dihydrotestosterone (DHT). It reverses the effects of hypogonadism on bone and muscle and metabolic parameters, and on sex functions. It is suitable for male contraception. Its safety profile is excellent because of the continuous normalcy of plasma T levels. No polycythemia has been observed and no adverse effects on lipid profiles. Prostate safety parameters are well within reference limits. TU is a valuable treatment option of androgen deficiency. 展开更多
关键词 testosterone treatment testosterone undecanoate pharmacokinetic profile clinical efficacy side effects sexual dysfunction male contraception
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Fhe significance of testosterone for fair participation ol he female sex in competitive sports 被引量:1
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作者 louis gooren 《Asian Journal of Andrology》 SCIE CAS CSCD 2011年第5期653-654,共2页
Sex segregation in competitive sports is regarded as fair. Before puberty, boys and girls hardly differ in height, muscle and bone mass. Pubertal testosterone exposure leads to an ultimate average greater height in me... Sex segregation in competitive sports is regarded as fair. Before puberty, boys and girls hardly differ in height, muscle and bone mass. Pubertal testosterone exposure leads to an ultimate average greater height in men of 12-15 centimeters, larger bones, greater musde mass, increased strength and higher hemoglobin levels. Post-pubertal androgen ablation reverses, at least in part, previous anabolic effects of testosterone on musde,1 bone mineral density and hemoglobin, but the bones remain longer and have a wider diameter. As testosterone administra- tion produces a dose-dependent increase in muscle mass and maximal voluntary strength,2'3 exogenous androgens are banned as performance-enhancing drugs.4 Men with testosterone deficiency are allowed to receive testosterone replacements which do not raise blood testosterone levels above the normal male range,5'6 展开更多
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Is there a hormonal basis for human homosexuality?
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作者 louis gooren 《Asian Journal of Andrology》 SCIE CAS CSCD 2011年第6期793-794,共2页
In the August 2011 issue of Endocrinology, Dr Balthazart presents a minireview on Hormones and Human Sexual Orientation.1 As in most scientific papers on this issue, the contribution lacks an operational definition ... In the August 2011 issue of Endocrinology, Dr Balthazart presents a minireview on Hormones and Human Sexual Orientation.1 As in most scientific papers on this issue, the contribution lacks an operational definition of (human) homosexuality. Personally, I like the definition of John Money. 展开更多
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Where medicine meets the boundaries of manhood and womanhood
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作者 louis gooren 《Asian Journal of Andrology》 SCIE CAS CSCD 2011年第5期669-672,共4页
We are defined by sexual dimorphism. Male and female, the sexes we are (and are perceived to be), affect how we feel, how we behave and how we interact with others. We look around and see all complex creatures, incl... We are defined by sexual dimorphism. Male and female, the sexes we are (and are perceived to be), affect how we feel, how we behave and how we interact with others. We look around and see all complex creatures, including ourselves, as either male or female. This is so much a part of our daily existence that it reinforces the idea of man- hood and womanhood as expressions of a natural order. We regard this division into two sexes as one of the great eternal verities and tend to experience the difference between the sexes as rather absolute. Subjectively, man and woman are seen as opposites, poles apart and mutually exclusive forms of human existence. 展开更多
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激素治疗在男性不育症的合理应用 被引量:3
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作者 louis gooren 钱绍祯 《中国男科学杂志》 CAS CSCD 1989年第4期252-255,共4页
一、男性生殖内分泌学简述(图1)下丘脑-垂体-睾丸轴系有一个精确的反馈系统以调控男性(及女性)生殖及性功能,而下丘脑则为其综合机构,接受大脑神经递质,如多巴胺及神经肤(如内源性鸦片类)的影响,也接受睾酮(T)、雌二醇(E<su... 一、男性生殖内分泌学简述(图1)下丘脑-垂体-睾丸轴系有一个精确的反馈系统以调控男性(及女性)生殖及性功能,而下丘脑则为其综合机构,接受大脑神经递质,如多巴胺及神经肤(如内源性鸦片类)的影响,也接受睾酮(T)、雌二醇(E<sub>2</sub>)及抑制素(可能)的影响。下丘脑中特殊神经原以脉冲方式分泌促性腺激素释放激素(GnRH),在正常男子,每90-150分钟有一个分泌高峰,从而使LH及FSH亦呈脉冲分泌。但FSH的半寿期较长,往往可掩盖脉冲的实质。同样,T分泌(间质细胞)也多少带有脉冲性质。此外,T还具有日夜节律,在4:00~8 :00时呈高峰,而于16:00~20:00处于低谷。高、低间的比例约4:3。成人每天分泌T约7mg(血浆浓度5~7ng/ml)。 展开更多
关键词 男性不育症 生殖内分泌学 间质细胞 生精 抑制素 性功能 支持细胞 脉冲方式 特发性不育症 浆浓度
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