Clinical and Laboratory Assessment of Androgenic Status and Principles of Hormone Therapy in Sexological and Andrological Patients
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Abstract
The article considers the main clinical manifestations and diagnostic approaches to sexual and andrological disorders in men, the principles of hormone therapy in sexopathology and andrology. Treatment and diagnosis of any form of sexual disorder involves an individual approach, phasing, complexity, taking into account the fact that sexual function and its disorders are always a traumatic factor that deepens and self-fixes as it progresses. The formation and state of sexual function are influenced by ethical and moral attitudes, as well as personal characteristics of the patient. Creating a trusting relationship between the patient and the doctor, tact, attention of the doctor, his compliance with the rules of deontology – the necessary conditions for successful treatment.
Given that sexual function in men has several levels of regulation, in which the leading role is played by a higher (cortical) level, when prescribing treatment it is necessary to assess the level and extent of damage, determine the role of damaged levels of regulation in the genesis of sexual dysfunction. ways to eliminate disorders of sexual function and determine the role of sexual partners in the development of sexual disorders.
Based on modern ideas about the stages and components of the copulatory cycle, in the treatment of sexological and andrological patients it is recommended to adhere the principles that fully affect all its parts. In sexual dysfunction, drug therapy is more often used, which includes the appointment of hormonal, sedative, vegetotropic, vasoactive and stimulant drugs.
Advances in modern pharmacology have made it possible to synthesize and isolate from tissues steroid and protein hormones used in the treatment of disorders of the reproductive system, thus allowing real care to sexological and andrological patients.
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