World J Mens Health.  2018 Sep;36(3):183-191. 10.5534/wjmh.180005.

Dehydroepiandrosterone and Erectile Function: A Review

Affiliations
  • 1Department of Urology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt. aielsakka@yahoo.com

Abstract

To review the contemporary knowledge regarding the dehydroepiandrosterone and erectile function. Medline was reviewed for English-language journal articles spanning the time between January 1990 and December 2017, using the terms "╦ťerectile function', "╦ťdehydroepiandrosterone'. We used original articles and review articles that found to be relevant to the purpose of this review. Criteria included all pertinent review articles, randomized controlled trials with tight methodological design, cohort studies and retrospective analyses. We also manually revised references from selected articles. Several interesting studies have addressed the age-related decline in dehydroepiandrosterone levels with many age-related phenomena or deterioration in various physiological functions. Particularly, aging; neurological functions including decreased well-being, cognition, and memory; increased depression, decreased bone mineral density, obesity, diabetes, increased cardiovascular morbidity, erectile dysfunction (ED), and decreased libido. Supporting this result, some trials of dehydroepiandrosterone supplementation in healthy, middle-aged, and elderly subjects have reported improvements in different aspects of well-being. Several studies had demonstrated that dehydroepiandrosterone level is declined as a part of aging. Large-scale well-designed prospective studies are warranted to better define indications and therapeutic implications of dehydroepiandrosterone in men with ED.

Keyword

Androgens; Dehydroepiandrosterone; Erectile dysfunction; Testosterone

MeSH Terms

Aged
Aging
Androgens
Bone Density
Cognition
Cohort Studies
Dehydroepiandrosterone*
Depression
Erectile Dysfunction
Humans
Libido
Male
Memory
Obesity
Prospective Studies
Retrospective Studies
Testosterone
Androgens
Dehydroepiandrosterone
Testosterone
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