Male health and obesity – diagnostic and therapeutic approach
Obesity may present as a significant medical problem for any person, regardless of age or gender. In men obesity causes considerable psychological stress, sexual dysfunction, subfertility, hypogonadism and cardiovascular conditions. These problems may form numerous pathological associations between...
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| Format: | Article |
| Language: | English |
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Endocrinology Research Centre
2019-12-01
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| Series: | Ожирение и метаболизм |
| Subjects: | |
| Online Access: | https://www.omet-endojournals.ru/jour/article/view/10314 |
| _version_ | 1797204596888698880 |
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| author | Safar I. Gamidov Taras V. Shatylko Natig G. Gasanov |
| author_facet | Safar I. Gamidov Taras V. Shatylko Natig G. Gasanov |
| author_sort | Safar I. Gamidov |
| collection | DOAJ |
| description | Obesity may present as a significant medical problem for any person, regardless of age or gender. In men obesity causes considerable psychological stress, sexual dysfunction, subfertility, hypogonadism and cardiovascular conditions. These problems may form numerous pathological associations between each other, creating a vicious circle. The main factors which influence male fertility and sexual function in obesity and metabolic syndrome are imbalance of sex hormones and systemic inflammation. In many patients symptomatic treatment is necessary for above-mentioned manifestations, but it is always rational to act on their pathophysiology and to recommend to lower the body mass by diet and lifestyle modification. When it proves impossible for the patient to follow such recommendations and when behavioral approach fails, central-acting and peripheral-acting medications may be used, including orlistat, sibutramine and liraglutide. Bariatric surgery should be offered to patients with high body mass index in whom conservative management fails. Without elimination of excess body mass it is difficult to solve problems regarding sexual dysfunction, hypogonadism and subfertility in obese males. All these issues and available modes of pharmacological treatment are described in this review. |
| first_indexed | 2024-03-08T09:13:06Z |
| format | Article |
| id | doaj.art-48ed1198b5a646d2a3fb4f6f8fe6a9f1 |
| institution | Directory Open Access Journal |
| issn | 2071-8713 2306-5524 |
| language | English |
| last_indexed | 2024-04-24T08:37:45Z |
| publishDate | 2019-12-01 |
| publisher | Endocrinology Research Centre |
| record_format | Article |
| series | Ожирение и метаболизм |
| spelling | doaj.art-48ed1198b5a646d2a3fb4f6f8fe6a9f12024-04-16T16:16:12ZengEndocrinology Research CentreОжирение и метаболизм2071-87132306-55242019-12-01163293610.14341/omet103149672Male health and obesity – diagnostic and therapeutic approachSafar I. Gamidov0Taras V. Shatylko1Natig G. Gasanov2Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology and Perinatology; I.M. Sechenov First Moscow State Medical University (Sechenov University)Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology and PerinatologyAcademician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology and PerinatologyObesity may present as a significant medical problem for any person, regardless of age or gender. In men obesity causes considerable psychological stress, sexual dysfunction, subfertility, hypogonadism and cardiovascular conditions. These problems may form numerous pathological associations between each other, creating a vicious circle. The main factors which influence male fertility and sexual function in obesity and metabolic syndrome are imbalance of sex hormones and systemic inflammation. In many patients symptomatic treatment is necessary for above-mentioned manifestations, but it is always rational to act on their pathophysiology and to recommend to lower the body mass by diet and lifestyle modification. When it proves impossible for the patient to follow such recommendations and when behavioral approach fails, central-acting and peripheral-acting medications may be used, including orlistat, sibutramine and liraglutide. Bariatric surgery should be offered to patients with high body mass index in whom conservative management fails. Without elimination of excess body mass it is difficult to solve problems regarding sexual dysfunction, hypogonadism and subfertility in obese males. All these issues and available modes of pharmacological treatment are described in this review.https://www.omet-endojournals.ru/jour/article/view/10314еrectile dysfunctionhypogonadisminfertility, maleobesityweight loss |
| spellingShingle | Safar I. Gamidov Taras V. Shatylko Natig G. Gasanov Male health and obesity – diagnostic and therapeutic approach Ожирение и метаболизм еrectile dysfunction hypogonadism infertility, male obesity weight loss |
| title | Male health and obesity – diagnostic and therapeutic approach |
| title_full | Male health and obesity – diagnostic and therapeutic approach |
| title_fullStr | Male health and obesity – diagnostic and therapeutic approach |
| title_full_unstemmed | Male health and obesity – diagnostic and therapeutic approach |
| title_short | Male health and obesity – diagnostic and therapeutic approach |
| title_sort | male health and obesity diagnostic and therapeutic approach |
| topic | еrectile dysfunction hypogonadism infertility, male obesity weight loss |
| url | https://www.omet-endojournals.ru/jour/article/view/10314 |
| work_keys_str_mv | AT safarigamidov malehealthandobesitydiagnosticandtherapeuticapproach AT tarasvshatylko malehealthandobesitydiagnosticandtherapeuticapproach AT natigggasanov malehealthandobesitydiagnosticandtherapeuticapproach |