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KRONİK HEMODİYALİZ PROGRAMINDAKİ ERKEK HASTALARDA BROMOKRİPTİN TEDAVİSİNİN GONADAL FONKSİYONLAR VE PROLAKTİN DÜZEYLERİNE ETKİSİ

EFFECT OF BROMOCRIPTINE THERAPY ON GONADAL FUNCTIONS AND PROLACTIN LEVELS IN MALE PATIENTS ON CHRONIC HEMODIALYSIS

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Abstract (2. Language): 
Blood levels of FSH, LH, E2, T and PRL hormones were studied in 30 male patients with chronic renal failure (CRF) on chronic hemodialysis treatment. FSH, LH, Ei and PRL levels of these 30 male patients were statistically significantly higher (p<0.001) than the levels of the control group, where as the T levels were significantly lower (p<0.001). After intramuscu¬lar administration of 50 mg parlodel to these 30 male patients, hormone levels were measured on the 1st, 7th, 15th, 30th, 45th days of injection. There were no significant difference between the pre and post treat¬ment values of FSH, LH and E2 (p>0.05), but the dec¬rease in PRL level with in the first 15 days after the treatment was found to be statistically significant (p<0.001). Statistically significant elevation of T hor¬mone levels were also detected from the 7th day of treatment (p<0.01). Besides experiencing an increase in libido and sexual functions, most of the patients stated their satisfaction with their sexual activities. As a conclusion, we believe that treatment with bro-mocryptine is likely to be successful in the treatment of sexual dysfunction in male patients with CRF on chronic hemodialysis treatment
Abstract (Original Language): 
Kronik hemodiyaliz programında olan 30 erkek hastada FSH, LH, E2, T ve PRL hormon düzeylerine bakıldı. Bu değerler kontrol grubu olarak seçilen sağlıklı 10 erkeğin hormon düzeyleri ile karşılaştırıldı. Hemodiyalize giren erkek hastaların FSH, LH, E2 ve PRL değerleri kontrol grubunda saptanan değerler¬den anlamlı olarak yüksek (p<0.001), T değerleri ise anlamlı olarak düşük bulundu (p<0.01). Kronik böb¬rek yetmezlikti hemodiyalize giren 30 erkek hastaya daha sonra 50 mgparlodel i.m. yapıldı. Tedavi sonrası 1..7., 30. ve 45. gün hormon değerlerine bakıldı. Tedavi sonrası FSH, LH, E2 değerlen ile tedavi önce¬si FSH, LH, E2 değerleri arasında anlamlı bir fark bulunamazken (p>0.05), tedavi sonrası PRL değerle¬rinde ilk 15 gün içinde giderek anlamlı bir azalma gözlendi. 15. gün PRL değerlerindeki düşme istatis¬tiksel olarak anlamlı bulunmuştur (p<0.001). T hor¬monunda ise tedavi sonrası en fazla 7. günden itiba¬ren olmak üzere istatistiksel olarak anlamlı bir artış görüldü (p<0.01). Ayrıca hastaların büyük çoğunlu¬ğunda libido ve seksüel fonksiyonlarda artış gözlendi. Seksüel yönden kendilerini daha iyi hissettiklerini ifa¬de ettiler. Sonuç olarak hemodiyalize giren kronik böbrek yetmezlikti erkek hastalarda, bromokriptin te¬davisinin seksüel fonksiyon bozukluklarının tedavisin¬de yararlı olabileceğine inanıyoruz.
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