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Propecia medication and the effects on women (Peltonen, 2006). Thus, the clinical relevance of these observations cannot be confirmed. In the literature on sexual dysfunction following treatment with androgen deprivation therapy (ADT), a more extensive literature search was undertaken. Results indicate that there are some consistent, if not identical findings. For patients with virilization of the clitoris, there is a decrease in subjective sex life and sexual desire (Dalmia et al., 1997; Köhler, 2003; Pincus et al., 2004; Näär, 2005), an increase in erectile dysfunction, ejaculatory disorders, latency and premature ejaculation, sexual frustration, and, when arousal is induced via electrical stimulation, there is a decrease in orgasmic success rates (Näär, 2005; Köhler, 2003; Pincus et al., 2004). Similar differences in sexuality have been observed with androgens given by injection (Aron, 1981; Dalmia et al., 1997; Köhler, 2003; Pincus et al., 2004; Näär, 2005) or intravenously (Aron, 1981; Valera et al., 1986; Stein 2000; Lönnqvist et al., 2002). Interestingly, these observations have been also observed in men with virilization Atorvastatin abz 20 mg filmtabletten of the testes (Aron, 1981). Most of these clinical observations also include patients in whom the condition is under controlled medicated conditions. Nevertheless, these patients might also have different expectations when they start treatment. Further study is needed to clarify the differences observed in those with treated patients compared to those without treated patients. The reasons for differences remain unclear, but may stem from differences in medical and surgical treatment or from individual variations in the hormonal milieu during their life course. Studies reporting sexual performance and function outcomes following ADT treatment have been presented in a systematic manner. One of these (Köhler et al., 2005) reports a decreased sexual desire as well sex time on sexual function questionnaire. The other study reported a decrease in libido on the General Health Questionnaire, a decrease in desire and sexual satisfaction (Möller et al., 1999; Salonen 2008). Thus, there is an increase in sexual dysfunction during ADT treatment and this appears to be attributable sexual dysfunction not to the hormonal treatment. Although the association between HRT and sexual dysfunction during ADT treatment has been the subject of numerous studies (Peltonen, 2006), a prospective cohort study of women prescribed a HRT regimen with androgen dependence for 5 years (Hörnemann et al., 2007), did not show any adverse effects of orrogen ADT treatment. A similar study (Hörnemann et al., 2008) using the same dataset of patients, found that sexual function measures and subjective well-being were no different between women treated with androdermic estrogen regimens and those on a placebo for 8 years, and that these findings were maintained at follow-up. Similarly, in patients whom a sex hormone regimen with androgenic activity is prescribed for 1 year, no evidence has been found of propecia over the counter sexual symptoms. For patients receiving a regimen with low level of serum testosterone, however, no sexual side effects are observed over the course of treatment regimen. This finding is of particular importance for men and may be relevant to HRT given that can you buy propecia over the counter in australia the average testosterone levels of Danish men are about 2–4 nM (Forsgren et al., 2003). In men treated with androgenic ADT, however, there is a reduced level of testosterone and sexual side effects occur (Forsgren et al., 2003). The reason for difference is unknown, but may have to do with the hormonal milieu during lifetime of male patients. Hair loss appears to be a specific condition, which was seen in only about 15–20% of patients (Aron, 1981). No clear reason for its occurrence has yet been found, but it has suggested to be related the use of a regimen with androgenic activity which might have an effect on the hair follicles (Aron, 1981). The effects of ADT on reproductive health and function It is widely known that HRT treatment induces changes in the hypothalamic-pituitary-ovarian system (Cotl)

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