SUMMARY :
Radiation
and secondary stresses can lead to pathological processes that result in hyperinsulinemia,
other hormonal changes, and vascular pathology. The aim of our research was to
show that these factors might cause sexual dysfunction in men living in areas
of higher than normal radiation levels caused by the Chornobyl catastrophe.
There
were 48 married men in the main group and 37 controls, ages 22-56. The average
age was 40,4 ± 4,3 for the main group and 42,3 ± 2,5 for the controls.
The median age was 39 for the main group and 41 for the controls. Both groups
were studied with the Sexual Health Inventory for Men and our own questionnaires.
We found 23,2 % decrease for the indices of sexual activity and 24,4 % decrease
in erectile function of men in the main group. Cavernousal blood flow indices
were decreased in the main group.
The blood hormonal levels of the men
in the main group were lower than the levels in controls (average FSH decreased
by 27,6 % ; average testosterone decreased by 39,6 %). All patients with erectile
dysfunction were treated with sildenafil (Viagra) in single doses 50 mg 30 minutes
before intercourses. Because that patients were examined in the hospital but Viagra
treatment they received in home, we made only questionnaire screening.
We
have very good results of Viagra treatment in our patients. Only one from them
hasn't enough erection for intercourse.
We recommended for him to increase
single dose to 100 mg. We had good results.
All men can have intercourses
with Viagra treatment more often then twice per ten days during one year follow-up.
Key
words :
o Erection
o Dysfunction
o Radiation
o Chornobyl
o Sexuality