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Altered Sexual and Reproductive Functions in Epileptic Men Taking Carbamazepine

Epileptic men may experience hormonal changes that may alter semen quality and sexual function. Alterations in male sexual and reproductive parameters may also be due to treatment with antiepileptic drugs to control seizures. To evaluate serum hormone concentrations, semen quality, the frequency of...

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Bibliographic Details
Published in:Journal of sexual medicine 2013-02, Vol.10 (2), p.493-499
Main Authors: Reis, Rosana Maria, de Angelo, Alexandre Gonçalves, Sakamoto, Américo Ceiki, Ferriani, Rui Alberto, Lara, Lúcia Alves Silva
Format: Article
Language:English
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Summary:Epileptic men may experience hormonal changes that may alter semen quality and sexual function. Alterations in male sexual and reproductive parameters may also be due to treatment with antiepileptic drugs to control seizures. To evaluate serum hormone concentrations, semen quality, the frequency of sexual intercourse (FSI), and erectile function in men with epileptic seizures controlled by carbamazepine (CBZ). The five‐question form of the International Index of Erectile Function (IIEF‐5), and semi‐structured questionnaire. One hundred and eighteen men, aged 18–45 years, were included in this controlled, cross‐sectional study: 63 men taking CBZ (epileptic group) were compared to 55 healthy men (control group). Blood sample was collected to determine hormones concentrations. Erectile function and the frequency of sexual relations were assessed by using questionnaires. Sperm morphology was analyzed by examining the quality of the head, intermediate part and tail of the spermatozoa. Using the IIEF‐5, we observed a significant association between erectile dysfunction (ED) and groups (P 
ISSN:1743-6095
1743-6109
DOI:10.1111/j.1743-6109.2012.02951.x