Egyptian Society of AndrologyHuman Andrology2090-6048111120210401Semen parameters in Egyptian diabetic patients and its correlation with glycosylated hemoglobin level: A case - control study1616378010.21608/ha.2020.29700.1061ENEmad EldienKamalDermatology, Venereology and Andrology Department, Faculty of Medicine, Assuit University, Assuit, EgyptAYABADRANDermatology, Venereology and Andrology Department, Faculty of Medicine, Assuit University, Assuit, Egypt0000-0001-5331-5792WalaaKhalifaInternal Medicine Department, Faculty of Medicine, Assuit University, Assuit, Egypt.AnghamMahgoobDermatology, Venereology and Andrology Department, Faculty of Medicine, Assuit University, Assuit, Egypt.MohammedAbukrishaDepartment of clinical pathologyReham MAbdel GaberDermatology, Venereology and Andrology Department, Faculty of Medicine, Assuit University, Assuit, Egypt.Journal Article20200508Background: Diabetes mellitus (DM) is a well-known metabolic disorder affecting a large population worldwide. Both types of DM could have detrimental effects on semen parameters as well as the hormonal profile of the affected males.<br />Objective: On designing the current study, we sought to evaluate the effect of long-term control of DM by measuring glycosylated hemoglobin (HbA1c) level and detect its possible correlation with semen parameters and hormonal profile of male patients with DM.<br />Patients and Methods: A prospective case–control study was conducted on 60 males with DM and 40 matched controls. All participants were subjected to conventional semen analysis and measurement of free and total testosterone, follicle-stimulating hormone, luteinizing hormone, and prolactin levels by enzyme-linked immunosorbent assay technique. Measurement of HbA1c level was made for all participants.<br />Results: A significant negative correlation was found between HbA1c and free testosterone levels, whereas a significant positive correlation between HbA1c and prolactin levels in patients with DM. No significant correlation was reported between HbA1c and semen parameters in patients with DM.<br />Conclusion: Patients with DM have significantly lower semen parameters and reproductive hormone levels than matched healthy controls which might impair their fecundity and reproductive capacity. We do recommend that all males with abnormal semen analysis should undergo screening for DM.https://ha.journals.ekb.eg/article_163780_4e8c8e65950391559506ec5e65cfa154.pdfEgyptian Society of AndrologyHuman Andrology2090-6048111120210401Believe it or not: Views of a sample of Egyptian women about sexual myths11016633910.21608/ha.2020.50021.1073ENIhabYounisDermatology&amp;andrology, faculty of medicine, Banha University, EgyptMenha AIbrahimDermatology and Andrology, Faculty of Medicine, Benha UniversityFatima-Alzahraa AAbdel-MunemEl-Qinnayat Central Hospital-Sharqia governorateJournal Article20201121Background: Many people have sexual dysfunctions for the simple reason that they believe in certain fallacies and mythical ideas.<br />Aim: To assess the opinion of female doctors compared with nonmedical women regarding sexual myths.<br />Patients and Methods: Participants included 822 married women divided into two groups: a medical group including 432 (52.6%) female doctors (not working in the field of sexual medicine) and a nonmedical group including 390 (47.4%) women. The tool was a self-report questionnaire to assess opinions about eight sexual myths in addition to demographic data.<br />Results: Most nonmedical women believed in seven of the eight myths, whereas most female doctors believed in only two myths. Age of women, their residence, and their educational level were determining factors in believing sexual myths.<br />Conclusion: Nonmedical women are more liable to believe in sexual myths. The need to spread proper sexual knowledge via sexual education is a dire need.https://ha.journals.ekb.eg/article_166339_f40e678d122c8aa48820638137d4af76.pdfEgyptian Society of AndrologyHuman Andrology2090-6048111120210401Life may not begin after 60 : Sexuality in women after the age of 601818199510.21608/ha.2021.53910.1074ENIhabYounisDermatology&amp;andrology, faculty of medicine, Banha University, EgyptMenhaha AIbrahimDermatology and Andrology, Faculty of Medicine, Benha UniversityRadwaAshrafThe Dermatology&Andrology Department, Faculty of Medicine, Benha University.Osama HusseinAbdel Salamdermatology and andrology dept. Benha faculty of medicineorcid.org/0000-0002-9910-5990Journal Article20201216Background: Aging has a powerful impact on the quality of life in general and probably on sexual functioning.
Aim: This study aimed to evaluate the impact of aging on various aspects of female sexuality.<br />Patients and Methods: One hundred and fifty women aged 60 years or older were included in this study. They were all married and free from diseases interfering with sexual activity. The tool used was a self-report questionnaire that included 29 items designed by the investigators. The privacy and anonymity of participants were ensured.<br />Results: Coital frequency decreased with aging; 64.3% of women aged 70–74 years reported no coitus compared with 16.7% of women aged 60–64 years. The frequency of spontaneous sexual desire also decreased with aging; 40% of women aged 70–74 years reported that spontaneous sexual desire has become rare or almost never occurs compared with14.7% of women aged 60–64 years. With aging, lubrication became difficult; 60% of women aged 70–74 years find difficulty in lubrication in more than 50% of sexual encounters compared with25% of women aged 65–69 years and 26.7% of women aged 60–64 years. Dyspareunia and anorgasmia were reported by 100% of women aged 70–74 years.<br />Conclusion: All aspects related to sexual activity declined with aging. Dyspareunia and inability to orgasm are the main complaints in older women.https://ha.journals.ekb.eg/article_181995_ee037f825ae4faee8ad29c68691c3a95.pdfEgyptian Society of AndrologyHuman Andrology2090-6048111120210401Assessment of erectile function among patients with chronic kidney disease : A case–control study1618199710.21608/ha.2021.47277.1072ENNashaatIsmailDepartment of Andrology, beni suef university, faculty of medicineEmad El DinKamalDermatology, and Andrology Department, Faculty of Medicine, Assiut UniversityMohamed Abd El FattahFaragAssistant professor of Andrology and STDS, Andrology Department Faculty of Medicine Cairo University.NancySamaanDermatology Department, Beni Suef General HospitalHany MohamedSaadlecturer of andrology, faculty of medicine suez canal university, Ismalia, egypt0000-0001-9319-5027Journal Article20201024Objective: The aim was to assess the effect of chronic kidney disease (CKD) on erectile function.<br />Patients and Methods: This study included 40 patients on hemodialysis (HD), 40 patients on medical treatment [predialysis (PD)], and 20 controls. They were assessed using international index of erectile function questionnaire andlaboratory investigations (blood urea, serum creatinine, and both total and free testosterone).<br />Results: The mean age in HD patients was 42.20±5.08 years, in PD patients was 43.83±6.59 years,and in control group, it was 42.10±5.66 years, with no significant difference among the three groups (P=0.383). Overall, 10% of HD patients had severe degree of erectile dysfunction (ED) in comparison with only 2.5% of PD patients, with no patient experiencing severe ED in the control group. There was a significant difference among the three groups regarding the grade of ED (P<0.001). The mean free testosterone levels in HD, PD,and control groups were 3.78±2.09, 3.84±1.36, and 7.36±2.33, respectively, which showed a significant difference (P<0.001). There was a statistically significant relationship between age and grade of ED in HD patients (P=0.002). However, in the PD patient group, there was no relation between age and ED grade (P=0.819). There was no relation between total and free testosterone levels in HD and PD patients and their ED grade (P>0.05).<br />Conclusion: CKD has deleterious effect on erectile function which was more severe in patients on HD than those on medical treatment. Free testosterone level was significantly reduced in patients with CKD. There was a relationship between age of HD patients and severity of ED. No relationships were found between severity of ED and disease duration, serum testosterone level (total and free), blood urea, and serum creatinine in patients with CKD.https://ha.journals.ekb.eg/article_181997_90ebc5075f675eed2e5386d385ac3315.pdfEgyptian Society of AndrologyHuman Andrology2090-6048111120210401Tuberculin purified protein derivative and cryotherapy in the treatment of genital warts: A randomized controlled trial1618199810.21608/ha.2021.61492.1075ENAlaa A.MoubasherAssiut University HospitalMenaKoltaresident in kena hospitalHishamGaberDermatology and andrology Assuit University hospitalJournal Article20210209Background: Therapeutic modalities for genital warts are mostly ablative in nature, limited by high recurrence rates and are unsuitable for numerous lesions. Immunotherapy has the potential to overcome these limitations.<br />Aim: The aim of this work was to compare the results of combined tuberculin purified protein derivative and cryotherapy to the results of tuberculin purified protein derivative or cryotherapy alone in the treatment of genital warts.<br />Patients and Methods: A randomized controlled study included 45 patients equally allocated into three groups using a computerized random number: Group A (15) patients were treated with purified protein derivative injection. Group B (15) patients were treated with cryotherapy using liquid nitrogen. Group C (15) patients were treated with combined purified protein derivative and cryotherapy.<br />Results: In group A, 2 patients (13.3%) had complete response to purified protein derivative therapy, 8 patients (53.3%) had partial response, and 5 patients (33.3%) no response to treatment. While in group B, 4 patients (26.7%) had complete response to cryotherapy, 6 patients (40%) partial response, and 5 patients (33.3%) no response to treatment,in group C 7 patients (46.7%) complete response 6 patients (40%) partial response, and 2 patients (13.3%) no response, with no statistical significant difference.<br />Conclusion: Intralesional immunotherapy with purified protein derivative effectively cures warts that are present locally and also at distant sites. It is safe, economic, and efficacious. Combined purified protein derivative and cryotherapy was found to be the most effective treatment modality for genital warts.https://ha.journals.ekb.eg/article_181998_61bd99d34bab9dd133174dc17f8bf8dd.pdfEgyptian Society of AndrologyHuman Andrology2090-6048111120210401Can food influence female sexual functions? Views of a sample of married Egyptian women1719797110.21608/ha.2021.88836.1078ENIhabYounisDermatology&amp;andrology, faculty of medicine, Banha University, EgyptHend MAbdallaDermatology and Andrology Department, El-Menshawy Hospital, Tanta EgyptGhada M AShamsDermatology&Andrology Department, Faculty of Medicine, Benha University0000-0002-9781-9244Journal Article20210802Background: Since antiquity, people were looking for specific foods in order to improve their sexual performance. Although food may have an obvious effect on sexuality in both men and women, its effect on female sexual function is usually underestimated.<br />Objective: The current study aimed to evaluate the impact of food on various aspects of sexuality in women.<br />Patients and Methods: This cross-sectional study was carried out on 300 married women aged 20–50+ years having a regular sexual relation and eating different types of foods. We used a self-report questionnaire designed by the investigators. The questionnaire consisted of 21 questions that covered different aspects of female sexuality and its relation to food.<br />Results: Most of the participants (63%) were in the age group of 30–39 years. The commonest coital frequency was —two to three times per week, which was suitable for 45.7% of the studied women. On the other hand, spontaneous desire was reported by 43% of women to occur —two to three times per week. Among our sample, 50.3% were exposed to female genital mutilation/cutting. Regarding sexual satisfaction, 47.3% reported being moderately satisfied and 38.3% were very satisfied and almost one-third of women (32.3%) can reach orgasm in more than half the times of sexual encounters.<br />Among participants, 85% consider that the positive effects of food were increasing libido, increasing orgasm (11%), and prolonging the time of lubrication (4%). On the other hand, oils were found to decrease libido (31.8%) and have a negative effect on orgasm (36.4), while white meat was the commonest food to decrease lubrication (50%).<br />Seafood was the most common type of food that improved husband’s sexual activity (78%) followed by nuts (25.3%).<br />Conclusion: Our women sample believes that some kinds of food can positively or negatively affect their sexuality as well as sexual performance of their husbands.https://ha.journals.ekb.eg/article_197971_774a21da727bef2009c815337a6ba2f1.pdfEgyptian Society of AndrologyHuman Andrology2090-6048111120210401Evaluation of seminal plasma interleukin 17 in infertile males1519825610.21608/ha.2021.79815.1076ENAhmed Abdel- BaryAbdel-LatifLecturer in Department of Dermatology, Venereology and Andrology, Faculty of Medicine, Alexandria University, EgyptDaliaElnillyprofessor in Department of Clinical Pathology, Faculty of Medicine, Alexandria University, EgyptNouranAbo Khedrprofessor in Department of Dermatology, Venereology and Andrology, Faculty of Medicine, Alexandria University, EgyptWalidAlamirimaster degree of Dermatology, Venereology and Andrology , Faculty of Medicine, Alexandria University, EgyptJournal Article20210617Background: Interleukin-17 (IL-17) is a proinflammatory cytokine that is involved in the pathogenesis of several autoimmune and inflammatory diseases. Inflammation of the testis and male-reproductive tracts may lead to male infertility.<br />Objective: To assess seminal plasma IL-17 in infertile male patients and to evaluate its relation to the different seminal parameters.<br />Patients and Methods: Fifty male patients with primary infertility were included in addition to 20 age-matched healthy fertile males as controls. The semen was analyzed half an hour after the ejaculation according to the WHO criteria, including sperm count, morphology, motility, viability, and leukocytecount. Seminal plasma levels of IL-17 were measured using the ELISA technique.<br />Results: The mean seminal plasma level of IL-17 was significantly higher in infertile patients (2.42±2.43ng/l) than in controls (0.28±0.66ng/l). Also, the mean seminal plasma IL-17 level was significantly higher in patients with abnormal progressive sperm motility (4.0±2.73ng/l) than patients with normal progressive sperm motility (2.07±2.26ng/l).<br />Conclusion: IL-17 may play an important role in the pathogenesis of male infertility associated with inflammation and infection of the testis and male genital tracts and it could be a good therapeutic target in those cases, but further studies are needed to determine the exact pathogenic role of IL-17 in male infertility.https://ha.journals.ekb.eg/article_198256_22781b7e7b338250aae5cab1e7135a18.pdf