Men's Health and Reproductive Disorders Flashcards
Male sex hormones
Androgens
An anabolic steroid
Testosterone
A defect of the reproductive system that results in failure of the testes to produce testosterone, sperm, or both.
Hypogonadism
A painful, continuous ereciton
Priapism
Mammary gland enlargement in men
gynocomastia
Formation of spermatazoa
Spermatogenesis
Low sperm count
oligospermia
The development of male secondary sex characteristics in women or hypogonadal males
Virilization
Excessive body hair
Hirsutism
When testicle enlargement, penile growth, and pubic hair development has not occurred by 14 years of age.
Delayed puberty
Impaired ejection of seminal fluid from the male urethra, that may be psychogenic or due to drug therapy.
Ejaculatory dysfunction
The inability to achieve or maintain an erection satisfactory for sexual perfomance.
Erectile dysfunction (ED)
What are signs of hypogonadism in adult men?
Testicular atrophy, impotence, decreased libido, decreased bone density, loss of muscle mass, hair loss, gynecomastia, fatigue, difficulty concentrating, and vasomotor flushing.
How should a buccal mucoadhesive system be applied?
With the round surface against the gum.
True or False: Buccal tablets can be chewed and swallowed.
False
What should be done if a buccal tablet falls out 4 hours before the next dose?
A new system should be applied.
What instruction should be given to the patient using a testosterone transdermal patch?
It should be applied to clean, dry skin, away from the scrotum and bony prominences. It should be applied daily at 10pm. Accumulation of testosterone does not occur with continued use. If the patch is removed, the person will return to the hypogonadal state within 24 hours.
What instruction should be given to the patient using testosterone gel?
Apply to clean, dry, skin, away from the genitals. Wash hands thoroughly after application. Other people should not come in contact with the skin where it is applied.
What are side effects of using testosterone?
It interferes with spermatogenesis. It can have masculinization and teratogenic effects on a fetus if the woman comes in contact with it. It can cause elevated cholesterol levels. It causes growth disturbances in infants and prepubertal children. It increases the risk of BPH and prostate cancer in older men.
True or False: Men taking testosterone should notify their health care provider if they have a decreased urinary stream or other urinary symptoms.
True
What type of medications should PDE-5 inhibitors not be taken with?
Nitrates or nitroglycerin; Alpha blockers
What instructions should be given to a man taking Sildenafil (viagra)?
It works best on an empty stomach. It should be taken 30-60 minutes before sexual activity. It lasts about 4 hours.
Why do some men prefer Avanafil vs. Sildenafil?
Avanafil (Ava) has a shorter onset and can be taken within 15 minutes of sexual activity, which allows for more spontaneity.
