HIV Clinical Trial
Official title:
Transversal Study, Prospective, to Evaluate the Prevalence and Factors Associated With Hypogonadism in HIV + Men
Testosterone deficiency is classically associated with the development of metabolic syndrome,
osteoporosis, erectile disorder and / or a reduced libido, a depressive syndrome and
alteration of the quality of patients life.
Chronicity of HIV infection leads to several disorders as fever, chronic stress, weight loss
and cachexia which are the cause of hypogonadotropic hypogonadism. On the other hand,
abnormal secretion of cytokines, secondary to the infection may alter the Leydig cells
causing a hypergonadotropic hypogonadism and disrupts steroidogenesis. Cases of testicular
invasion by lymphoma or Kaposi's syndromes have also been described.
The advent of antiretroviral therapy has reduced the prevalence of hypogonadism in patients
infected with HIV that is currently about 20%. This prevalence remains about 20%, regardless
of the antiretroviral therapy and CD4-T cell count.
No study to our knowledge has so far assessed exhaustively the clinical features, biological,
therapeutic and paraclinical of hypotestosteronemiae while assessing the level of total serum
testosterone, SHBG and serum free testosterone, among HIV infected patients in the European
population.
Assess the prevalence and clinical, biological, paraclinical and therapeutic factors associated with primary or secondary hypogonadism in HIV treated and virologically suppressed patients. ;
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