Sleep Apnea Clinical Trial
Official title:
Sexual Dysfunction And Hypotestosteronemia In Patients With Obstructive Sleep Apnea Syndrome And Its Effects With CPAP Therapy
Obstructive Sleep Apnea Syndrome (OSAS)is a common disease and is suspected to be associated with sexual dysfunction. Our purpose is to sudy the effect of CPAP (Continuous Positive Airway Pressure) treatment on patients' sexual dysfunction by measuring testosterone levels before and after CPAP treatments.
Obstructive Sleep Apnea Syndrome(OSAS) is a highly prevalent disease in the population,
affecting at least 4% of males and to a lesser extent females, yet it is currently under
diagnosed. OSAS is associated with various disorders including cardiovascular disease,
insulin resistance, diabetes mellitus, fatigue and erectile dysfunction. Currently the
standard treatment for OSAS is Continuous Positive Airway Pressure(CPAP).
Low testosterone levels are present in some patients with OSAS leading to erectile
dysfunction. However, the true prevalence of low testosterone levels and its correlation with
sexual health is poorly understood and undefined. Prior data suggest treating these patients
with CPAP therapy, usually increases testosterone levels, but unclear if this makes any
meaningful difference in patient outcome, that is improvement in libido and sexual function.
There are several postulations to the pathophysiology of low testosterone levels in patients
with OSAS. CRP(C-reactive protein), a strong marker of inflammation was shown to be elevated
in patients with OSAS. The association between elevated CRP and low testosterone level would
support the notion that inflammation plays a primary role in sexual dysfunction in patients
with OSAS.
The objective of this study is to identify correlation between low free testosterone levels,
sexual dysfunction and Obstructive Sleep Apnea before and after treatment with CPAP. Evaluate
the role of CRP and inflammation secondary to OSAS in the pathogenesis of sexual dysfunction.
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