epilepsiaEpilepsy and paroxysmal conditionsЭпилепсия и пароксизмальные состояния2077-83332311-4088IRBIS LLCepilepsia-181Research ArticleSCIENTIFIC SURVEYSНАУЧНЫЕ ОБЗОРЫReproductive disorders in male patients with epilepsyРЕПРОДУКТИВНЫЕ НАРУШЕНИЯ У МУЖЧИН С ЭПИЛЕПСИЕЙАвакянГ. Н.AvakyanG. N.

Chair of Neurology and Neurosurgery, Faculty of Medicine

БадалянО. Л.BadalyanO. L.

Chair of Neurology and Neurosurgery, Faculty of Medicine

КриковаЕ. В.KrikovaE. V.

Chair of Neurology and Neurosurgery, Faculty of Medicine

ЧукановаА. С.ChukanovaA. S.

Chair of Neurology and Neurosurgery, Faculty of Medicine

БурдС. Г.BurdS. G.

Chair of Neurology and Neurosurgery, Faculty of Medicine

ГОУ ВПО «Российский государственный медицинский университет им. Н.И. Пирогова» РосздраваРоссияSEE HPE Russian State Medical University of the RoszdravRussian Federation201022082016213036Copyright © Avakyan G.N., Badalyan O.L., Krikova E.V., Chukanova A.S., Burd S.G., 20162016Авакян Г.Н., Бадалян О.Л., Крикова Е.В., Чуканова А.С., Бурд С.Г.Avakyan G.N., Badalyan O.L., Krikova E.V., Chukanova A.S., Burd S.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.epilepsia.su/jour/article/view/181

This article discusses the problem of impaired reproductive function and sexual health in male patients with epilepsy. Issues reviewed include the aetiology of these dysfunctions (most probably due to a variety of causes), epilepsy as such, as well as drugs used for its treatment; these issues are closely related to each other and have a considerable effect on the manifestations of this condition. Impairments of sex steroid concentrations, hypothalamic – pituitary function, as well as testicular function, form a basis for reproductive dysfunction in male patients with epilepsy. The psychosocial complications of epilepsy can have implications for reproductive health and sexual function. Practitioners should pay more attention to these problems, as patients frequently deny or fail to notice some of these disturbances.

В настоящей статье обсуждена проблема нарушения репродуктивной функции и сексуального здоровья у мужчин, страдающих эпилепсией. Рассмотрена этиология этих дисфункций, скорее всего она полиэтиологична, и эпилепсия, и применяемые препараты для ее лечения тесно взаимосвязаны и оказывают значимое влияние на проявления данной патологии. Нарушение уровня половых стероидных гормонов, функционирования гипоталамо-гипофизарной системы, а также тестикулярной функции являются одной из основ репродуктивной дисфункции у мужчин с эпилепсией. Психосоциальные осложнения, связанные с эпилепсией, могут отразиться на репродуктивном здоровье и половой жизни. Врачи-клиницисты должны больше уделять внимание данного рода проблемам, т.к. пациенты могут часто не распознавать или противиться признанию тех или иных нарушений.

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The authors declare that there are no conflicts of interest present.