Özet:

Purposes: In the first examination of the patient in the application for erectile dysfunction should be discussed whether routine hormonal assessment is performed or not. In this study, the contribution of these studies to the patients who were referred to in our clinic and who were subjected to hormonal examination was examined. Methods and tools: Patients who apply to our clinic and consider hormonal evaluation were examined with at least two levels of FSH, LH, Prolactin and Testosterone. The hormonal disorder rate was identified to see if these disorders were correlated with the patient's age. The results of these evaluations also found that a different application was made in treatment.  Results: 227 of 356 patients with an average age of 46.1 (63.8%) were given hormonal examination. FSH height is 9.5 % (20/221), LH height is 7 %. 1 (16/224), prolactin height was detected at 4.7 % (10/211) and testosterone low at 3.7 % (7/191) in patients. A significant positive correlation between FSH and LH and age, a negative correlation between prolactin and age, while a correlation between testosterone and age was not detected. One in 10 patients with prolactin height had previously been diagnosed and treated with hypofysic adenoma. In the other nine patients, the prolactin values did not exceed the normal limit twice, so there was no need for additional examination by the endocrinology scientist. Of 7 patients with low testosterone, 2 of them with low libido were replaced with testosterone, while the other 5 were not needed, and all patients were treated with erectile dysfunction. Results: These findings indicate that in the first examination of a patient with erectile dysfunction, hormonal examination will not have much additional contribution to the treatment. Hormonal examinations should be requested only in the necessary cases after a good anemia and physical examination.

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