Dehydroepiandrosterone treatment in the aging male--what should the urologist know?
OBJECTIVE
Dehydroepiandrosterone (DHEA) has attracted considerable attention as a means against the decrements of aging. This review will summarize clinical studies evaluating DHEA as a treatment option for age-related conditions and diseases.


METHODS
Literature search of PubMed documented publications and abstracts from meetings.


RESULTS
The collected data indicate that DHEA supplementation to counteract its gradual decrease over age is beneficiary. Positive effects on the cardiovascular system, body composition, BMD, the skin, the CNS, and the immune system have been reported. Improvement of sexual function by DHEA has been demonstrated.


CONCLUSIONS
Although long-term clinical trials (applying the standards of evidence-based methods) are not available at present, the consistency of the data and the extensive practical experience may justify the use of DHEA in aging men given the rules of classical endocrinology are thoroughly followed including diagnosis based on clinical picture and biochemical evidence, compliance to periodic evaluations, and individual dose adjustment to maintain serum concentrations in the physiological range of young males. Being one among other important hormonal factors, DHEA can delay and correct age-related disorders only to a certain degree.
Saad
F
F
Gulf Medical College, P.O. Box 4184, Ajman, UAE. faridsaad@aol.com
Hoesl
C E
CE
Oettel
M
M
Fauteck
J-D
JD
Römmler
A
A
D000375:Aging / Q000187:drug effects* / Q000502:physiology*; D002320:Cardiovascular Physiological Phenomena / Q000187:drug effects; D002986:Clinical Trials as Topic; D003687:Dehydroepiandrosterone / Q000008:administration & dosage* / Q000494:pharmacology*; D019587:Dietary Supplements; D020249:Hormone Replacement Therapy; D006801:Humans; D008297:Male; D010410:Penile Erection / Q000187:drug effects
D003687:Dehydroepiandrosterone