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The evaluation of erectile dysfunction includes a sexual history, a genital examination, a serum testosterone level, and prolactin and thyrotropin levels.
Some investigators have claimed that lead affects both peripheral thyroid hormone levels and basal and stimulated thyrotrophin levels in lead-exposed males.
Of these, eight had been treated with thyroxine for an abnormal test result for thyrotrophin releasing hormone, and all considered their menstrual loss to have returned to normal.
The response to thyroxine in patients with positive autoantibodies or abnormal thyrotrophin releasing hormone responses did not differ from that in other participants; numbers were too small for detailed analysis.
Anterior pituitary function was investigated in five patients using glucagon, thyrotrophin releasing hormone, and gonadotrophin releasing hormone challenge.
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