الفهرس 
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Abstract
SUWMAHY
Aneedotal-reprta of sexual dysfunction associated with chronic obstructive pulmonary disease have appeared In the literature. Recently it was found that these patients frequently complain of decreasing sezual interest and functional ability.
The majority of commonly used parameters of pulmonary mechanics, gas exchange and exoerise that define the severity of dysfunction in chronic obstructive pulmonary disease correlates with the degree of severity of sexual dysfunction.
Hormonal changes had not previously been described in patients with chronic obstructive pulmonary disease* However, reduced urinary 17-Itetosteroids production has already been noted at Jiigh altitude natives and in emphyesma.
Altitude hypoxie allowed finding suggestive of adrenal cortical and gonedal function depression.
The integrity of hypothalamo-pituitary teaticular exis In patienta with COPJJ raised a great dispute, The hypothesis that hypoxia itself supresaes the a^is remains to be tested.