{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T20:47:43Z","timestamp":1774471663252,"version":"3.50.1"},"reference-count":34,"publisher":"CSIRO Publishing","issue":"4","license":[{"start":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T00:00:00Z","timestamp":1746403200000},"content-version":"vor","delay-in-days":2126,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,8,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Late-onset hypogonadism (LOH) is characterised by significant changes in the male life cycle, and may increase the likelihood of experiencing sexual difficulties. Further, it is assumed that traditional gender roles (masculinity) can affect the experience of sexual difficulties. The aim of this study was to evaluate the effect of masculinity on sexual symptoms of LOH, as well as on sexual and relational satisfaction. Methods: A community sample of 460 Portuguese men aged between 40 and 91 years (mean (\u00b1 s.d.) 51.64 \u00b1 8.03 years) was collected. Correlation and moderation analyses were conducted to investigate relationships among the variables being studied. Results: There was an association between the sexual symptoms of LOH, masculinity and sexual and relationship satisfaction. Moderation analysis revealed direct relationships between masculinity and sexual and relationship satisfaction, as well as direct relationships between sexual symptoms of LOH and sexual and relationship satisfaction. However, sexual symptoms of LOH did not significantly moderate the relationships between masculinity and sexual and relationship satisfaction. Conclusions: These findings indicate the existence of a direct effect of both masculinity and sexual symptoms of LOH on sexual and relational satisfaction, although masculinity did not have an effect on sexual symptoms of LOH. The implications of these findings are discussed. Instrumentality as an indicator of masculinity was associated with relational and sexual satisfaction, suggesting the importance of involving a man\u2019s partner in sexual dysfunction interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh18165","type":"journal-article","created":{"date-parts":[[2019,7,9]],"date-time":"2019-07-09T18:48:29Z","timestamp":1562698109000},"page":"389-393","source":"Crossref","is-referenced-by-count":5,"title":["Late-onset hypogonadism (LOH), masculinity and relationship and sexual satisfaction: are sexual symptoms of LOH mediators of traditional masculinity on relationship and sexual satisfaction?"],"prefix":"10.1071","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9826-9881","authenticated-orcid":true,"given":"P. A.","family":"Costa","sequence":"first","affiliation":[{"name":"AWilliam James Center for Research, ISPA \u2013 Instituto Universit\u00e1rio, Rua Jardim do Tabaco 34, 1149-041 Lisbon, Portugal."},{"name":"BCorresponding author. Email: pcosta@ispa.pt"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7842-5285","authenticated-orcid":true,"given":"I. Q.","family":"Garcia","sequence":"additional","affiliation":[{"name":"AWilliam James Center for Research, ISPA \u2013 Instituto Universit\u00e1rio, Rua Jardim do Tabaco 34, 1149-041 Lisbon, Portugal."}]},{"given":"F.","family":"Pimenta","sequence":"additional","affiliation":[{"name":"AWilliam James Center for Research, ISPA \u2013 Instituto Universit\u00e1rio, Rua Jardim do Tabaco 34, 1149-041 Lisbon, Portugal."}]},{"given":"J.","family":"Mar\u00f4co","sequence":"additional","affiliation":[{"name":"AWilliam James Center for Research, ISPA \u2013 Instituto Universit\u00e1rio, Rua Jardim do Tabaco 34, 1149-041 Lisbon, Portugal."}]},{"given":"I.","family":"Leal","sequence":"additional","affiliation":[{"name":"AWilliam James Center for Research, ISPA \u2013 Instituto Universit\u00e1rio, Rua Jardim do Tabaco 34, 1149-041 Lisbon, Portugal."}]}],"member":"67","published-online":{"date-parts":[[2019,7,10]]},"reference":[{"issue":"3","key":"2025102419091307300_R1","doi-asserted-by":"publisher","first-page":"125","DOI":"10.1111\/j.1365-2605.2005.00553.x","article-title":"Investigation, treatment and monitoring of late-onset hypogonadism in males: ISA, ISSAM, and EAU recommendations.","volume":"28","author":"Nieschlag","year":"2005","journal-title":"Int J Androl"},{"issue":"4","key":"2025102419091307300_R2","doi-asserted-by":"publisher","first-page":"297","DOI":"10.1080\/13685530400016664","article-title":"Andropause (or symptomatic late-onset hypogonadism): facts, fiction and controversies.","volume":"7","author":"Morales","year":"2004","journal-title":"Aging Male"},{"issue":"5","key":"2025102419091307300_R3","doi-asserted-by":"publisher","first-page":"1508","DOI":"10.1210\/jc.2011-2513","article-title":"Characteristics of androgen deficiency in late-onset hypogonadism: results from the European Male Aging Study (EMAS).","volume":"97","author":"Tajar","year":"2012","journal-title":"J Clin Endocrinol Metab"},{"issue":"2","key":"2025102419091307300_R4","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1056\/NEJMoa0911101","article-title":"Identification of late-onset hypogonadism in middle-aged and elderly men.","volume":"363","author":"Wu","year":"2010","journal-title":"N Engl J Med"},{"issue":"12","key":"2025102419091307300_R5","doi-asserted-by":"publisher","first-page":"5920","DOI":"10.1210\/jc.2003-031719","article-title":"Prevalence and incidence of androgen deficiency in middle-aged and older men: estimates from the Massachusetts Male Aging Study.","volume":"89","author":"Araujo","year":"2004","journal-title":"J Clin Endocrinol Metab"},{"issue":"2","key":"2025102419091307300_R6","doi-asserted-by":"publisher","first-page":"724","DOI":"10.1210\/jcem.86.2.7219","article-title":"Longitudinal effects of aging on serum total and free testosterone levels in healthy men.","volume":"86","author":"Harman","year":"2001","journal-title":"J Clin Endocrinol Metab"},{"issue":"3","key":"2025102419091307300_R7","doi-asserted-by":"publisher","first-page":"244","DOI":"10.1016\/S0377-1237(08)80105-0","article-title":"Male andropause: a myth or reality.","volume":"64","author":"Nandy","year":"2008","journal-title":"Med J Armed Forces India"},{"issue":"1","key":"2025102419091307300_R8","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1016\/j.mce.2008.11.004","article-title":"Aging of the human ovary and testis.","volume":"299","author":"Perheentupa","year":"2009","journal-title":"Mol Cell Endocrinol"},{"issue":"6","key":"2025102419091307300_R9","doi-asserted-by":"publisher","first-page":"335","DOI":"10.1038\/nrurol.2011.47","article-title":"Male late-onset hypogonadism: pathogenesis, diagnosis and treatment.","volume":"8","author":"Huhtaniemi","year":"2011","journal-title":"Nat Rev Urol"},{"issue":"6","key":"2025102419091307300_R10","doi-asserted-by":"publisher","first-page":"2536","DOI":"10.1210\/jc.2009-2354","article-title":"Testosterone therapy in men with androgen deficiency syndromes: an Endocrine Society clinical practice guideline.","volume":"95","author":"Bhasin","year":"2010","journal-title":"J Clin Endocrinol Metab"},{"issue":"4","key":"2025102419091307300_R11","doi-asserted-by":"publisher","first-page":"473","DOI":"10.1007\/s40618-015-0425-1","article-title":"How to define hypogonadism? 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