Testosterone Deficiency (2024): Difference between revisions
Urology4all (talk | contribs) Created page with " '''See Original Guideline''' '''Includes parts of Chapter 23 from 11th edition of Campell's''' ===== '''Androgen deficiency (AD)''' ===== * '''The term androgen/testosterone deficiency is preferred over hypogonadism''' * Unlike female menopause, which is a universal process associated with aging, the exact rate of testosterone decline and presenting symptoms are highly variable in men * True prevalence of AD in the adult male is unknown as a result of inconsistent d..." |
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'''Includes parts of Chapter 23 from 11th edition of Campell's''' | '''Includes parts of Chapter 23 from 11th edition of Campell's''' | ||
== | == Androgen deficiency (AD) == | ||
* '''The term androgen/testosterone deficiency is preferred over hypogonadism''' | * '''The term androgen/testosterone deficiency is preferred over hypogonadism''' | ||
* Unlike female menopause, which is a universal process associated with aging, the exact rate of testosterone decline and presenting symptoms are highly variable in men | * Unlike female menopause, which is a universal process associated with aging, the exact rate of testosterone decline and presenting symptoms are highly variable in men | ||
* True prevalence of AD in the adult male is unknown as a result of inconsistent definitions used in the literature; population-based studies suggest prevalence 2-39% | * True prevalence of AD in the adult male is unknown as a result of inconsistent definitions used in the literature; population-based studies suggest prevalence 2-39% | ||
== Pathophysiology == | |||
== | |||
* '''Causes classified as primary vs. secondary''' | * '''Causes classified as primary vs. secondary''' | ||
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**** '''Traumatic brain injury''' | **** '''Traumatic brain injury''' | ||
**** '''Surgical stress''' | **** '''Surgical stress''' | ||
== Diagnosis and Evaluation == | |||
* '''Clinical diagnosis of testosterone deficiency requires BOTH:''' | |||
*# '''Low testosterone levels combined WITH''' | |||
*# '''Symptoms or signs that are associated with low serum total testosterone.''' | |||
** A patient is considered testosterone deficient and a candidate for testosterone therapy only when he meets both criteria | |||
** '''UrologySchool.com summary:''' | |||
*** '''Recommended (2):''' | |||
***# '''History and Physical exam''' | |||
***# '''Laboratory confirmation of low testosterone''' | |||
***## '''Total morning testosterone < 300 ng/dL on 2 separate occasions''' | |||
***# '''Questionnaire not recommended''' | |||
***##*** | |||