Diagnosis and treatment of sexual dysfunctions in late-onset hypogonadism.

[steroid.com 1]

Diagnosis and treatment of sexual dysfunctions in late-onset hypogonadism.
Korean J Urol. 2011 Nov;52(11):725-35
Authors: Kim JW, Moon du G
Abstract
Testosterone is the principal androgen in the human male. The decline of testosterone with aging was recognized to be associated with a number of symptoms and signs that reduce the quality of life and that may even have severe, debilitating consequences. Clinically, late-onset hypogonadism (LOH) is diagnosed by use of biochemical and clinical measures. Despite published guidelines and recommendations, however, uncertainty surrounds the profile of clinical symptoms as well as the biochemical threshold of diagnosis. Clinicians should be aware of these shortcomings while adhering to the guidelines. Current treatment methods are centered on restoring testosterone to mid to lower levels of young men with natural testosterone repla***ents. Although recent studies have highlighted possible additional benefits involving improvement of systemic disorders, the goal of treatment is to improve sexual function, while observing for adverse effects in the prostate. Overall, the problem of LOH in debilitating the quality of life and well-being is real, and by following proper guidelines with attentiveness to the results of treatment trials, testosterone repla***ent therapy presents a safe and effective treatment option.

Nothinng new to most of us but what is important about this study is that the word is getting out there guys!!!

[ecdysone]

The one danger of this study, and others that try to summarize too much is they tend to repeat recommendations that are clearly outdated.

For example, the authors reproduced a table that states ED shouldn't be issue unless test <230 ng/dL and TRT is not necessary if test >346 ng/dL.

However, one tiny window of light is the author's recommendations to treat hypogonadism symptoms without necessary worrying about the blood work.