Sex Society Issues Guidelines for Treating Testosterone Deficiency

The International Society for Sexual Medicine convened a panel of experts to make recommendations for treating low testosterone levels. The group concluded that recent concerns about testosterone replacement therapy, prostate cancer and cardiovascular disease are unfounded. Testosterone supplements can impair fertility and sperm production, and reduce testicular volume. Men concerned with the reproductive side effects should not be treated with testosterone. The panel stressed that physicians must avoid treating the “worried well”— men who request testosterone replacement therapy but don’t need it. The panel conceded that testosterone replacement therapy is in a state of flux and must be evaluated based on objective evidence. (Journal Sexual Medicine, published online July 12, 2015)

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