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Conditions: Low Testosterone

Testosterone Replacement Therapy Rarely Prescribed for Hypogonadal Men

Testosterone Replacement Therapy Rarely Prescribed for Hypogonadal MenHow often do you prescribe testosterone replacement therapy (TRT) to your patients?

The answer to that question depends on your patients’ situation, of course. But a recent study presented at the American Urological Association’s annual meeting last May suggests that providers aren’t prescribing TRT as often as we might think.

The Study

Researchers led by Dr. Nelson Stone of Mount Sinai School of Medicine looked at data from 11,584 (mean age 61.6 years) men who underwent health assessments during Prostate Cancer Awareness Week in 2011 and 2012.

Testosterone levels were measured for about 42% of the men and considered in light of several variables, including age, race, fat in the diet, amount of exercise, weight, body mass index (BMI), diabetes, erectile dysfunction (ED), heart disease, and heart attack.

In this subgroup, almost 43% of the men had hypogonadism, defined as a testosterone level below 300 ng/dL.

Interestingly, only 3.9% of this group was on TRT.

TRT was more common among men with ED, those over age 65, and men with a BMI of 30 kg/m2.

In their abstract, the study team did not speculate on why so few hypogonadal participants were on TRT. But they encouraged healthcare providers to consider TRT for hypogonadal men, especially is they were diabetic, exercised infrequently, ate a high fat diet, or had a high BMI.

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