Androgen deficiency in older men

Abstract

BACKGROUND: Older men, especially those who are overweight or obese and have comorbidities, not uncommonly present with non-specific androgen deficiency-like symptoms, such as low energy and sexual dysfunction, and modestly lowered serum testosterone relative to reference ranges based on healthy young men. OBJECTIVE: The aim of this paper is to describe the clinical approach to men who present with non-specific androgen deficiency-like symptoms. DISCUSSION: Most men who present with non-specific androgen deficiency-like symptoms do not have organic hypogonadism due to pituitary or testicular disease, but instead have functional gonadal axis suppression due to ill health. Lifestyle measures -..