Testosterone Deficiency - Male Flashcards
1
Q
Rate decline in natural testosterone levels?
A
1-2% per year
2
Q
Most likely groups that TD will occur in?
A
Overweight
those with comorbidities - particularly diabetes
3
Q
Signs of TD?
A
Sexual:
- erectile dysfunction
- reduce libido
- reduction in frequency of spontaneous erections
Non sexual:
- fatigue
- poor concentration
- low mood
- reduced vitality
Clinical:
- Frailty
- obesity
- osteopenia
- hot flushes
- mild anaemia
- reduction in pubic hair
- penile plaques
- gynaecomastia
4
Q
TD diagnosis principle?
A
Should be based on
1) biochemical confirmation
AND
2) signs/symptoms
5
Q
Benefits of TD treatment?
A
Improved:
- sexual function
- physical function
- mood
- anaemia
- bone density
Prevention:
- reduction in CVD risk
- prevent progression to diabetes if pre-diabetic
- no increased risk of prostate cancer
