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Alternative treatment modalities for the hypogonadal patient.
MedLine Citation:
PMID:  24817260     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Testosterone (T) deficiency syndrome (TDS) is a prevalent condition, commonly managed with exogenous T. Despite an abundance of T formulations, alternative treatments are often sought for various reasons. To evaluate outcomes of alternative therapies, a PubMed search was performed of all publications that included men with TDS from 1990 through October 2013, with results summarized. Proposed mechanisms of action were also reviewed to provide a pathophysiologic basis for reported outcomes. Nonpharmacologic therapies that increase endogenous T are weight loss, exercise, and varicocelectomy, while medications used off-label include aromatase inhibitors, human chorionic gonadotropin, and selective estrogen receptor modulators. All reported therapies increase T, while changes in estradiol and adverse events vary by therapeutic class. Although limited data preclude direct comparisons between therapies, exercise and weight loss alone or in combination with medications may be considered first line. The role for surgical therapy in TDS remains undefined and requires further study.
Authors:
Landon W Trost; Mohit Khera
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Current urology reports     Volume:  15     ISSN:  1534-6285     ISO Abbreviation:  Curr Urol Rep     Publication Date:  2014 Jul 
Date Detail:
Created Date:  2014-05-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100900943     Medline TA:  Curr Urol Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  417     Citation Subset:  IM    
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