The Endocrine Society of Australia (ESA) Position Statement on Male Hypogonadism (part 1): Assessment and Indications for Testosterone Therapy has just been published in the Medical Journal of Australia, updating the ESA guidelines from 2000.
Developed by leading Australian endocrinologists, including Andrology Australia Director Professor Rob McLachlan, the position statement supports the use of testosterone replacement therapy in men of any age with confirmed androgen deficiency. Androgen deficiency conditions where testosterone therapy will be of benefit include Klinefelter’s syndrome, pituitary tumours and surgery or radiation that has damaged the testes. The purpose of testosterone replacement therapy in these conditions is to restore testosterone levels to normal.
There is currently not sufficient evidence to support testosterone treatment for other conditions where there may be lowered testosterone levels without a clear androgen deficiency diagnosis, such as in older men with chronic diseases. Further research is needed to see if testosterone therapy in these cases is safe and effective.
Men should speak to their treating doctor before making any decisions about treatment with testosterone. The ESA statement will help doctors in identifying and diagnosing patients with androgen deficiency who would benefit from testosterone treatment.
To help guide medical professionals, Andrology Australia, in cooperation with the ESA developed an advisory note outlining the Pharmaceutical Benefits Schedule (PBS) criteria for prescribing testosterone (for medical professionals).
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