The final section of the Endocrine Society of Australia (ESA) Position Statement on Male Hypogonadism (Part 2: treatment and therapeutic considerations) was published in the September issue of the Medical Journal of Australia, complementing Part 1: assessment and indications for testosterone therapy.
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.
Part 2 of the statement highlights that the evidence regarding testosterone treatment and cardiovascular outcomes is weak and inconclusive. Until better evidence is available the statement advises caution with using testosterone in older men with cardiovascular disease, especially those without a confirmed androgen deficiency diagnosis. 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, diagnosing and treating patients with androgen deficiency.
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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