Mayo Clinic Proceedings recently published an important
article on men’s health and testosterone. The
Sexual Medicine Society of North America (SMSNA) assembled a panel of experts—including
Dr. Irwin Goldstein—on men’s health to address the rising concerns about testosterone
therapy. The panel consisted of 17 specialists in men’s health,
urology, endocrinology, sexual health, and methodology. They focused on
adult-onset hypogonadism (AOH), which is a condition where males do not
produce adequate levels of testosterone. One common way to treat AOH is
through testosterone therapy. However, many physicians and doctors question
the safety of using T therapy.
The discussion comes after the Food and Drug Administration (FDA) changed
labels for all testosterone products released in the United States, limiting
these testosterone prescriptions. Physicians and patients worried that
such treatments could lead to heart disease and stroke. The assembled
panel reviewed the best available scientific evidence to decipher the
validity of the risks of testosterone therapy.
They concluded the following:
- AOH is a serious condition that adversely affects men’s sexuality,
reproduction, and more.
- Testosterone therapy for men is rational, effective, and evidence-based.
- No scientific basis recommends age-specific testosterone therapy.
- Evidence does not support testosterone therapy increases prostate cancer.
- Those who are being treated should make sure they are regularly monitored.
The panel found that many men who experienced heart problems or strokes
while receiving testosterone therapy suffered other common medical conditions
such as diabetes and metabolic syndrome. While the experts agreed that
the therapy should continue, they did stipulate that men with AOH should
be counseled about the benefits and dangers of testosterone treatments.
To ensure safety, the panel suggests an extensive diagnostic process to
ensure that men are properly identified with AOH. Furthermore, men who
receive testosterone therapy should be carefully monitored throughout
Dr. Irwin Goldstein is a renowned expert on sexual health at Alvarado Hospital
Medical Center. Learn more about our
sexual medicine program