A subscription is required to access all the content in Best Practice. Includes COVID-19 rapid guidelines and clinical guidelines. Browse guidance by area: Conditions and diseases. Fertility problems: assessment and treatment external link opens in a new window. Review clinical and cost effectiveness of new treatments. Guidance, advice and information services for health, public health and social care professionals. Published by: European Association of Urology. To mental health services — if an underlying psychogenic cause is suspected or the man has severe mental distress. To endocrinology — if hypogonadism is suspected (abnormal serum testosterone).
Testosterone therapy in men with androgen deficiency syndromes: an Endocrine Society clinical practice guideline.
A concise summary of BSSM advice on the symptoms, diagnosis, and management of testosterone deficiency and the benefits and risks of treatment. To cardiology — if the man has CVD that makes sexual activity unsafe or contraindicates PDE-5 inhibitor use.
Guidance by programme. BSSM guideline on adult testosterone deficiency. Recommends making a diagnosis of hypogonadism only in men with symptoms and signs consistent with testosterone (T) deficiency and unequivocally and consistently low serum T concentrations. Diagnostics guidance . By British Society for Sexual Medicine 2018-01-30T11:02:00. Review the evidence across broad health and social care topics. Androgens play a crucial role in the development and maintenance of male reproductive and sexual functions, body composition, erythropoiesis, muscle and bone health, and cognitive functions. Last published: 2017. Choose one of the access methods below or take a look at our If you have a Best Practice personal account, your own subscription or have registered for a free trial, log in here:If your hospital, university, trust or other institution provides access to BMJ Best Practice through services such as OpenAthens or Shibboleth, log in via this button:If you have been provided an access code, you can register it here:For any urgent enquiries please contact our customer services team who are ready to help with any problems.The entered sign-in details are incorrect.
Recommends the use of accurate assays for the measurement of total and free testosterone and rigorously derived reference ranges for the interpretation of testosterone levels.
The international medical societies European Association of Urology (EAU), International Society for the Study of the Aging Male (ISSAM), International Society of Andrology (ISA), American Society of Andrology (ASA), and European Academy of Andrology (EAA) have issued recommendations on the definition, investigation, treatment and follow-up of men with late-onset hypogonadism.Assess response of signs and symptoms of hypogonadism to treatment and to evaluate any adverse effects.Failure to benefit clinical manifestations should result in discontinuation of treatment.Monitor serum testosterone levels 2–3 months after commencing treatment to ensure levels in the mid-normal physiological range have been attained.Performance of digital rectal examination and determination of prostate-specific antigen (PSA) levels in men over the age of 45This website is intended to provide information to an international audience outside the USA and UK.Annually (or according to standard prostate cancer screening protocols) known as late-onset hypogonadism, is a clinical and biochemical syndrome that can occur in men in association with advancing age. About us; Guidelines app; More navigation items; Men's health. Guidelines Live 2020—a virtual event.
Published by: National Institute for Health and Care Excellence.