Androgen Deficiency and Testosterone Replacement: Current by Craig F. Donatucci MD (auth.), Wayne J.G. Hellstrom (eds.) PDF

By Craig F. Donatucci MD (auth.), Wayne J.G. Hellstrom (eds.)

ISBN-10: 1627031782

ISBN-13: 9781627031783

ISBN-10: 1627031790

ISBN-13: 9781627031790

Androgen Deficiency and Testosterone alternative: present Controversies and Strategies explores the problems round the prognosis and remedy of androgen deficiency. The textual content examines the to be had facts in regards to the analysis and remedy of fellows with low testosterone. It additionally examines controversies within the id and administration of those males. whereas the data contained inside of might be of use to those that focus on androgen deficiency and sexual drugs, the scope of the ebook will function a resource of simple information regarding testosterone alternative and as a resource of reasoned research of the controversies surrounding testosterone alternative within the getting older male. Physicians and doctor extenders should be in a position to observe facts administration rules to the assessment and therapy of fellows with testosterone deficiency; supported by means of the latest perform guidance on hand. The authors signify a opt for staff of physicians with services in androgen deficiency and alternative.

Androgen Deficiency and Testosterone substitute: present Controversies and Strategies may be of serious price to all physicians and health professional extenders who bring well-being care to males of every age.

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Extra info for Androgen Deficiency and Testosterone Replacement: Current Controversies and Strategies

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The Aging Males Symptoms (AMS) scale [3], the androgen deficiency in aging males (ADAM) survey [4], the Androtest interview [5], and the International Index of Erectile Function (IIEF) [6] are used as helpful adjuncts to the history and physical examination in the clinical diagnosis of androgen deficiency. The use of these instruments is reviewed in greater detail in Chap. 4. C. C. G. G. C. Mitchell et al. 1 Summary of symptoms and signs of androgen deficiency Group A: Symptoms and signs suggestive of androgen deficiency in men • Incomplete sexual development, aspermia, eunuchoid body habitus • Reduced sexual desire (libido) and activity • Decreased spontaneous erections • Breast discomfort, gynecomastia • Loss of body (auxiliary and pubic) hair, reduced shaving • Very small or shrinking testis (especially <5 cm3) • Inability to father children, reduced or absent sperm in ejaculate • Height loss, soft-trauma fracture, low bone mineral density, osteomalacia • Reduced muscle mass and strength • Hot flashes, sweats Group B: Symptoms and signs associated with androgen deficiency that are less specific than those listed in group A • Decreased energy, motivation, initiative, aggressiveness, self confidence • Feeling sad or down, depressed mood, dysthymia • Impaired concentration and memory • Prolonged sleep disturbance, increased sleepiness • Mild anemia (normochromic, normocytic, into the female range) • Increased body fat, body mass index • Diminished physical or work performance Based on data from Bhasin et al.

Normal standardized scores have only been published for German and Japanese patients. The Scale has been used internationally and translated into many other languages including English, Dutch, French, Spanish, Portuguese, Italian, Swedish, Korean, and Indonesian. 9 across countries, time periods, and domain subscores [6]. This was determined from a meta-analysis of studies performed in Germany, the United Kingdom, Spain, Portugal, Italy, France, Sweden, Thailand, and Korea. Small patient numbers assessed in some countries limits the reliability determination.

30. Vermeulen A, Verdonck L, Kaufman JM. A critical evaluation of simple methods for the estimation of free testosterone in serum. J Clin Endocrinol Metab. 1999;84:3666–72. 31. Rosner W. Errors in the measurement of plasma free testosterone. J Clin Endocrinol Metab. 1997;82:2014–5. 32. Wang C, Caitlin DH, Demers LM, et al. Measurement of total serum testosterone in adult men: comparison of current laboratory methods versus liquid chromatography-tandem mass spectroscopy. J Clin Endocrinol Metab.

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Androgen Deficiency and Testosterone Replacement: Current Controversies and Strategies by Craig F. Donatucci MD (auth.), Wayne J.G. Hellstrom (eds.)


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