Benefits and Consequences of Testosterone Replacement Therapy: A Review
- PMID: 30349612
- PMCID: PMC6193518
- DOI: 10.17925/EE.2013.09.01.59
Benefits and Consequences of Testosterone Replacement Therapy: A Review
Abstract
Late onset hypogonadism (LOH) is an issue of increasing concern. Studies have shown the importance of testosterone in the maintenance of homeostasis, especially with respect to bone health, sexual function, diabetes, cardiovascular risk, mental health and cognition. Much of the dysfunction in hypogonadism can be reversed or improved with testosterone replacement therapy (TRT). Physicians worry about the possible consequences of TRT, especially regarding the prostate. By reviewing the literature, we have found there are significant benefits to TRT, and fears of adverse effects on the prostate are largely unfounded, though there is a great need for larger studies with longer periods of follow-up, especially to evaluate adverse events.
Keywords: Late onset hypogonadism (LOH); aging; hormone replacement; testosterone; testosterone replacement.
Conflict of interest statement
Disclosure: The authors have no conflicts of interest to declare.
Similar articles
-
EMAS position statement: Testosterone replacement therapy in the aging male.Maturitas. 2016 Feb;84:94-9. doi: 10.1016/j.maturitas.2015.11.003. Epub 2015 Nov 10. Maturitas. 2016. PMID: 26614257 Review.
-
Improved Lower Urinary Tract Symptoms Associated With Testosterone Replacement Therapy in Japanese Men With Late-Onset Hypogonadism.Am J Mens Health. 2018 Sep;12(5):1403-1408. doi: 10.1177/1557988316652843. Epub 2016 Jun 2. Am J Mens Health. 2018. PMID: 27256990 Free PMC article.
-
Testosterone Therapy: What We Have Learned From Trials.J Sex Med. 2020 Mar;17(3):447-460. doi: 10.1016/j.jsxm.2019.11.270. Epub 2020 Jan 9. J Sex Med. 2020. PMID: 31928918 Review.
-
Prostate-specific antigen changes and prostate cancer in hypogonadal men treated with testosterone replacement therapy.BJU Int. 2009 May;103(9):1179-83. doi: 10.1111/j.1464-410X.2008.08240.x. Epub 2008 Dec 23. BJU Int. 2009. PMID: 19154450
-
Controversial aspects of testosterone in the regulation of sexual function in late-onset hypogonadism.Andrology. 2020 Nov;8(6):1580-1589. doi: 10.1111/andr.12794. Epub 2020 May 8. Andrology. 2020. PMID: 32248652 Review.
Cited by
-
Hormone Replacement Therapy Does Not Eliminate Risk Factors for Joint Complications following Total Joint Arthroplasty: A Matched Cohort Study.Pathophysiology. 2023 Apr 4;30(2):123-135. doi: 10.3390/pathophysiology30020011. Pathophysiology. 2023. PMID: 37092525 Free PMC article.
-
Testosterone Replacement Therapy in the Aged Male: Monitoring Patients' Quality of Life Utilizing Scoring Systems.Int J Gen Med. 2022 Sep 7;15:7123-7130. doi: 10.2147/IJGM.S253183. eCollection 2022. Int J Gen Med. 2022. PMID: 36105846 Free PMC article. Review.
-
Advancements in the evaluation and treatment for Testosterone Deficiency.Int J Impot Res. 2022 Nov;34(7):621-622. doi: 10.1038/s41443-022-00570-8. Epub 2022 Apr 6. Int J Impot Res. 2022. PMID: 35388179 No abstract available.
References
-
- Araujo AB, O’Donnell AB, Brambilla Dj, Simpson WB et al. Prevalence and Incidence of Androgen Deficiency in Middle-Aged and Older Men: Estimates from the Massachusetts Male Aging Study. J Clin Endocrinol Metabol. 2004;89:5920–6. - PubMed
-
- Khera M, Bhattacharya RK, Blick G et al. Improved Sexual Functon with Testosterone Replacement Therapy in Hypogonadal Men: Real-World Data from the Testim Registry in the United States (TRiUS) J Sex Med. 2011 Nov;8(11):3204–13. - PubMed
-
- Yesavage JA, Davidson J, Widrow L, Berger PA. Plasma Testosterone Levels, Depression, Sexuality and Age. Biol Psychiatry. 1985;20:199–228. - PubMed
Publication types
LinkOut - more resources
Full Text Sources