Testosterone, a hormone somewhat relegated to background status for many years, is moving to the fore as a central factor in men's health and disease.
Atlanta-Testosterone, a hormone somewhat relegated to background status for many years, is moving to the fore as a central factor in men's health and disease, according to an expert panel of three of the nation's foremost specialists in sexual health.
Among the study-supported observations cited by the panel at the end of their session:
Low T and metabolic syndrome
"The relationship between low testosterone and the metabolic syndrome is complex, bi-directional, and is related to primary aspects of the syndrome-visceral adiposity, hypertension with a systolic blood pressure exceeding 140 mm, dyslipidemia, hyperglycemia, and insulin resistance," he observed.
Dr. Miner said that there is a definite relationship between testosterone deficiency and metabolic syndrome, that a low baseline testosterone level is predictive of metabolic syndrome, and that testosterone repletion appears to improve insulin sensitivity and glycemic control in men with type 2 diabetes.
"Men with erectile dysfunction, diminished desire, impaired orgasmic function, and metabolic diseases, which include metabolic syndrome and type 2 diabetes, should be screened for testosterone deficiency and treated with TRT if they are symptomatic," said Dr. Miner.
Fertility preservation in patients with testicular cancer
March 8th 2024"Full discussion of the various fertility preservation options and an understanding of the fertility implications of the various treatment modalities must be understood by patients for them to make optimal decisions for their reproductive futures," write the authors.