Vol 39, (10) 752-755
Androgen deficiency in the aging man
Ranjan Arianayagam BA, LLB, MBBS(Hons), is an intern, Royal North Shore Hospital, Sydney, New South Wales.
Mohan Arianayagam BSc, MBBS, is Urology Fellow, Department of Urology, Jackson Memorial Hospital and The University of Miami, Florida, United States of America
Shaun McGrath MBBS(Hons), FRACP, is Consultant Endocrinologist, Department of Endocrinology, John Hunter Hospital, Newcastle, New South Wales
Prem Rashid MBBS, FRACGP, FRACS(Urol), PhD, is a urological surgeon and Conjoint Associate Professor, Department of Urology, Port Macquarie Base Hospital and University of New South Wales Rural Clinical School, New South Wales.
BACKGROUND Androgen deficiency in the aging man is an area of considerable debate because a gradual decline in testosterone may simply be part of the normal aging process. However, there is an alternative view that androgen deficiency in the aging man may constitute a valid and underdiagnosed disorder.
OBJECTIVE To discuss the aetiology, clinical features, diagnosis and management of androgen deficiency in the aging man.
DISCUSSION Late onset hypogonadism has clinical features that overlap with both normal aging and some pathological conditions. It can only be diagnosed on the basis of both suggestive clinical features and clear biochemical evidence of testosterone deficiency. In this group of patients medication may play a role.
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