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Treating testosterone deficiency
The patient should be fully informed about the expected benefits and side effects of testosterone therapy (T therapy), to facilitate a joint decision on treatment choice.
Physicians should also consider drug withdrawal times, based on the pharmacodynamic and pharmacokinetic properties of the injectable versus the transdermal formulations.
References
Contraindications to testosterone therapy
The main contraindications to testosterone therapy (T therapy) are:1
An unevaluated prostate nodule or induration, or raised prostate specific antigen (PSA), should be fully investigated prior to starting T therapy.
Untreated sleep apnoea and severe LUTS have previously been considered contraindications to T Therapy, but more recent evidence suggests this may no longer be the case.2 These conditions should however, be fully investigated and optimally manged before starting treatment with testosterone.
References
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