Diagnosis and treatment of hypogonadism in older men: proceed with caution
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摘要:
Male hypogonadism, defined as clinical features of androgen deficiency combined with confirm-ed unequivocally low testosterone levels [1], is a straightforward diagnosis in younger men with underlying testicular and pituitary pathology. The diagnosis of hypogo-nadism in older men is challenging,because of the non-specificity of symptoms and the age-related decline in testosterone levels which is accelerated by chronic disease and obesity.