Testosterone | Goals and Therapy | Supporting Literature

Symptoms of testosterone deficiency affect approximately 1 in 200 men and may include:

• weakness
• fatigue
• reduced libido
• osteoporosis
• depressed mood
• loss of energy
• erectile dysfunction
• aches and pains

This condition is commonly referred to as “Andropause” and less often as “Androgen Deficiency in the Aging Male” (ADAM).

A man may be considered hypogonadal at any age if total testosterone is less than 200 ng/dl, or bioavailable testosterone is less than 60 ng/dl. Basaria and Dobs of Johns Hopkins University recommend that elderly men with symptoms of hypogonadism and a total testosterone level < 300 ng/dl should be started on hormone replacement.