Cardiovascular impact of testosterone therapy for hypogonadism

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madman

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Key issues

• The use of testosterone therapy (TTh) for late onset hypogonadism has been questioned due to possible increased cardiovascular risk.

• Food and Drug Administration Drug Administration (FDA) in its final release approved TTh only for men with “classical hypogonadism”, i.e. due to primary or secondary T deficiency resulting from known problems within the testis, pituitary, or hypothalamus (e.g. genetic problems, or damage from surgery, chemotherapy, or infection).

• Available data on TTh derived from randomized clinical trials published in the last 7 years suggest that CV risk is not a major issue.

• Possible advantages in CV prevention can be detected in specific subpopulations (i.e obese men without major comorbidities).

• Duration of the available trials is short (lower that 3 years). Hence, limited information on possible long-term effects of TTh on CV
 

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