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Testosterone deficiency: Which patients should you screen and treat?
A dialogue among Richard Sadovsky, MD, Sandeep Dhindsa, MD, and Katherine Margo, MD held on January 30, 2007


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Richard Sadovsky, MD, Program Chair
Associate Professor of Family Medicine
State University of New York-Downstate Medical Center
Brooklyn, New York
  
Sandeep Dhindsa, MD
Clinical Professor
Texas Technical University
School of Allied Health Sciences
Lubbock, Texas
Endocrinologist
Diabetes Center of the Southwest
Midland, Texas
  
Katherine Margo, MD
Director of Student Programs
Associate Residency Director
Department of Family Medicine and Community Health
University of Pennsylvania School of Medicine
Philadelphia, Pennsylvania
Overview
Testosterone levels decline in men with the normal course of aging. Below certain levels, a deficiency of testosterone is clinically significant and can affect sexual function as well as the function of numerous organ systems. This dialogue among 2 family physicians and an endocrinologist explores diagnostic and treatment options in clinical practice with a focus on newly released guidelines from the Endocrine Society.

Release Date: May 2007
Expiration Date: May 2008

Learning Objectives
After reviewing this material, clinicians should be better able to:
  • Discuss the prevalence of low testosterone levels in male patients
  • Provide appropriate screening and testing to diagnose testosterone deficiency, particularly in patients who have other medical conditions that are associated with low testosterone levels
  • Identify patients for whom testosterone replacement is appropriate
  • Select the most appropriate treatment options for individual patients
  • Counsel patients concerning risks and benefits of testosterone replacement therapy
  • Evaluate the potential effects of route of administration on risks and benefits
  • Describe strategies to monitor patients receiving treatment
Target Audience
Family practice physicians, nurse practitioners, physician assistants, and other clinicians with an interest in men's health.

CME Sponsorship
The University of Cincinnati designates this educational activity for a maximum of 2.0 AMA PRA Category 1 creditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity. This CME activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the sponsorship of the University of Cincinnati College of Medicine. The University of Cincinnati College of Medicine is accredited by the ACCME to provide continuing medical education for physicians.
CE Sponsorship
This independent educational activity is accredited for 1.5 contact hours of continuing education by Partners in Healthcare Education, LLC, an approved provider of continuing education by the American Academy of Nurse Practitioners, provider #031206.

Disclosures
Dr Sadovsky reports that he serves on the speakers' bureau of Pfizer Inc.
Dr Dhindsa reports that he receives research/grant support from Solvay Pharmaceuticals, Inc., and serves on the speakers' bureaus of Solvay Pharmaceuticals, Inc., Auxilium Pharmaceuticals, and Novartis Pharmaceuticals Corporation.
Dr Margo reports that she has nothing to disclose.

Acknowledgement
This CME/CE activity is supported by an unrestricted educational grant from Solvay Pharmaceuticals, Inc.

University of Cincinnati Department of Psychiatry Partners in Healthcare Education Solvay Pharmaceuticals


 
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