Clearly defined clinical evaluation of these and the underlying risk factors, and further investigations should be performed when appropriate. According to the British Society for Sexual Medicine Guidelines on Adult Testosterone (Hackett, et al, 2016), to identify individuals who should be screened for TD, consideration should be given to routinely asking men if they have any sexual concerns, particularly those at high risk.

The cardiovascular issues associated with TRT have been clarified by recent studies showing clearly that therapy associated with clear rise in testosterone levels are associated with reduced mortality [Image: Shutterstock].

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