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Infectious Disease, Men's Health, Cardiology
Clinical Brief 4 – Case study: Mark, diagnosed with prediabetes and low testosterone
Around 2-5% of older Australian men in the community experience testosterone deficiency without a clear pathological casuse. When assessing and treating older men with suspected testosterone deficiency, differentiating between organic and functional hypogonadism is vital. While organic hypogonadism can be due to serious underlying conditions and is generally irreversible, functional hypogonadism is more likely to be caused by suppression of the HPT axis and may be reversible. Men who are overweight or obese have been shown to be more likely to have low serum testosterone concentrations. Both of these clinical features are associated with increased risk of type-2 diabetes.
This program is supported by an independent educational grant provided from Besins.
DURATION
15 min
PROFESSION
Physician
# OF CREDITS
0
ACCREDITATION
Unaccredited
EXPIRY DATE
2022-12-31
Around 2-5% of older Australian men in the community experience testosterone deficiency without a clear pathological casuse. When assessing and treating older men with suspected testosterone deficiency, differentiating between organic and functional hypogonadism is vital. While organic hypogonadism can be due to serious underlying conditions and is generally irreversible, functional hypogonadism is more likely to be caused by suppression of the HPT axis and may be reversible. Men who are overweight or obese have been shown to be more likely to have low serum testosterone concentrations. Both of these clinical features are associated with increased risk of type-2 diabetes.
This program is supported by an independent educational grant provided from Besins.
Faculty
Dr Kati Matthiesson
MBBS, PhD, ABIM (USA), FRACP; (Victoria, Australia)
Learning objectives
After reading this study brief, you should be able to:
- Distinguish between organic hypogonadism and functional hypogonadism.
- Recognise the prevalence of low testosterone among older men in Australia.
- Identify the symptoms and co-morbidities associated with testosterone deficiency.
- Counsel patients on risks and benefits of testosterone replacement therapy.
# of credits: 0 
Duration: 15 min FAQs & HELP
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