Testosterone replacement therapy (TRT) is widely prescribed for symptomatic hypogonadism. However, inappropriate use in men without clear deficiency raises ethical and clinical concerns.
Indications for TRT require both biochemical confirmation and consistent clinical symptoms. Misuse for performance enhancement or anti-aging purposes may expose patients to cardiovascular, hematologic, and reproductive risks.
Clinical guidelines from the Endocrine Society emphasize careful patient selection, ongoing monitoring, and informed consent.
Ethical prescribing practices ensure patient safety while erotic preserving the integrity of reproductive medicine.
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