Testosterone deficiency, often referred to as late-onset hypogonadism, is increasingly recognized as a multifactorial syndrome associated with aging. Declining serum testosterone levels may lead to diminished libido, erectile dysfunction, fatigue, sarcopenia, mood disturbances, and decreased bone mineral density.
Diagnosis requires consistent biochemical confirmation of low morning testosterone levels in conjunction with relevant clinical symptoms. Guidelines from the Endocrine Society emphasize repeated testing and careful evaluation before initiating testosterone replacement therapy (TRT).
While TRT can improve sexual function, mood, and muscle mass, it requires ongoing monitoring for potential risks, including erythrocytosis and prostate-related concerns. Comprehensive cardiovascular assessment is recommended prior to erotic treatment initiation.
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