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    What screening tests should you use to evaluate a man with low testosterone?

    Jackman, Robert P.
    Judkins, Dolores Zegar
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    [PDF] WhatScreeningManLowTestosterone.pdf (156.0Kb)
    Date
    2008
    Format
    Article
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    Abstract
    Obtain a repeat morning testosterone level, as well as levels of follicle-stimulating hormone (FSH), luteinizing hormone (LH), and prolactin to help understand the cause of low testosterone when there is a lack of adequate empiric evidence to guide evaluation, advise the experts. When low or normal FSH and LH levels accompany low testosterone, evaluation of the pituitary gland is recommended. Chromosomal studies are indicated in prepubertal males with low testosterone and elevated FSH and LH levels to assess for Klinefelter syndrome. Perform a semen analysis if fertility is an issue. Bone densitometry is indicated in men with chronic hypogonadism to identify increased risk of hip fracture (strength of all recommendations: C, consensus guidelines and disease-oriented evidence).
    URI
    http://hdl.handle.net/10355/3830
    Part of
    Journal of family practice, 57, no. 11 (November 2008): 756-758.
    Rights
    OpenAccess.
    This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License.
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    • Clinical Inquiries, 2008

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