Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • News & Views
  • Published:

Andrology

Identifying late-onset hypogonadism in older men

Late-onset hypogonadism (LOH) is frequently difficult to diagnose in middle-aged and elderly men. A recent study has reported that a cluster of three sexual symptoms and a total testosterone threshold of less than 11 nmol/l are important determinants for the diagnosis of LOH in this age group.

This is a preview of subscription content, access via your institution

Relevant articles

Open Access articles citing this article.

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

References

  1. Wang, C. et al. Investigation, treatment, and monitoring of late-onset hypogonadism in males: ISA, ISSAM, EAU, EAA, and ASA recommendations. J. Androl. 30, 1–9 (2009).

    Article  PubMed  Google Scholar 

  2. Wu, F. C. W. et al. Identification of late-onset hypogonadism in middle-aged and elderly men. N. Engl. J. Med. 363, 123–125 (2010).

    Article  CAS  PubMed  Google Scholar 

  3. Bhasin, S. et al. Testosterone therapy in men with androgen deficiency syndromes: an Endocrine Society clinical practice guideline. J. Clin. Endocrinol. Metab. 95, 2536–2559 (2010).

    Article  CAS  PubMed  Google Scholar 

  4. Zitzmann, M., Faber, S. & Nieschlag, E. Association of specific symptoms and metabolic risks with serum testosterone in older men. J. Clin. Endocrinol. Metab. 91, 4335–4343 (2006).

    Article  CAS  PubMed  Google Scholar 

  5. Zitzmann, M. Mechanisms of disease: pharmacogenetics of testosterone therapy in hypogonadal men. Nat. Clin. Pract. Urol. 4, 161–166 (2007).

    Article  CAS  PubMed  Google Scholar 

  6. Stanworth, R. D., Kapoor, D., Channer, K. S. & Jones, T. H. Androgen receptor CAG polymorphism is associated with serum testosterone levels, obesity and serum leptin in men with type 2 diabetes. Eur. J. Endocrinol. 159, 739–746 (2008).

    Article  CAS  PubMed  Google Scholar 

  7. Araujo, A. B. et al. Prevalence of symptomatic androgen deficiency in men. J. Clin. Endocrinol. Metab. 92, 4241–4247 (2007).

    Article  CAS  PubMed  Google Scholar 

  8. Wu, F. C. et al. Hypothalamic-pituitary-testicular axis disruptions in older men are differentially linked to age and modifiable risk factors: the European Male aging Study. J. Clin. Endocrinol. Metab. 93, 2737–2745 (2008).

    Article  CAS  PubMed  Google Scholar 

  9. Kapoor, D., Aldred, H., Clark, S., Channer, K. S. & Jones, T. H. Clinical and biochemical assessment of hypogonadism in men with type 2 diabetes: correlations with bioavailable testosterone and visceral adiposity. Diabetes Care 30, 911–917 (2007).

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Ethics declarations

Competing interests

T. H. Jones declares that he has received speakers bureau honoraria and grant/research support from Bayer Schering Pharma, and has received speakers bureau honoraria and acted as a consultant for ProStraken.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Jones, T. Identifying late-onset hypogonadism in older men. Nat Rev Urol 7, 599–601 (2010). https://doi.org/10.1038/nrurol.2010.162

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/nrurol.2010.162

This article is cited by

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing