Table 1. Summary of purported beneficial effects of testosterone supplementation in hypogonadal males.
Symptom | Level of evidence* |
---|---|
Body composition, physical activity, strength | |
Increased lean body mass | 1A |
Decreased fat mass | 1A |
Improved bone mineral density | 1A |
Sexual function and libido | |
Improved libido | 1A |
Improved morning erections | 1A |
Improved erectile function | 1A |
May improve response to PDE5s in those previously refractory to PDE5s | 1B− |
Medical comorbidities | |
DM-improved fasting glucose, HbA1c, insulin sensitivity | 1A |
Lipids-improved TG, total cholesterol; variable results on HDL and LDL | 1A− |
Psychological/cognition | |
Inconsistent and contradictory results with mood, cognition, behavior | 1B− |
Potential benefit in improving depression in hypogonadal or HIV positive males | 1A− |
*, level of evidences is assigned by the authors based on Oxford criteria and utilizing the data provided in the current review. Reprinted: AUA Core Curriculum Sexual medicine: Hypogonadism medical treatment (https://www.auanet.org/university/core_topic.cfm?coreid=102). This table is open to all AUA members.