ISSM’s Process of Care for the Assessment and Management of Testosterone Deficiency in Adult Men

July 6, 2015

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ISSM’s Process of Care for the Assessment and Management of Testosterone Deficiency in Adult Men

July 6, 2015 - There are many misconceptions and unknowns about testosterone deficiency (TD) in the medical community and the general population. A paper recently published in The Journal of Sexual Medicine provides much-needed and up-to-date guidance for the assessment and management of testosterone deficiency in adult males.

Testosterone deficiency may affect the function of many different body systems, and result in significant detriment in quality of life, including alterations in sexual function. Busy physicians and patients need guidance to deal with practical, clinical problems on a day-to-day basis. Available authoritative guidance documents were rather dated and/or targeted at a specialist audience. As such the International Society for Sexual Medicine (ISSM) convened an internationally respected and authoritative professional ‘expert panel’ meeting to develop a new guidance document that is now accessible and relevant to all physicians.

It is important to providing authoritative resources that are practical and clinically relevant and accessible for physicians from all disciplines including family physicians and other specialists without expertise in sexual medicine, urology or endocrinology. By reviewing and evaluating the medical literature, the panel generated a comprehensive document that provides a definition of testosterone deficiency and recommendations for assessment and treatment in different populations.

It includes the latest evidence on the impact of hypogonadism and its treatments on men’s health, including premature mortality, obesity, diabetes, cardiovascular disease, the metabolic syndrome, osteoporosis, fertility and effect on body habitus. It also addresses safety issues and provides best practice treatment recommendations are presented to guide clinicians, both familiar and unfamiliar with testosterone deficiency. According to Dr. Wayne Hellstrom, Professor of Urology and Chief of Andrology at Tulane University School of Medicine in New Orleans, current president of the International Society for Sexual Medicine, expert panel member and co-author of the paper: “This research and paper also confirm that there is still a medical need for alternative treatment in men with testosterone deficiency, particularly in men wishing to preserve fertility. In such situations the use of testosterone replacement with exogenous testosterone can in fact be counter-productive.”

The International Society for Sexual Medicine expects that ongoing research will lead to new insights into the pathophysiology of testosterone deficiency in the future, as well as new, efficacious and safe treatments and therefore strongly recommends to periodically review data and incorporate the best new research into future updated guidance documents.

About the International Society for Sexual Medicine
The International Society for Sexual Medicine was established in 1978. The goals of the ISSM are to encourage the highest standards of practice, education, and research in the field of human sexuality; to develop and assist in developing scientific methods for the diagnosis, prevention, and treatment of conditions affecting human sexual function; and to promote the publication and encourage contributions to the medical and scientific literature in the field of sexual function. The ISSM has 2,200 members from all five continents and 89 nations. For more information about the ISSM, visit

Media contacts
Mr. David Casalod
Executive Director
International Society for Sexual Medicine (ISSM)
P: +31 75 647 63 72