Current guidelines on Testosterone replacement in men and women

Current guidelines on Testosterone replacement in men and women

2012-08-01 00:00:00

The British Society for Sexual Medicine, along with several other organisations, have issued new guidelines for the management of testosterone deficiency and the treatment of sexual disorders in men and women. These are the first guidelines developed by UK organisations on the subject of the diagnosis and treatment of sexual disorders in women. There remains a lack of awareness and a reluctance from clinicians and patients to discuss sexual symptoms. These guidelines result from a thorough review of the published research on the symptoms, diagnosis and treatments of testosterone deficiency and sexual disorders in men and women and present a number of recommendations summarised below.

Women should be routinely asked if they have any sexual concerns at consultations at contraceptive and sexual health clinics and at cervical screening, postnatal and menopausal assessments. This especially applies to women at higher risk, such as those who have premature surgical menopause, vaginal dryness, depression or a history of sexual abuse. Likewise, there are many opportunities to ask men about any sexual problems. Assessment may be undertaken over several consultations and should cover sexual and medical history and may involve use of validated questionnaires to assess female sexual function. Care should be taken to rule out pre-existing medical conditions such as diabetes, which may affect sexual function. Treatment should be based upon clinical symptoms and individually tailored. All patients diagnosed should be offered the opportunity to attend psychosexual and/or couples counselling or sex therapy. Additionally, patients may be offered a number of pharmaceutical options.

Conference: WAS Glasgow 2011
Areas of Interest / Categories: Androgen Therapy
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