a) Total testosterone (T) has been the traditional method to diagnose testosterone deficiency. A number of suggested thresholds have been published. However, T assays produce highly variable results, and treatment must be individualized based on a combination of clinical presentation and biochemical results. Genetic variation may lead to symptoms of T deficiency in men with normal total T results.
* References: Traish et al. Testosterone Deficiency, The American Journal of Medicine (2011) 124, 578-587
If any of the following conditions are given check the total T of your patients
One or more components of the Metabolic Syndrome
Clinical symptoms / signs of testosterone deficiency
When using our testosterone management tool, you will find a modified guidance as suggested by an international expert panel* on how to manage and monitor the symptomatic response during the testosterone therapy. You can find the procedure of this pathway also as a downloadable pdf document in the link above.
* (A.Traish, M. Miner, A. Morgentaler, M. Zitzmann. Testosterone deviciency. Am.J.Med. 2001; 124:578-587)