Several international medical societies have issued guidelines with recommendations on the diagnosis, treatment and monitoring of men with hypogonadism. These are listed below, along with view/download options. A summary of the main points for the clinician to consider can be found the Clinical Guidelines for Treatment of Hypogonadism with Testosterone Therapy page.

The European Association of Urology (EAU) Sexual and Reproductive Health Guidelines 2020

These Guidelines aim to provide a comprehensive overview of the medical aspects relating to sexual and reproductive health in adult males, and cover the former EAU guidelines on Male Sexual Dysfunction, Male Infertility and Male Hypogonadism.

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American Urological Association (AUA) 2018 Evaluation and Management of Testosterone Deficiency

This guideline was developed by a multi-disciplinary panel to inform clinicians on the proper assessment of patients with testosterone deficiency and the safe and effective management of men on testosterone therapy.

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International Consultation for Sexual Medicine (ICSM) 2018 Diagnosis and Treatment of Testosterone Deficiency

The 2018 ICSM guidelines adds to the 2015 ICSM guidelines by providing an update with recommendations on a selected set of topics, focusing primarily on areas where there have been significant new investigative results or important changes that impact clinical decision-making.

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International Expert Consensus - Fundamental Concepts Regarding Testosterone Deficiency and Treatment (2016)

Report from an international consensus conference with experts from a broad range of medical specialties, including urology, endocrinology, diabetology, internal medicine, and basic science research.

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American Association of Clinical Endocrinologists (AACE) & American College of Endocrinology (ACE) - Guidelines for medical care of patients with obesity (2016)

These guidelines provide detailed evidence-based recommendations for clinical decision-making that addresses real-world medical care of patients with obesity, including screening, diagnosis, evaluation, selection of therapy, treatment goals, and individualization of care.

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Canadian Men’s Health Foundation 2015 Diagnosis and management of testosterone deficiency syndrome in men

These guidelines are intended to address clinical questions surrounding the diagnosis of testosterone deficiency and the appropriate use of testosterone replacement therapy in the management of these patients. .

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The International Society of Sexual Medicine (ISSM) 2015 Process of Care for the Assessment and Management of Testosterone Deficiency in Adult Men

These guidelines contain the report of the ISSM Testosterone Deficiency Process of Care Committee. It provides a definition of testosterone deficiency and recommendations for assessment and treatment in different populations.

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International Consultation for Sexual Medicine (ICSM) 2015 Diagnosis and Treatment of Testosterone Deficiency

Recommendations are given for 12 categories of testosterone deficiency: definition, clinical diagnosis, routine measurement, screening questionnaires, laboratory diagnosis, threshold levels for the biochemical diagnosis of testosterone deficiency, prostate cancer, cardiovascular disease, fertility, testosterone formulations, alternatives to testosterone therapy, and adverse events and monitoring.

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International Expert Consensus - Fundamental Concepts Regarding Testosterone Deficiency and Treatment (2016)

The objectives of the meeting were to address key issues in the field of T therapy to determine if consensus could be reached by a broad range of experts on the basis of the highest-quality available evidence.

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