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Men with Low Testosterone See Multiple Doctors Before Being Diagnosed; Many Dissatisfied with Current Treatment Options
Date:6/10/2009

nt under-diagnosis of low testosterone," Dr. Martin M. Miner, MD , Co-Director of the Men's Health Center Miriam Hospital and Clinical, Providence, R.I. and Associate Clinical Professor of Family Medicine Warren Alpert School of Medicine of Brown University, said. According to the survey, 36 percent of respondents saw two physicians before being diagnosed while 19 percent saw three doctors and 9 percent saw four. "This clearly speaks to the need for greater awareness among physicians of the condition and also for more patient-friendly treatments, since most men with this hormone deficiency will need to stay on treatment for life," Dr. Miner said.

Current treatment options include transdermal patches and gels that must be applied to the skin on a daily basis. Patients using gels must take care to prevent any transfer of testosterone to partners or children, as they have been associated with inappropriate genitalia enlargement and aggression in children. Short-acting testosterone injections are another, less popular treatment option that must be administered every two to four weeks.

"Despite the benefits of treatment, staying on therapy can be a problem for some men," Dr. Rosen said. According to the survey, 64 percent of men had used two or more testosterone replacement medicines, and 28 percent of men reported that they had stopped taking their medication at some point.

New long-acting injections that only need to be administered five times in the first year following the initial injection and every 10 weeks thereafter are in development and may offer patients a convenient new option for treatment. A majority of men polled said five shots in a year would be an improvement over their current therapies.

Although testosterone levels decline with age, hypogonadism is not a natural consequence of the aging process. "Men with clinically diagnosed hypogonadism do not need to 'tolerate
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SOURCE Endo Pharmaceuticals
Copyright©2009 PR Newswire.
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