Authors: Shalender Bhas<strong>in</strong>, Glenn R. Cunn<strong>in</strong>gham, Frances J. Hayes, Alv<strong>in</strong> M. Matsumoto, Peter J. Snyder, Ronald S. Swerdloff, and Victor M. Montori Affiliations: Boston University School of Medic<strong>in</strong>e (S.B.), Boston, Massachusetts; Baylor College of Medic<strong>in</strong>e/ Veterans Affairs Medical Center (G.R.C.), Houston, Texas; St. V<strong>in</strong>cent’s University Hospital (F.J.H.), Dubl<strong>in</strong>, Ireland; University of Wash<strong>in</strong>gton/Veterans Affairs Puget Sound Health Care System (A.M.M.), Seattle, Wash<strong>in</strong>gton; University of Pennsylvania School of Medic<strong>in</strong>e (P.J.S.), Philadelphia, Pennsylvania; Harbor University of California, Los Angeles Medical Center (R.S.S.), Torrance, California; and Mayo Cl<strong>in</strong>ic (V.M.M.), Rochester, M<strong>in</strong>nesota. Disclaimer: Cl<strong>in</strong>ical Practice Guidel<strong>in</strong>es are developed to be of assistance to endocr<strong>in</strong>ologists and other health care professionals by provid<strong>in</strong>g guidance and recommendations for particular areas of practice. The Guidel<strong>in</strong>es should not be considered <strong>in</strong>clusive of all proper approaches or methods, or exclusive of others. The Guidel<strong>in</strong>es cannot guarantee any specific outcome, nor do they establish a standard of care. The Guidel<strong>in</strong>es are not <strong>in</strong>tended to dictate the treatment of a particular patient. Treatment decisions must be made based on the <strong>in</strong>dependent judgment of health care providers and each patient’s <strong>in</strong>dividual circumstances. The Endocr<strong>in</strong>e Society makes no warranty, express or implied, regard<strong>in</strong>g the Guidel<strong>in</strong>es and specifically excludes any warranties of merchantability and fitness for a particular use or purpose. The Society shall not be liable for direct, <strong>in</strong>direct, special, <strong>in</strong>cidental, or consequential damages related to the use of the <strong>in</strong>formation conta<strong>in</strong>ed here<strong>in</strong>. First published <strong>in</strong> Journal of Cl<strong>in</strong>ical Endocr<strong>in</strong>ology & Metabolism, June 2010, Vol. 95(6):2536–2559. This revised guidel<strong>in</strong>e replaces the previous version published <strong>in</strong> 2006: Bhas<strong>in</strong> S, Cunn<strong>in</strong>gham GR, Hayes FJ, Matsumoto AM, Snyder PJ, Swerdloff RS, Montori, VM 2006 Testosterone Therapy <strong>in</strong> Adult <strong>Men</strong> with Androgen Deficiency Syndromes: An Endocr<strong>in</strong>e Society Cl<strong>in</strong>ical Practice Guidel<strong>in</strong>e (J Cl<strong>in</strong> Endocr<strong>in</strong>ol Metab 91:1995– 2101l doi: 10.1210/jc.2005–2847) This guidel<strong>in</strong>e is also available with CME. Go to http://www.endo-society.org/guidel<strong>in</strong>es/Current-Cl<strong>in</strong>ical-Practice-Guidel<strong>in</strong>es.cfm for more details. © The Endocr<strong>in</strong>e Society, 2010
T h e E n d o c r i n e S o c i e t y ’ s Cl<strong>in</strong>ical Guidel<strong>in</strong>es Testosterone Therapy <strong>in</strong> Adult <strong>Men</strong> with Androgen Deficiency Syndromes: An Endocr<strong>in</strong>e Society Cl<strong>in</strong>ical Practice Guidel<strong>in</strong>e