Responses to ART

Symptoms of reduced libido and sexual dysfunction that result in hypogo-nadism should improve within a few weeks of instituting adequate T replacement. Strength and energy complaints may take somewhat longer to improve. Although there are several excellent studies showing beneficial affects of ART upon muscle mass, strength, sexual function, libido, and skeletal mass in men with severe hypogonadism (34,35), fewer data are available regarding patients with more subtle T deficiency. Since ART is designed primarily to improve quality of life, it is my practice to discontinue such therapy after 3 mo in patients who find no symptomatic benefit.

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