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Testosterone Deficiency, Depression and Sexual Function in Aging Men

(PSYCHIATRIC TIMES) - Educational Objectives:

Upon completion of this educational activity, the reader will be familiar with:

* The complex psychobiology of the hypothalamic-pituitary-gonadal axis, particularly as it relates to male sexual and affective disorders.
* The growing epidemiologic and clinical data that confirm progressive HPG hypofunctioning in aging men.
* The treatment rationale, clinical indications and risks in using exogenous testosterone for late-life depression.

Who will benefit from reading this article?

Psychiatrists, primary care physicians, neurologists, nurse practitioners, psychiatric nurses and other mental health care professionals. Continuing medical education credit is available for most specialties. To determine if this article meets the CE requirements for your specialty, please contact your state licensing board.

Dr. Seidman is assistant professor of clinical psychiatry at Columbia University. His research focus is on the psychiatric aspects of hypothalamic-pituitary-gonadal functioning in men. Dr. Seidman has indicated he has nothing to disclose.

In contrast to women, men do not experience a sudden cessation of gonadal function comparable to menopause. However, there is a progressive reduction in male hypothalamic-pituitary-gonadal (HPG) axis function:

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