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2007, Número 1

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Rev Endocrinol Nutr 2007; 15 (1)


Terapia sustitutiva con testosterona en el varón durante el envejecimiento

Porias CHL, Lamm WL

Idioma: Español
Referencias bibliográficas: 46
Paginas: 8-18
Archivo PDF: 171.44 Kb.


RESUMEN

Por la experiencia actual ya es factible que el varón pueda acceder a la posibilidad de un tratamiento hormonal sustitutivo. Los beneficios que pueden ser otorgados al hombre durante la etapa de envejecimiento indican mejoría en la calidad de vida. Es importante seleccionar al paciente tomando en cuenta el cuadro clínico y los niveles hormonales particularmente de testosterona o testosterona libre. No es simplemente administrar el producto farmacológico que contiene testosterona, es menester escoger la presentación de acuerdo a las condiciones particulares del paciente. La valoración inicial es fundamental para poder comparar los datos previos con los obtenidos durante y después de la temporada de tratamiento. Los beneficios en áreas metabólica, ósea, cardiovascular y sexual han sido analizados y sugieren un efecto favorable. Los riesgos son mínimos ante una valoración apropiada. Destaca desde luego la importancia de que el sujeto tenga un antígeno prostático normal y que no existan datos de obstrucción urinaria importante. La tendencia de la población indica un crecimiento de los adultos mayores de 60 años por lo que la calidad de vida puede mejorar considerablemente con la administración oportuna y suficiente de testosterona. Seguramente en el futuro próximo habrá nuevos productos que faciliten el tratamiento. El soporte de nuevas experiencias basadas en las futuras investigaciones seguramente dará mayor solidez a todos los conceptos vertidos en esta revisión.


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