Testosterone therapy in children and adolescents: to whom, how, when?

Autor: Suarez A MC; Department of Urology, University of Miami Miller School of Medicine, Miami, FL, USA., Israeli JM; University of Miami Miller School of Medicine, Miami, FL, USA., Kresch E; Sackler School of Medicine, Tel Aviv, Israel., Telis L; Department of Urology, Lenox Hill Hospital, Donald and Barbra Zucker School of Medicine at Hofstra/Northwell, New York, NY, USA., Nassau DE; Department of Pediatric Urology, Nicklaus Children's Hospital, Miami, FL, USA. daniel.nassau@nicklaushealth.org.
Jazyk: angličtina
Zdroj: International journal of impotence research [Int J Impot Res] 2022 Nov; Vol. 34 (7), pp. 652-662. Date of Electronic Publication: 2022 Jan 07.
DOI: 10.1038/s41443-021-00525-5
Abstrakt: Male production of testosterone is crucial for the development of a wide range of functions. External and internal genitalia formation, secondary sexual characteristics, spermatogenesis, growth velocity, bone mass density, psychosocial maturation, and metabolic and cardiovascular profiles are closely dependent on testosterone exposure. Disorders in androgen production can present during all life-stages, including childhood and adolescence, and testosterone therapy (TT) is in many cases the only treatment that can correct the underlying deficit. TT is controversial in the pediatric population as hypoandrogenism is difficult to classify and diagnose in these age groups, and standardized protocols of treatment and monitorization are still lacking. In pediatric patients, hypogonadism can be central, primary, or a combination of both. Testosterone preparations are typically designed for adults' TT, and providers need to be aware of the advantages and disadvantages of these formulations, especially cognizant of supratherapeutic dosing. Monitoring of testosterone levels in boys on TT should be tailored to the individual patient and based on the anticipated duration of therapy. Although clinical consensus is lacking, an approximation of the current challenges and common practices in pediatric hypoandrogenism could help elucidate the broad spectrum of pathologies that lie behind this single hormone deficiency with wide-ranging implications.
(© 2022. The Author(s), under exclusive licence to Springer Nature Limited.)
Databáze: MEDLINE
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