Endocrine Disorders: Evaluation and Management
Summary
- In patients with a normal sleep/wake cycle, laboratory assessment of hypogonadism should take place between 8:00 and 10:00 am (Management Guidelines)[Testosterone Guidelines]
- In HIV-infected men, especially those with chronic hepatitis, measurement of free testosterone is recommended, either by the equilibrium dialysis method or calculated using the total testosterone measured by liquid chromatography/tandem mass spectrometry, sex hormone binding globulin, and serum albumin[Mylonakis 2001; Vermeulen 1999]
- For total testosterone, a morning testosterone < 300 ng/dL is considered hypogonadal[Testosterone Guidelines]
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Keywords: Endocrine Disorders