Male hypogonadism is characterized by low serum testosterone and impaired spermatogenesis. Primary male hypogonadism results from an intrinsic abnormality in the testes, while secondary male hypogonadism is a deficit of testosterone driven by changes in pituitary or hypothalamic upstream signaling pathways. Secondary hypogonadism is the predominant form of male hypogonadism in the major markets, and the incidence of secondary hypogonadism increases as a result of the age-related accumulation of comorbidities such as obesity. TRT, which aims to increase overall serum testosterone levels, is the cornerstone therapy for male hypogonadism and is primarily administered via injection or topical means. However, a key drawback of TRTs is decreased spermatogenesis, and some alternative therapies for male hypogonadism focus on the stimulation of gonadotropins in an effort to preserve fertility. Additionally, the FDA recently cautioned against the use of TRT due to the possibility of increased cardiac risk. This study will evaluate physicians’ perception of this warning and how this safety issue will affect the uptake of current and emerging therapies for male hypogonadism.
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