[Patient with late-start hypogonadism and sexual dysfunction]. / Paciente con hipogonadismo de origen tardío y disfunción sexual.

OBJECTIVES: Testosterone deficit syndrome (TDS)is a clinical and biochemical entity characterized by low testosterone levels and androgenic deprivation clinic, which can cause a decrease in the quality of life. However, today there are doubts about its diagnosis and therapeutic management. METHODS: Bibliographic review using the MedLine database and detailed presentation of one clinical case. RESULTS: Testosterone deficit syndrome is associated with metabolic syndrome (visceral obesity, arterial hypertension, diabetes mellitus and dyslipemia). Currently, the performance of TDS screening in all males over the age of 45 years is under discussion. We propose a diagnostic-therapeutic algorithm for the management of TDS and erectile dysfunction. CONCLUSIONS: The treatment of erectile dysfunction associated with late start hypogonadism follows the same steps tha other generic cases of erectile dysfunction.

Paciente con hipogonadismo de origen tardío y disfunción sexual / Patient with late-start hypogonadism and sexual dysfunction

OBJETIVO: El síndrome de deficiencia de testosterona (SDT) es una entidad clínica y bioquímica caracterizada por niveles bajos de testosterona y clínica de deprivación androgénica, que puede provocar una disminución de la calidad de vida, sin embargo hoy en día existen dudas sobre su diagnóstico y manejo terapéutico. MÉTODOS: Revisión bibliográfica mediante la base de datos de Pub Med y exposición detallada de un caso clínico. RESULTADOS: El síndrome de deficit de testosterona se asocia con el síndrome metabólico (obesidad visceral, hipertensión arterial, diabetes mellitus y dislipemia): en la actualidad se discute si hacer cribado del SDT en todos los varones mayores de 45 años. Proponemos un algoritmo diagnóstico-terapéutico para el manejo del SDT y la disfunción eréctil. CONCLUSIONES: El tratamiento de la disfunción eréctil asociada al hipogonadismo de origen tardío sigue los mismos pasos que en otros casos genéricos de disfunción eréctil (AU)

OBJECTIVES: Testosterone deficit syndrome (TDS) is a clinical and biochemical entity characterized by low testosterone levels and androgenic deprivation clinic, which can cause a decrease in the quality of life. However, today there are doubts about its diagnosis and therapeutic management. METHODS: Bibliographic review using the MedLine database and detailed presentation of one clinical case. RESULTS: Testosterone deficit syndrome is associated with metabolic syndrome (visceral obesity, arterial hypertension, diabetes mellitus and dyslipemia). Currently, the performance of TDS screening in all males over the age of 45 years is under discussion. We propose a diagnostic-therapeutic algorithm for the management of TDS and erectile dysfunction. CONCLUSIONS: The treatment of erectile dysfunction associated with late start hypogonadism follows the same steps the other generic cases of erectile dysfunction (AU)