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Loss of Testosterone
Jun 9, 2010

My partner & I have been HIV+ for over 20 years. Now we have discovered that we are both totally lacking Testosterone. We have been told that from now on, we would have to be taking it in shots. Is this normal?

Response from Dr. Henry

Low testosterone levels are fairly common in men as they age and appear more common in HIV+ men. The long term safety and health benefits of chronic testosterone replacement therapy are unknown despite widespread advertising promoting "T" replacement (studies of long term hormone replacement in women have been going on for decades with tens of thousands of women ultimately showing some serious health concerns tied to hormone replacement though often clear quality of life benefits). Studies in males inadequate but some now underway. In US testosterone replacement has shifted from periodic shots (leading to wide fluctuations in levels) to cutaneous daily application. KH

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