Editor Trends in Urology & Men's Health, John Wiley & Sons, The Atrium , Chichester, West Sussex.
Department of Diabetes and Endocrinology, Royal Glamorgan Hospital , Llantrisant, UK.
Expert Rev Endocrinol Metab. 2020 Jul;15(4):217-226. doi: 10.1080/17446651.2020.1773259. Epub 2020 Jun 17.
Testosterone deficiency (TD) is an increasing problem that can affect a man's physical and psychological health, and quality of life. Testosterone replacement therapy (TRT), combined with weight reduction, lifestyle advice, and the treatment of co-morbidities, is the treatment of choice in men who are not concerned about fertility. However, there remains an unmet need in this therapeutic area, relating to factors such as inconvenient or painful administration, fluctuations in testosterone levels, supra-physiologic testosterone levels, poor tolerability, and secondary safety issues, which may be associated with the current TRT options. Advances in transdermal delivery systems have resulted in the development of a new 2% transdermal testosterone gel, that may offer some additional features over the other currently available TRTs.
We performed a comprehensive review of the published and gray literature to identify randomized studies and non-randomized studies (NRS) involving adult men receiving treatment for low testosterone levels.
Topical gels are often the most convenient first-line treatment for testosterone deficiency, but options are important as patient preference is more important than virtually any other clinical area of medicine. The chosen therapy must be convenient to use and reach reliable therapeutic levels to effectively and consistently relieve symptoms. Testavan, a new 2% testosterone gel, goes some way to achieving these goals.
睾酮缺乏症(TD)是一个日益严重的问题,可能会影响男性的身心健康和生活质量。对于那些不关注生育能力的男性,睾酮替代疗法(TRT)联合减肥、生活方式建议和治疗合并症是首选治疗方法。然而,在这一治疗领域仍存在未满足的需求,涉及到诸如给药不便或疼痛、睾酮水平波动、超生理睾酮水平、耐受性差以及继发性安全问题等因素,这些因素可能与当前的 TRT 选择有关。透皮给药系统的进步导致了一种新的 2%睾酮透皮凝胶的开发,它可能比其他现有的 TRT 提供一些额外的特点。
我们对已发表和灰色文献进行了全面审查,以确定涉及接受低睾酮水平治疗的成年男性的随机研究和非随机研究(NRS)。
对于睾酮缺乏症,局部凝胶通常是最方便的一线治疗选择,但选择很重要,因为患者的偏好比几乎任何其他医学临床领域都重要。所选疗法必须使用方便,并达到可靠的治疗水平,以有效且一致地缓解症状。Testavan,一种新的 2%睾酮凝胶,在一定程度上实现了这些目标。