Letters Reflections on testosterone

Evidence based medicine inevitably increases testosterone prescribing

BMJ 2012; 345 doi: https://doi.org/10.1136/bmj.e6167 (Published 24 September 2012) Cite this as: BMJ 2012;345:e6167
  1. Geoffrey Hackett, committee member1,
  2. Mike Kirby, committee member1,
  3. Graham Jackson, committee member1,
  4. Kevan Wylie, committee member1
  5. On behalf of the British Society for Sexual Medicine
  1. 1British Society for Sexual Medicine, Lichfield WS14 9JL, UK
  1. geoff.hackett{at}virgin.net

Use of evidence based guidelines inevitably increases prescription of testosterone.1 2 National Institute for Health and Clinical Excellence (NICE) guidance on type 2 diabetes and the Quality Outcome Framework 2013 recommend asking all men annually about erectile dysfunction,3 a significant marker of cardiovascular risk.2 4 About 75% of men with type 2 diabetes have erectile dysfunction.2 Evidence …

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