Letter
Reflections on testosterone
Evidence based medicine inevitably increases testosterone prescribing
Cite this as:
BMJ
2012;345:e6167
- Geoffrey Hackett, committee member1,
- Mike Kirby, committee member1,
- Graham Jackson, committee member1,
- Kevan Wylie, committee member1
- On behalf of the British Society for Sexual Medicine
- 1British Society for Sexual Medicine, Lichfield WS14 9JL, UK
- 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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