Clinical Follow-up Question:
A 33-year-old man reports a progressive decline in libido and weakness. Serum total and calculated free testosterone concentrations are low; repeat tests on an early morning sample confirm these results. Serum FSH and LH are below the lower limit of detectability. Sellar MRI reveals a 1.2 cm pituitary macroadenoma. Thorough evaluation of the macroadenoma reveals that it is nonfunctional. Thyroid and adrenal function tests are normal.
Past medical history: No medical illnesses Surgeries: appendectomy at age 9 SH: He is married, and the couple are considering having children in the “next 1-2 years”. Physical examination: Height is 72 in (183 cm) BMI = 28 kg/m 2 BP 132/72 HR 68 He has a normal cardiac and pulmonary examination He has a normal penis, and his testes are 25 cc each Labs: Serum testosterone 125 ng/dL (4.3 nmol/L)
Which of the following is the choice of testosterone replacement therapy for this man who wants to conceive within the next 2 years?
What gaps in your knowledge, skills, or attitudes did CEU 2017 (as a whole) help you discover?
How can we help you overcome these barriers?
Identify any topics which should be covered in future educational activities: