New Guidelines for Testosterone Replacement Therapy in Older Men

Monthly Newsletter

You’ve no doubt seen the television hucksters who tell you that “low T” is the reason you’re getting soft in the middle and your libido is decreasing and claim—with a wink and a nod—that if you take their non-FDA-approved supplements, you can melt body fat, get stronger, and put romance back into your life. Dr. Danoff wants to make sure you understand when testosterone replacement therapy is medically necessary so you can resist the snake oil salesmen and know when it’s time to discuss TRT with your doctor to see if you are a candidate.

New Guidelines for Testosterone Replacement Therapy in Older Men

Mainstream urologists have long known that testosterone replacement therapy (TRT) is vastly—and dangerously—overprescribed. According to an evidence-based clinical practice guideline recently published in Annals of Internal Medicinephysicians should prescribe testosterone for men with age-related low testosterone only to treat sexual dysfunction. The evidence does not support prescribing TRT for men with concerns about low energy, decreased vitality, cognitive impairment, and increased belly fat (the “grumpy old man syndrome”).


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For more information on prostate and other urologic cancers, read The Ultimate Guide to Male Sexual Health: How to Stay Vital at Any Age.

“There’s no shame in wanting the fun parts to work right. This book goes a long way in telling you how.”

     —Bill Maher, host of HBO’s
Real Time with Bill Maher


Dudley Seth Danoff, MD, FACS, is a diplomate of the American Board of Urology and a fellow of the American College of Surgeons. Born in Brooklyn, New York, Dr. Danoff is a graduate of Princeton University, summa cum laude and Phi Beta Kappa. He received his medical degree at Yale University with honors. He completed his urologic surgical training and fellowship at Columbia University Presbyterian Medical Center in New York City. Following his training, he served as a major in the United States Air Force Medical Corps. For more than a quarter century, Dr. Danoff taught on the clinical faculty of UCLA School of Medicine. Currently, he is attending urologic surgeon at Cedars-Sinai Medical Center in Los Angeles. He is the founder and president of the prestigious Cedars-Sinai Medical Center Tower Urology Medical Group, the leading urologic practice serving the Southern California community for over thirty years. Dr. Danoff and his wife, Israeli singer Hedva Amrani, are longtime residents of Beverly Hills, California, and have two children: Aurele Danoff, an attorney, and Doran Danoff, a composer.


Photo by Rural Health Professions Action Plan, CC BY 2.0