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Low-T: Male Hypogonadism and Testosterone Therapy


In the Primary Care outpatient setting, physicians will encounter male patients with symptoms that may be related to hypogonadism, specifically low testosterone. In addition, patients have direct-to-consumer marketing instructing them to speak to their physician if they think they have “low-T”. Physicians may not have the tools or knowledge to properly evaluate these patients and perform a proper diagnostic workup. Physicians may not feel comfortable with prescribing a controlled substance (testosterone) to patients and knowing about non-testosterone treatments would be helpful to manage these patients.

This presentation will cover many of these concerns and should improve care of patients.

Learning Objectives:

By the end of this presentation, the learner should be able to:

  • Recognize the signs and symptoms of male hypogonadism
  • Identify risk factors or causes of male hypogonadism
  • Evaluate a male patient with suspected hypogonadism
  • Compare treatment options for the male patient with hypogonadism
  • Interpret the current guidelines for testosterone treatment
  • Counsel the patient on risks, side effects and benefits of testosterone therapy

Dr. Ronald Januchowski, D.O.

Dr. Januchowski graduated from the New York College of Osteopathic Medicine in 1993 and did a one-year internship at Botsford Hospital in Farmington Hills, Michigan. He began active duty in the Army at Fort Bragg and then completed his family medicine residency at Womack Army Medical Center. He also completed a Family Medicine Faculty Development Fellowship at the University of North Carolina, Chapel Hill. Dr. Januchowski retired from active duty in 2001, having attained the rank of Colonel, and went into private practice in Gastonia, North Carolina, eventually moving to the Spartanburg, South Carolina, area to become the osteopathic family medicine residency director at the first osteopathically accredited residency site in South Carolina. He started his career at the Edward Via College of Osteopathic Medicine at VCOM-Carolinas when it opened in 2011 as associate dean for curriculum, assessment and medical education. He currently serves as Dean of VCOM- VA Campus, in Blacksburg.

Disclosures: None


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