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Reporter brief

Narrative review summarizes diagnostic criteria and treatment evidence for hypogonadism in aging men with comorbidities

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This narrative review examined the prevalence, diagnosis, and management of male hypogonadism in older men, particularly in the context of obesity and cardiometabolic disorders. The authors searched PubMed for relevant literature on hypogonadism, aging, obesity, diabetes, and related comorbidities, selecting original research articles, systematic reviews, meta-analyses, and clinical guidelines. The review addresses unresolved questions about diagnostic thresholds, the relationship between testosterone decline and aging, and the impact of treatment on symptoms and long-term health outcomes in older men.

Assessment pending; this report does not establish a change in evidence.

  • Limitations have not been recorded; consult the primary source.

Systematic review; Human.

Aging men, with particular focus on those with obesity, type 2 diabetes mellitus, and other cardiometabolic comorbidities (functional hypogonadism), and comparison to younger men with congenital or acquired disorders affecting the hypothalamic-pituitary-testicular axis (organic hypogonadism)

Design
Systematic review
Sample
—
Journal
Maturitas
Published
Sep 9, 2026

Not recorded.

  • Assessment: Superseded.
  • Only the source material recorded on this evidence page was assessed.

Not recorded.

See the Testosterone therapy timeline and recorded assessment for prior evidence.

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