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Updated: May 19, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Testosterone replacement and prostate cancer
Ranjith Ramasamy1, Erik S Fisher, Peter N Schlegel
1Department of Urology, New York - Presbyterian Hospital, Weill Cornell Medical College, New York, USA.
Testosterone replacement therapy does not appear to be an independent risk factor for prostate cancer. This therapy may offer cardiovascular benefits and improve body composition and insulin resistance in men with hypogonadism.
Area of Science:
- Endocrinology
- Urology
- Oncology
Background:
- Controversy exists regarding the association between exogenous androgen administration and prostate cancer risk.
- Androgen replacement therapy (ART) is used to treat symptomatic hypogonadism.
Purpose of the Study:
- To review available clinical data on the risks and benefits of testosterone (androgen) replacement therapy.
- To specifically address the relationship between exogenous androgen administration and prostate cancer risk.
Main Methods:
- Systematic review of existing clinical studies and literature.
- Analysis of data concerning androgen administration and prostate cancer incidence.
- Evaluation of cardiovascular events, body fat mass, and insulin resistance in patients undergoing ART.
Main Results:
- No study definitively demonstrates that androgen replacement therapy is an independent risk factor for prostate cancer development.
- Androgen administration may reduce fatal cardiovascular events.
- ART appears beneficial in decreasing body fat mass and improving insulin resistance.
Conclusions:
- Current clinical data suggest that androgen replacement therapy is a suitable treatment for men with symptomatic hypogonadism.
- Regular prostate screenings are recommended for patients undergoing androgen replacement therapy.
- ART may offer significant health benefits beyond testosterone level restoration.
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