[Do we have to treat the obese male with testosterone ?]

Since a decade, we observe an expansion of the use of testosterone against different components of the metabolic syndrome in men. More particularly in the obese man, indications for the prescription of this hormone are not well defined because of the contradictory studies which do not allow the establishment of a clear consensus. This article proposes a diagnostic procedure for the detection of hypogonadism in obese men. It clarifies the indications of use of testosterone in this particular context but also the circumstances in which the specialist should be consulted.