The testosterone replacement therapy for prostate cancer patients: Time to take the leap?

Jennifer Le Guevelou1, Guillaume Ploussard2, Guilhem Roubaud3

  • 1Radiation Oncology Department, Centre Eugène Marquis, Rennes, France.

Andrology
|May 9, 2024
PubMed

Insights

Testosterone replacement therapy (TRT) may be safe for prostate cancer (PCa) survivors, potentially improving quality of life. Further research is needed to determine optimal patient selection for TRT post-PCa treatment.

Area of Science:

  • Oncology
  • Endocrinology
  • Urology

Background:

  • Systemic therapies have reduced prostate cancer (PCa) mortality but increased long-term treatment-induced hypogonadism.
  • Testosterone replacement therapy (TRT) is known to improve erectile function and cardiovascular health in men without PCa.

Purpose of the Study:

  • To review the safety and efficacy of TRT in men treated for prostate cancer.
  • To identify the optimal patient population eligible for TRT after PCa treatment.

Main Methods:

  • Literature review of studies investigating TRT in PCa patients.
  • Analysis of existing data on TRT's effects on PCa outcomes and patient well-being.

Main Results:

  • TRT has shown potential benefits in improving quality of life for hypogonadal men.
  • The safety and efficacy of TRT in PCa patients require careful consideration and further investigation.

Conclusions:

  • TRT may be a viable option for select prostate cancer survivors experiencing hypogonadism.
  • Defining the ideal candidates for TRT post-PCa treatment is crucial for maximizing benefits and minimizing risks.

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