Low Testosterone Among Males in Opioid Agonist Therapy and Its Association With Fatigue and Psychological Distress

  • 0Department of Addiction Medicine, Haukeland University Hospital, Bergen N-5021, Norway.

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Summary

This summary is machine-generated.

Eighty percent of males on opioid agonist therapy (OAT) had low testosterone. However, low testosterone levels were not linked to fatigue or psychological distress in this study. Further research is needed.

Area Of Science

  • Endocrinology
  • Pharmacology
  • Men's Health

Background

  • Chronic opioid use is often linked to low testosterone.
  • The prevalence and clinical significance of low testosterone in males undergoing opioid agonist therapy (OAT) are not well-established.

Purpose Of The Study

  • To determine the prevalence of low testosterone levels in males receiving OAT.
  • To investigate the association between free testosterone levels and symptoms of fatigue and psychological distress.

Main Methods

  • Prospective cohort study involving 295 males on OAT.
  • Biochemical assessment of free testosterone levels (≤0.22 nmol/L).
  • Validated scales were used to measure fatigue and psychological distress.

Main Results

  • 80% of participants exhibited low testosterone levels at baseline.
  • 73% showed low testosterone in two consecutive measurements.
  • No significant association was found between free testosterone levels and fatigue or psychological distress.

Conclusions

  • A high prevalence of low testosterone was observed in males on OAT.
  • Testosterone levels did not correlate with reported fatigue or psychological distress.
  • Findings suggest a need for further research due to potential limitations and confounding factors.

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