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A correction has been published: N Engl J Med 1996;334(21):1415.

Review Article
Drug Therapy
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Volume 334:707-715 March 14, 1996 Number 11
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Androgens in Men — Uses and Abuses
Carrie J. Bagatell, M.D., and William J. Bremner, M.D., Ph.D.

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The female steroid hormones, estrogen and progesterone, are prescribed widely by physicians, and their risks and benefits have been studied extensively. Although androgen preparations have been available for many years, most clinicians are less familiar with these hormones, and their risks and benefits have received less attention. The most common indication for androgen therapy is hypogonadism in men, but other potential uses of androgens are being explored. In addition, androgen abuse has become common among athletes and bodybuilders. It is therefore important that physicians be aware of the physiology, pharmacology, clinical indications, and adverse effects of androgens.

Physiology

The hypothalamus secretes . . . [Full Text of this Article]

Biologic Effects

Reproductive Tissues

Sexual Function and Behavior

Muscle

Skin and Hair

Liver

Lipids

Bone

Hematologic and Immunologic Effects

Androgen Preparations

Currently Available Preparations

Experimental Delivery Systems

Clinical Indications

Hypogonadism in Adults

Delayed Puberty

Hematologic Disorders

Hereditary Angioedema

Endometriosis

Experimental Uses

            Aging

            Male Contraception

Abuse of Androgens

Epidemiology and Patterns of Use

Effects on Strength and Performance

Complications and Side Effects

Side Effects during Androgen Replacement

Complications and Side Effects of Supraphysiologic Doses of Androgens

Conclusions


Source Information

From the Veterans Affairs Medical Center and the Department of Medicine, University of Washington School of Medicine, Seattle.

Address reprint requests to Dr. Bagatell at Endocrinology (111), VA Medical Center, 1660 S. Columbian Way, Seattle, WA 98108.

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