Dr. Charles Mok argues that men with testosterone deficiency symptoms should be treated even without identifying an underlying cause. The FDA originally approved testosterone replacement only for severe cases like missing testicles or pituitary injury, but many cases are idiopathic or age-related and still cause real symptoms.
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The symptoms and signs of testosterone deficiency occur as a result of low levels of testosterone and may benefit from treatment. Regardless of whether there is identified underlying etiology. This lies in the face of the FDA indications. The FDA has indicated testosterone replacement. They've approved it in the 50s for men that not only had severely low t severely low testosterone, but also they had it because of either missing a testicle, having brain damage, inability to turn on the hormone that stimulates testosterone production or they have an extra female chromosome. In this case, the resolution says regardless of the cause, it you can't find one which is Most times you cannot find a cause. It's called idiopathic. Sometimes you call it primary or secondary. Just means that because of the brain is not asking for more testosterone or the testicles are producing but the actual cause is not generally known. It just seems to be an age related condition and it is appropriate to treat low testosterone in men that have testosterone deficiency symptoms regardless of a cause is found or not.