Currently, the use of testosterone replacement therapy in elderly men
is not considered routine. However, the aging population makes it an i
ncreasingly important issue for primary care physicians, and therapy c
an be effectively managed in a primary care setting when indicated. Be
cause of testosterone's potential side effects, therapy should be cust
omized and patients must be carefully monitored. This treatment has tr
emendous potential, but further research is needed before routinely re
commending it for hypogonadal elderly men.