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Original Research

Open Access

Barriers to diagnosis and accessing effective treatment and support for testosterone deficiency

  • Janine David1,*,
  • Alexandra Charles2

1Primary Care Testosterone Advisory Group, DH1 2QW Durham, UK

2Besins Healthcare, WC1V 6NY London, UK

DOI: 10.22514/jomh.2024.001

Submitted: 23 August 2023 Accepted: 17 October 2023

Online publish date: 29 January 2024

*Corresponding Author(s): Janine David E-mail:


Testosterone deficiency is common but often undiagnosed and untreated with many men struggling with symptoms for years before reaching out for healthcare professional advice. In order to gain an holistic view of the barriers to men accessing effective treatment, this qualitative study captures the behaviours, beliefs and experiences of all key stakeholders: men with testosterone deficiency, general practitioners (GPs) and endocrinologists. The main findings include a lack of awareness and knowledge of the range of symptoms of testosterone deficiency amongst men and GPs, and stigma and embarrassment inhibiting open, proactive discussions between men and GPs and limiting diagnosis. Endocrinologists believe many men referred to them could be appropriately managed by GPs. Endocrinologists’ responsibility is to assess and provide appropriate treatment for more complicated cases, which often involves additional investigations that men are not expecting and might not result in treatment with testosterone therapy.


Testosterone deficiency; Testosterone therapy; Patient research

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Janine David,Alexandra Charles. Barriers to diagnosis and accessing effective treatment and support for testosterone deficiency. Journal of Men's Health. 2024.doi:10.22514/jomh.2024.001.


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