For a good while, it was because the Depraved Homosexual trope and its ilk pretty much limited portrayals of explicitly gay characters to villainous characters, or at least characters who weren't given much respect by the narrative. The reasons for this trope have evolved somewhat over the years. Indeed, it may be because they seem to have less purpose compared to straight characters, or that the supposed natural conclusion of their story is an early death. In aggregate, queer characters are more likely to die than straight characters. In this way, the death is treated as exceptional in its circumstances. 2020 doi:10.7326/M19-0830.This trope is the presentation of deaths of LGBT characters where these characters are nominally able to be viewed as more expendable than their heterosexual counterparts. Efficacy and safety of testosterone treatment in men: An evidence report for a clinical practice guideline by the American College of Physicians. The Journal of Clinical Endocrinology and Metabolism. Testosterone therapy in men with hypogonadism: An Endocrine Society clinical practice guideline.
Testosterone treatment in adult men with age-related low testosterone: A clinical guideline from the American College of Physicians. Approach to older men with low testosterone. Your doctor can help you weigh the pros and cons of treatment. If you think you might have low testosterone, talk to your doctor about your signs and symptoms, testing, and possible treatment options.
Your doctor will likely recommend against starting testosterone therapy if your fertility is important in the near future or if you have conditions such as breast or prostate cancer, untreated severe obstructive sleep apnea, uncontrolled heart failure or thrombophilia, or if you've recently had a heart attack or stroke. Testosterone therapy may also increase the risk of heart attack and stroke and contribute to the formation of blood clots in the veins. Though further research is needed, testosterone therapy might stimulate growth of metastatic prostate and breast cancer. For others, the benefits aren't clear and there are possible risks. If you choose to start testosterone therapy, your doctor will explain the different ways testosterone can be administered, target levels and follow-up testing.įor some men, testosterone therapy relieves bothersome signs and symptoms of testosterone deficiency. Some experts also recommend offering testosterone treatment to men with age-related low testosterone without the presence of signs or symptoms. It is part of your body's endocrine system, which consists of all the glands that produce and regulate hormones. The pituitary gland is a kidney-bean-sized gland situated at the base of your brain. If low testosterone is confirmed, further testing of the pituitary gland is recommended to determine the cause and rule out other hormone deficiencies. If an initial test shows low testosterone, the test should be repeated to confirm the results. It's also possible to experience increased sleepiness, sleep disturbances, mild unexplained anemia, reduced muscle bulk and strength, and increased body fat.Įxperts recommend only testing older men for low testosterone if they have signs or symptoms. Other possible symptoms include decreased energy, motivation and confidence, depressed mood, and poor concentration.