Activity Evaluation

Differentiate the clinical presentations of testosterone deficiency from the many conditions that mimic it, including obstructive sleep apnea, depression, thyroid disease, anemia, and medication effect.

Apply correct testosterone testing methodology — early-morning fasting sampling, confirmatory repeat testing, and appropriate use of SHBG and calculated free testosterone.

Distinguish primary from secondary hypogonadism using LH and FSH, and determine when prolactin, iron studies, or pituitary imaging are indicated.

Identify and address reversible contributors to low testosterone before initiating therapy, including obesity, opioids, glucocorticoids, and untreated sleep apnea.

Select an appropriate testosterone formulation and starting dose based on the patient's fertility goals, hematocrit, adherence profile, and preference.

Construct a guideline-based monitoring plan including testosterone level timing by formulation, hematocrit, PSA, and symptom reassessment.

Manage erythrocytosis, elevated estradiol, gynecomastia, acne, and other adverse effects of testosterone therapy without reflexively discontinuing treatment.

Counsel men on the fertility consequences of exogenous testosterone and describe evidence-supported fertility-preserving strategies.

Interpret the current cardiovascular and prostate safety evidence, including the TRAVERSE trial, and counsel patients accurately about risk.

Determine when to discontinue therapy, when to refer to urology or endocrinology, and how to document shared decision-making for an off-label or long-term therapy.

Content was current and evidence-based.

The faculty/author demonstrated experiential knowledge and expertise in the subject matter.

Content was presented fairly and balanced, free of promotion of any specific product or service.

Depth and breadth were appropriate for nurse practitioner practice.

Material was well organized and easy to follow.

References and citations were adequate and verifiable.

Teaching methods (text, tables, algorithms, cases) supported learning.

Time allotted for the activity was appropriate.

The online platform was easy to use.

Content is relevant to my current practice.

I feel more confident evaluating and managing men with suspected testosterone deficiency.

I intend to change or refine my practice based on this activity.