Pozdní hypogonadismus - Andropauza v kontextu sexuálních funkcí, fertility a kardiometabolického rizika – Broul Marek (2026)

This Czech-language paperback is a comprehensive, practically focused guide to men’s hormonal health, connecting the latest evidence with everyday clinical practice in the Czech Republic. It clearly explains testosterone biology, the diagnosis of late-onset hypogonadism and the principles of safe, individualized treatment across urology, andrology, endocrinology and sexual medicine. The book presents diagnostic and therapeutic algorithms, tables, myths and facts, and case studies immediately applicable in the clinic, while connecting EAU, ISSM and AUA recommendations with local practice. It covers recognizing LOH and andropause, appropriately ordering and interpreting total and free testosterone, SHBG and LH/FSH tests, using the ADAM, AMS, IIEF-5 and FSFI questionnaires, distinguishing comorbidities such as obesity, type 2 diabetes, depression, OSA and iatrogenic causes, and selecting suitable testosterone replacement therapy, including gels and injections. It also addresses monitoring hematocrit, PSA and cardiometabolic risk, as well as long-term follow-up. The book is intended for urologists, andrologists, endocrinologists, general practitioners, sexologists, gynecologists, internists, psychiatrists and psychologists, as well as medical students. The author is a urologist, andrologist and sexologist specializing in male infertility, erectile dysfunction and comprehensive care for transgender patients.