Please note Epocrates will no longer provide this CME offering after December 31, 2015. However this free offering will continue to be available directly from RealCME and there will be no interruption to your account, including credits, certificates and new course offerings.

Please directly access your account by clicking RealCME Health Professional and use the same email address to log in to your account that you have used with EpocratesCME. For security purposes, you will be asked to establish a new password.

If you have already created a password, you may return to RealCME Health Professional anytime and continue to participate in this great variety of CME activities.

George Visit 1: A Middle-Aged Caucasian Male Presenting With Signs of Hypogonadism


George Visit 1: A Middle-Aged Caucasian Male Presenting With Signs of Hypogonadism

Topic: Urology
Relevant Terms: Erectile Dysfunction, Male Hypogonadism, Testicular Dysfunction
Primary Audience: Primary Care Physicians; Nurse Practitioners; Physician Assistants
Launch Date: 26-Oct-10
Credits: 0.5 AMA PRA Category 1 Credit
Expiration Date: The accreditation for this activity has expired.
Curriculum Name: Signs and Symptoms of Hypogonadism

Learning Objectives

Upon completion of the activity, participants should be able to:

  1. Recognize the prevalence, signs, and symptoms of male hypogonadism in the aging male population.
  2. Order appropriate laboratory testing to make a diagnosis and understand the full scope of the problem.
  3. Identify appropriate management strategies, utilizing traditional testosterone replacement therapies and newer modalities such as transdermal patches, gels and buccal tablets.


    Louis Kuritzky, MD
    Clinical Assistant Professor
    Department of Community Health and Family Medicine
    University of Florida
    Gainesville, Florida
    Mohit Khera, MD, MBA, MPH
    Assistant Professor of Urology
    Division of Male Reproductive Medicine and Surgery
    Scott Department of Urology
    Baylor College of Medicine
    Houston, Texas
    Pamela I. Ellsworth, MD, FACS
    Associate Professor of Urology/Surgery
    The Warren Alpert Medical School of Brown University
    Providence, Rhode Island
    Hypogonadism affects 2-4 million men in the United States, but because of the nonspecific nature of the symptoms, most men do not complain, and the condition remains underdiagnosed. Furthermore, prevailing concepts of 'maleness' and sexuality, and lack of awareness among primary care physicians, contribute to disregarding the importance of male hypogonadism, even though it is associated with a reduced quality of life. As a result, many male patients with hypogonadism are untreated.

    It is the policy of NACE to ensure balance, independence, objectivity, and scientific rigor in all of its educational activities. NACE assesses conflict of interest with its faculty, planners and managers of CME activities. Conflicts of interest that are identified are resolved by reviewing that presenter's content for fair balance and absence of bias, scientific objectivity of studies utilized in this activity, and patient care recommendations.
    While NACE endeavors to review faculty content, it remains the obligation of each physician or other healthcare practitioner to determine the applicability or relevance of the information provided from this course in his or her own practice.

    Dr. Kuritzky has the following conflicts of interest to disclose:
    Consultant/Advisory Board: Boehringer Ingelheim

    Dr. Ellsworth has no real or apparent conflicts if interest to report.

    Dr. Khera has the following conflicts of interest to disclose:
    Speakers Bureau: Auxilium 

    Gregg Sherman, MD, has no real or apparent conflicts if interest to report. Harvey Parker, PhD, has no real or apparent conflicts of interest to report.

    The opinions expressed during the educational activity are those of the faculty and do not necessarily represent the views of NACE. The information is presented for the purpose of advancing the attendees' professional development.

    NACE designates this educational activity for a maximum of 0.5 AMA PRA Category 1 Credit. Physicians should claim credit commensurate with the extent of their participation in the activity.

    This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education. NACE is accredited by the ACCME to provide continuing medical education for physicians.

    By reviewing the course content and successfully completing the post-test and evaluation, physicians are entitled to receive 0.5 AMA PRA Category 1 Credit™. Statement of credit will be available to print from your user history page.
    • Read the learning objectives and faculty disclosures.
    • Participate in the activity.
    • Complete the post-test and activity evaluation.
    • Physicians, Nurse Practitioners and Physician Assistants who successfully complete the post-test and evaluation will receive CME credit. You must score with a 60% or higher on the post-test to receive credit for this activity.
    • All other participants who successfully complete the post-test and evaluation will receive a certificate of participation.

    COURSE FORMAT: Internet CME Activity

    PC: Internet Explorer (v6 or greater), or Firefox
    MAC: Safari or Firefox

    This activity was supported by an educational grant from Solvay Pharmaceuticals, Inc., which is now part of Abbott.