A male patient tells the primary care NP he is experiencing decreased libido, lack of energy, and poor concentration. The NP performs an examination and notes increased body fat and gynecomastia. A serum testosterone level is 225 ng/dL
The NP's next action should be to: a. order LH and FSH levels.
b. order a serum prolactin level.
c. prescribe testosterone replacement.
d. obtain a morning serum testosterone level.
D
To diagnose hypogonadism, two serum testosterone levels must be drawn, with serum collected in the morning. LH, FSH, and prolactin levels may be drawn as well. Testosterone replacement should not be prescribed until the diagnosis is definitive.
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