Synthetic data only. Never enter patient information; nothing is sent or stored. For clinicians. Not FDA cleared.For licensed clinicians. Educational demonstration on synthetic data. Never enter real patient identifiers or protected health information: everything runs in your browser and nothing is sent or stored. Clinical decision support only; not FDA cleared; physician review is required.
CPE-006 · synthetic case TESTO-FX-01
Low libido and erectile dysfunction, testosterone never measured
A 48-year-old with sexual symptoms and fatigue.
Purpose: A 48-year-old with sexual symptoms and fatigue.
Inputs the engine received
Symptoms and findings
- Age
- 48 years
- Low libido
- Yes
- Erectile dysfunction
- Yes
- Fatigue
- Yes
What the engine reports
Detected clinical pattern
Screening Opportunity: Measure Testosterone
The symptom pattern justifies a fasting morning total testosterone. Symptoms alone do not establish anything.
Recommended next steps
For physician consideration. Urgent review always comes first.
- 1Order a fasting morning total testosterone (two samples to confirm a low value), with SHBG when borderline.
Missing information
- Total testosterone (fasting morning sample).
Evidence and rule trace · 1 rules
HG-01Symptom pattern: testosterone not yet measured
Inputs: low libido · erectile dysfunction · fatigue
Screening opportunity: measure a morning fasting total testosterone.
Evidence
- EV-ES-TRT-2018 · Bhasin S, Brito JP, Cunningham GR, et al. Testosterone Therapy in Men With Hypogonadism: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. 2018;103(5):1715-1744.
- EV-AUA-2018 · Mulhall JP, Trost LW, Brannigan RE, et al. Evaluation and Management of Testosterone Deficiency: AUA Guideline. J Urol. 2018;200(2):423-432.
Physician adjudication required. Clinical decision support for physician review. This output identifies laboratory patterns and cautions. It does not diagnose, find the cause, or recommend starting, stopping or dosing testosterone therapy. Physician adjudication is required.
Change the values
The same engine, starting from this case. Change any value and watch the pattern and the rule trace react.
Testosterone and hormones
- <264
- 264–299
- 300–350 borderline
- >350
4.3 g/dL is assumed when left empty.
Symptoms and findings
Possible reversible contributors
Testosterone therapy context
More testosterone cases
TESTO-FX-02
One low testosterone
Total testosterone 218 ng/dL on a single morning sample.
TESTO-FX-03
Low on two samples with a primary pattern
Testosterone 205 and 190 with LH 22 and FSH 31.
TESTO-FX-04
Secondary pattern with obesity and diabetes
LH 1.2 and FSH 2.0 with BMI 36.
TESTO-FX-05
Raised prolactin with low testosterone
Prolactin 95 ng/mL.
TESTO-FX-06
Headache, visual field loss and prolactin 310
Possible pituitary mass effect.
TESTO-FX-07
Borderline total testosterone
Total testosterone 320 with SHBG 62 and symptoms.
Try Biod in your practice
The Clinical Intelligence Layer — transforming fragmented clinical information into structured intelligence for clinician review and action.