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CPE-006 · Safety
HG-10: Fertility desired
Fertility desired. Evaluates fertility desired.
Active rulePriority 2Testosterone engine v1.0.0
Condition
- fertility desired
- low testosterone pattern OR testosterone therapy under consideration
What it reports
- Caution: testosterone therapy suppresses spermatogenesis; evaluation and treatment differ when fertility is wanted
Recommended next steps (for physician review)
- Discuss fertility goals before any androgen therapy; consider referral to reproductive endocrinology or urology
Diagnostic boundary
- The engine does not choose a therapy.
Evidence
- EV-ES-TRT-2018Bhasin 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.Supports: Diagnose with symptoms plus unequivocally low testosterone on two morning fasting samples Contraindications and cautions to therapy; monitoring of hematocrit and PSA Evaluation of the type of hypogonadism with LH and FSH
- EV-AUA-2018Mulhall JP, Trost LW, Brannigan RE, et al. Evaluation and Management of Testosterone Deficiency: AUA Guideline. J Urol. 2018;200(2):423-432.Supports: Total testosterone below 300 ng/dL as the threshold; repeat and confirm; fertility counselling before therapy
Cases where this rule fires
Open a case to see this rule fire with real inputs, then change the values until it stops.
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