The effect of testosterone on cardiovascular disease: a critical review of the literature

Am J Mens Health. 2014 Nov;8(6):470-91. doi: 10.1177/1557988314522642. Epub 2014 Feb 20.

Abstract

Cardiovascular disease is the leading cause of death in the United States. Testosterone is the principal male sex hormone and plays an important role in men's health and well-being. Historically, testosterone was believed to adversely affect cardiovascular function. However, contemporary literature has refuted this traditional thinking; testosterone has been suggested to have a protective effect on cardiovascular function through its effects on the vascular system. Data from modern research indicate that hypogonadism is closely related to the development of various cardiovascular risk factors, including hyperlipidemia and insulin resistance. Several studies have demonstrated beneficial effects of testosterone supplementation therapy on reversing symptoms of hypogonadism and improving cardiovascular disease risk profiles. In this review, we perform a critical analysis on the association between testosterone and cardiovascular disease.

Keywords: cardiovascular disease; hypogonadism; testosterone.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Adult
  • Aged
  • Cardiovascular Diseases / etiology
  • Cardiovascular Diseases / physiopathology
  • Cardiovascular Diseases / prevention & control*
  • Follow-Up Studies
  • Hormone Replacement Therapy / methods*
  • Humans
  • Hypogonadism / complications
  • Hypogonadism / physiopathology
  • Male
  • Men's Health*
  • Middle Aged
  • Randomized Controlled Trials as Topic
  • Risk Assessment
  • Testosterone / administration & dosage
  • Testosterone / deficiency*
  • Treatment Outcome

Substances

  • Testosterone