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Since the 1969 Stonewall riots against one of the many police raids on gay bars, there have been many more reports and instances of violence against LGBT people in the United States. The violence that has occurred over the existence of the LGBT community has been more extensive considering how long the incidents have occurred. Violence can also occur between couples who are of the same sex, statistics showing that violence among same-sex couples is more common than among than couples of the opposite sex. People who are perceived to be LGBT may also be targeted. Those targeted by such violence are believed to violate heteronormative rules and contravene perceived protocols of gender and sexual roles. The history of violence against LGBT people in the United States is made up of assaults on gay men, lesbians, bisexual, and transgender individuals ( LGBT), legal responses to such violence, and hate crime statistics in the United States of America. 2020 doi:10.7326/M19-0830.A memorial in May 2013 where Mark Carson, a 32-year-old black gay man, was shot to death by another man who trailed and taunted him and a friend as they walked down the street in New York City's Greenwich Village Efficacy and safety of testosterone treatment in men: An evidence report for a clinical practice guideline by the American College of Physicians. The Journal of Clinical Endocrinology and Metabolism. Testosterone therapy in men with hypogonadism: An Endocrine Society clinical practice guideline. Testosterone treatment in adult men with age-related low testosterone: A clinical guideline from the American College of Physicians. Approach to older men with low testosterone. Your doctor can help you weigh the pros and cons of treatment. If you think you might have low testosterone, talk to your doctor about your signs and symptoms, testing, and possible treatment options.
Your doctor will likely recommend against starting testosterone therapy if your fertility is important in the near future or if you have conditions such as breast or prostate cancer, untreated severe obstructive sleep apnea, uncontrolled heart failure or thrombophilia, or if you've recently had a heart attack or stroke. Testosterone therapy may also increase the risk of heart attack and stroke and contribute to the formation of blood clots in the veins.
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Though further research is needed, testosterone therapy might stimulate growth of metastatic prostate and breast cancer. For others, the benefits aren't clear and there are possible risks. If you choose to start testosterone therapy, your doctor will explain the different ways testosterone can be administered, target levels and follow-up testing.įor some men, testosterone therapy relieves bothersome signs and symptoms of testosterone deficiency. Some experts also recommend offering testosterone treatment to men with age-related low testosterone without the presence of signs or symptoms. It is part of your body's endocrine system, which consists of all the glands that produce and regulate hormones. The pituitary gland is a kidney-bean-sized gland situated at the base of your brain. If low testosterone is confirmed, further testing of the pituitary gland is recommended to determine the cause and rule out other hormone deficiencies. If an initial test shows low testosterone, the test should be repeated to confirm the results. It's also possible to experience increased sleepiness, sleep disturbances, mild unexplained anemia, reduced muscle bulk and strength, and increased body fat.Įxperts recommend only testing older men for low testosterone if they have signs or symptoms. Other possible symptoms include decreased energy, motivation and confidence, depressed mood, and poor concentration.