Nate Visit 1: A 63-year-old man with fatigue and reduced libido

How to Get His Game Back: Managing Hypogonadism in Primary Care
0.75 AMA PRA Category 1 Credit(s)™
Launch Date:
May 29, 2013
Expiration Date:
The accreditation for this activity has expired.

Primary Audience:

No primary audience was provided.

Relevant Terms:

No primary audience was provided.

Chad W.M. Ritenour, MD

Chad W.M. Ritenour, MD
Vice Chair of Education and Faculty Affairs
Associate Professor
Director, Men's Health Center
Department of Urology
Emory University School of Medicine
Atlanta, GA

Dr. Chad W. M. Ritenour is currently Vice Chair of Education and Faculty Affairs and Associate Professor in the Department of Urology at Emory University School of Medicine in Atlanta, GA. He teaches widely in both undergraduate and graduate medical education in his role as Residency Program Director and has published multiple original and review articles in the medical literature. As Director of Outpatient Services and Director of the Men's Health Center for Urology, he has worked to develop efficient care processes, including use of video-assisted consents for the urologic patient. Dr. Ritenour attended the University of Virginia as an Echols Scholar and subsequently received his medical degree from the Medical College of Virginia before completing his urological surgery training at Emory University. In 2010, he served as a Fellow in the American Urological Association-Japanese Urological Association Academic Exchange Program.

Matt Rosenberg, MD

Matt Rosenberg, MD
Medical Director
Mid-Michigan Health Centers
Jackson, MI

Matt T. Rosenberg, MD, earned his medical degree at the University of California, Irvine, School of Medicine, where he trained in general surgery. He also trained in urologic surgery at Brigham and Women's Hospital in Boston, Massachusetts, before changing fields to general practice. Dr. Rosenberg has a special interest in the medical management of urologic diseases and has authored or coauthored articles appearing in Urology, Journal of Urology, BJU International, International Journal of Clinical Practice, and other peer-reviewed journals. He now practices in Jackson, Michigan, serving as Medical Director of Mid-Michigan Health Centers, and on staff at Allegiance Health, where he served as Chief of the Department of Family Medicine from 2003 to 2006. Dr. Rosenberg is Section Editor of Urology for the International Journal of Clinical Practice and is Founder and Chairman of the Urologic Health Foundation, a nonprofit group dedicated to the education of primary care physicians in the field of genitourinary disease. In 2011, he was appointed by the American Urological Association's Office of Education to be the Coordinator of Primary Care Education.

Ronald S. Swerdloff, MD

Ronald S. Swerdloff, MD
Professor of Medicine
David Geffen School of Medicine at UCLA
Chief, Division of Endocrinology, Metabolism & Nutrition
Harbor-UCLA Medical Center
Torrance, CA

Dr. Ronald S. Swerdloff is Professor of Medicine, Chief of the Division of Endocrinology, and Associate Chair of the Department of Medicine at the Harbor-UCLA Medical Center, David Geffen School of Medicine at UCLA. He is the Director of a NIH sponsored Contraceptive Clinical Trials Center and a WHO Collaborating Center for Research in Human Reproduction. He is the recipient of multiple national and university awards, a past president of several national societies, and an elected Master of the American College of Physicians. A former editor of the Journal of Clinical Endocrinology and Metabolism, Dr Swerdloff has published over 500 peer-reviewed articles, reviews, chapters and books.  His research includes basic investigations, clinical trials, and translational studies bridging the two branches of biomedical science. He serves on many national advisory committees for scientific, governmental, and corporate (pharmaceutical) organizations. Dr Swerdloff is particularly known for his basic and translational research on male reproductive biology including the regulation of spermatogenesis, experimental germ and stem cell transplantation, male contraception, aging and hormone deficiencies, traumatic brain injury and endocrine deficiencies, pituitary diseases, diagnosis and treatment, and androgen drug development. He is an expert on hormonal disorders and drug abuse in athletes. Dr Swerdloff is also recognized for his teaching and clinical skills and is regularly listed a 'Top Physician in America".
1. Summarize the diagnostic criteria for hypogonadism using established guidelines.
2. Describe three possible conditions that are often comorbid to hypogonadism, and implement ways to overcome them in clinical practice.
3. Evaluate the various treatment options for a man with hypogonadism, in terms of selection, efficacy, safety and contraindications.