Ip10-24 Changes in Blood Test Profiles With Use of Testosterone Undecanoate Capsules (tlando) in Men With Hypogonadism
Year: 2025
Type: article
Study design: Observational Study
Abstract: INTRODUCTION AND OBJECTIVE: Phosphosidesterase-5 inhibitors (PDE5-i) are a mainstay of treatment for erectile dysfunction (ED).However, conventional prescribing via in-person, outpatient office visits may be difficult to access because of social, financial, and geographic barriers.In this study, we sought to understand how patients with erectile dysfunction access medical therapy.METHODS: Adult men were recruited online via Research-Match to complete questionnaires regarding demographic and clinical information, sexual function, and health care utilization e specifically use of PDE5i and medication source.Multivariable logistic regression was used to assess relationships between patient characteristics and medication source.RESULTS: Of the men who completed the survey, 588 men had self-diagnosed ED with a median age of 61 (IQR 50, 69).Of those, 486 (83%) had a formal diagnosis of ED from a medical provider and 310 (53%) had used a PDE5i for their ED.Among those using a PDE5i, 240 (77%) reported receiving their prescription through an inperson visit with a healthcare provider, while 70 (23%) obtained the medication from unconventional sources.Unconventional sources included telemedicine services (n[42, 14%), friends and family with prescriptions (n[9, 2.9%), and other unprescribed sources (n[19, 6.1%).On univariate analysis, unconventional PDE5-i source was associated with younger age, living in a rural area, being single, and having male sexual partners.On multivariate analysis, only age (OR 0.97), rurality (OR 2.48), and being single (OR 2.07) were significantly associated with unconventional PDE5-i source.CONCLUSIONS: PDE5-i play a key role in the management of ED and nearly a quarter of the men surveyed in this study obtained their medication outside the context of a traditional office visit.This was associated with younger age, being single, and living in a rural area.As sexual medicine providers, we need to better understand how to reach these patients to ensure that they receive safe and appropriate dosing, as well as access to alternative options if medical management fails.
Source: The Journal of Urology
Language: English
Subfield: Endocrinology, Diabetes and Metabolism
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W4409265539