What is Endocrinology - What impact do androgens have on sleep?
Exogenous testosterone may cause sleep apnea-related alterations or exacerbate OSA that already exists. A high-dose testosterone injection in hypogonadal older men who were otherwise healthy and had undiagnosed sleep apnea reduced total sleep time and made it worse, according to one randomised controlled experiment. Despite the fact that there have been no confirmed reports linking hypogonadism to diminished cognition and impaired driving, it is the prescriber's responsibility to check patients for the risk of undiagnosed OSA.
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