Urology, Uro-oncology and Sexology Update

6 The ndings support the need for better education, improved access to healthcare and more appropriate investigation of men experiencing persistent symptoms. However, the study does not demonstrate that 49% of UK men have low testosterone. Instead, it highlights the potential scale of unmet need and the importance of identifying those whose symptoms warrant proper clinical evaluation. The central message is that men's hormonal health may be under-recognised, but effective diagnosis requires more than symptom recognition: it requires appropriate clinical assessment and biochemical conrmation. Reference Liu VN, Huang DR, Alaa A, Hayhoe B, El-Osta A. Awareness and prevalence of the symptoms of testosterone deciency: a cross-sectional survey of community-dwelling men in the UK. BMJ Open. 2025;15:e094145.

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