Unlocking the therapeutic potential and personalized therapy of testosterone: a comprehensive review

Drug Metab Pers Ther. 2024 Nov 6;40(1):1-11. doi: 10.1515/dmpt-2024-0035. eCollection 2025 Mar 1.

Abstract

Introduction: Testosterone, the primary male sex hormone, orchestrates various physiological processes including sex differentiation, development of male characteristics, sperm production, and fertility. Its synthesis primarily occurs in Leydig cells within the testes, with smaller contributions from the ovaries and adrenal glands, all derived from cholesterol. Current therapeutic use of testosterone is mainly confined to treating hypergonadotropic hypogonadism, with limited off-label usage for augmenting muscle growth.

Content: This review delves into numerous studies investigating testosterone's therapeutic potential across various medical conditions as depicted in the figure given below.

Summary: Of all the studies in this review, which show a positive therapeutic result by using testosterone, the most promising areas of potential usage of testosterone are anxiety and diabetes mellitus, followed by obesity and depression.

Outlook: By the medium if this study, we want to not only enlist the various potential therapeutic uses of testosterone, but also promote a optimal hormonal balance, which can lead to prevention and/or better treatment outcomes for the mentioned diseases.

Keywords: antianxiety; antidepressant; antidiabetic; antiobesity; testosterone.

Publication types

  • Review

MeSH terms

  • Animals
  • Depression / drug therapy
  • Diabetes Mellitus / drug therapy
  • Humans
  • Hypogonadism / drug therapy
  • Male
  • Obesity / drug therapy
  • Precision Medicine* / methods
  • Testosterone* / metabolism
  • Testosterone* / therapeutic use

Substances

  • Testosterone