• J Fam Pract · Jan 2022

    Are SERMs safe and effective for the treatment of hypogonadism in men?

    • Tina Joseph, Lawrence M Gibbs, and Kim Pham.
    • Methodist Charlton Family Medicine Residency, Dallas, TX.
    • J Fam Pract. 2022 Jan 1; 71 (1): E18-E21.

    AbstractYES. For both normal-weight and obese men with low testosterone levels and hypogonadal symptoms, selective estrogen receptor modulators (SERMs), such as clomiphene citrate (CC) and enclomiphene citrate (EC), appear to be effective and safe for improving serum testosterone levels (strength of recommendation [SOR]: C, disease-oriented outcomes from randomized controlled trials [RCTs] and cohort studies). Studies also show that symptom improvement is comparable to that with exogenous testosterone replacement and similar to eugonadal men (SOR: B, patient-oriented outcomes from retrospective cohort studies).

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