Testosterone and Male Osteoporosis

  • Dong-Eun Shin
  • Tae-Keun Ahn
  • Jee-Woong Kim
  • Chi-Hoon Oh
  • SeongJu Choi
Review Paper


Male osteoporosis is not a rare public health issue. The prevalence of hypogonadism increases with aging, and the gradual onset of moderate hypogonadism is the most common cause of male osteoporosis. Decreased testosterone levels with aging can directly or indirectly increase the risk of male osteoporosis and fractures. However, testosterone deficiency is not a universal feature of elderly men, and the association of testosterone with osteoporosis is not as strong as that of estrogen with osteoporosis in females; the effect of testosterone on male osteoporosis and treatment of osteoporosis is still controversial. Although many data and results have been released, the mechanism by which testosterone affects bone formation and resorption is not fully understood yet. Therefore, this review aims to present current knowledge about testosterone and male osteoporosis.


Testosterone Androgen Androgen receptor Osteoporosis 


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed Consent

Not applicable.


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Authors and Affiliations

  1. 1.Department of Orthopedic Surgery, Spine Surgery, CHA Bundang Medical CenterCHA UniversitySeongnam-siRepublic of Korea

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