A 40-Year-Old Man Comes to the Office Due to Erectile

A 40-year-old man comes to the office due to erectile dysfunction and loss of libido.  The patient's history is notable for Hodgkin lymphoma that was treated with chemotherapy.  Physical examination is normal except for small testes.  Laboratory evaluation shows consistently low total and free early morning testosterone levels and elevated serum LH.  Transdermal testosterone therapy is prescribed.  Which of the following should be periodically monitored during this patient's treatment?

A) ECG
B) Hematocrit
C) Serum cortisol
D) Serum creatinine
E) Serum TSH and thyroxine

Correct Answer:

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